ATI RN
ATI Paediatrics exam 1 simmons U BSN Questions
Extract:
Child with sickle cell anemia, normal hemoglobin at birth, now has hemoglobin S
Question 1 of 5
A mother with sickle anemia asks the nurse why her child's hemoglobin was normal at birth and now the child has the S hemoglobin (sickle cell). Which of the following is an appropriate response from the nurse?
Correct Answer: D
Rationale: High fetal hemoglobin at birth masks sickle hemoglobin, which increases as fetal hemoglobin decreases, leading to sickle cell symptoms.
Extract:
Four children with various conditions
Question 2 of 5
A nurse is reviewing data for four children. Which of the following children should the nurse assess first?
Correct Answer: C
Rationale: Severe chest pain in sickle cell anemia may indicate acute chest syndrome, a life-threatening emergency requiring immediate assessment.
Extract:
Child with iron deficiency anemia taking iron supplements
Question 3 of 5
A nurse is providing teaching to the parents of a child who has iron deficiency anemia and is taking iron supplements. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: C
Rationale: Regular blood count monitoring ensures iron supplements are correcting anemia, unlike incorrect statements about meals, fiber, or dosing.
Extract:
Child with hemophilia experiencing a minor bleeding episode
Question 4 of 5
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: D
Rationale: Applying heat increases blood flow and worsens bleeding in hemophilia; rest, compression, and elevation are appropriate to control bleeding.
Extract:
6-week-old infant with pyloric stenosis
Question 5 of 5
A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: D
Rationale: Projectile vomiting is characteristic of pyloric stenosis due to obstruction at the pylorus, unlike other symptoms which relate to different conditions.