ATI RN
NCLEX RN Pediatric Questions Questions
Question 1 of 5
You are evaluating a 2-year-old boy with multiple bruises. Physical examination is unremarkable apart from multiple bruising areas. Lab investigations including coagulation profile are normal. Of the following, bruises that are LEAST likely suggestive of physical abuse is
Correct Answer: C
Rationale: Bruises over bony prominences are common in toddlers due to falls and rough play, whereas bruises in unusual locations like the neck or torso are more suspicious for abuse.
Question 2 of 5
A 2-year-old is noted to be drinking from a container filled with kerosene. He immediately coughs, becomes tachypneic, and is brought to the hospital. The best approach to his treatment is to
Correct Answer: E
Rationale: Inducing emesis or performing gastric lavage can increase the risk of aspiration. The best approach is supportive care, including oxygen and monitoring.
Question 3 of 5
It is a serious condition in which the bone marrow does not produce enough new blood cells. It may be passed down from the parents or develop sometime during childhood:
Correct Answer: C
Rationale: Aplastic anemia is a serious condition characterized by the bone marrow's failure to produce enough blood cells - red blood cells, white blood cells, and platelets. This condition may be inherited or acquired later in life, including during childhood. It results in a deficiency of all types of blood cells, leading to symptoms like fatigue, weakness, frequent infections, and easy bruising or bleeding. Iron deficiency anemia, sickle cell disease, thalassemia, hemophilia, and idiopathic thrombocytopenic purpura are different blood disorders with distinct causes and symptoms, which do not match the description provided in the question.
Question 4 of 5
Which is an accurate description of a Kasai procedure?
Correct Answer: A
Rationale: The Kasai procedure is a palliative surgery for biliary atresia that helps restore bile flow and delays the need for liver transplantation.
Question 5 of 5
Which of the following blood study results would the nurse expect as most likely when caring for the child with iron deficiency anemia?
Correct Answer: C
Rationale: Iron deficiency anemia is characterized by a decreased mean corpuscular volume (MCV) due to the microcytic red blood cells that result from inadequate iron availability for hemoglobin synthesis. This leads to smaller red blood cells, which are reflected in a decreased MCV. Iron deficiency anemia would not typically result in an increased hemoglobin or normal hematocrit since the lack of iron impairs the production of red blood cells. Additionally, the total iron-binding capacity (TIBC) would usually be increased in iron deficiency anemia as the body attempts to compensate for the decreased iron levels by increasing its ability to bind and transport iron. Therefore, the nurse would expect a decreased mean corpuscular volume (MCV) in a child with iron deficiency anemia.