ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A 7-year-old child with fever, tachycardia, low oxygen saturation, WBC count 15,000/mm^3, Hgb 8 g/dL, Hct 32%.
Question 1 of 5
A nurse is caring for a 7-year-old child who has a fever, tachycardia, and low oxygen saturation. The nurse reviews the child's laboratory results and notes the following: - WBC count 15,000/mm^3 (normal range: 5,000 to 10,000/mm^3) - Hgb 8 g/dL (normal range: 10 to 15.5 g/dL) - Hct 32% (normal range: 32% to 44%) The nurse should suspect that the child has which of the following conditions?
Correct Answer: B
Rationale: Sickle cell anemia is likely, as low hemoglobin, hematocrit, fever, tachycardia, and low oxygen saturation suggest a sickle cell crisis causing tissue ischemia. Leukemia, hemophilia, or iron deficiency anemia are less likely without specific signs like bleeding or lymphadenopathy.
Extract:
A 15-month-old toddler receiving the first MMR immunization.
Question 2 of 5
A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to a 15-month-old toddler. Which of the following findings is a contraindication for this immunization?
Correct Answer: A
Rationale: Congenital immunodeficiency contraindicates the live MMR vaccine due to infection risk. Mild fever, antibiotics, or low-grade illness are not contraindications.
Extract:
Children on a general pediatric unit.
Question 3 of 5
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Correct Answer: D
Rationale: Parents answering for the child may indicate controlling behavior, a potential abuse sign. Obesity or frequent visitors are not direct abuse indicators.
Extract:
An infant who is dehydrated.
Question 4 of 5
A nurse in an emergency department is assessing an infant who is dehydrated. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Irritability is expected in dehydrated infants due to discomfort and thirst. Tetany, slow pulse, or decreased temperature suggest other conditions.
Extract:
A toddler with acute laryngotracheobronchitis in a cool mist tent.
Question 5 of 5
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?
Correct Answer: C
Rationale: Decreased stridor indicates reduced airway obstruction, showing treatment effectiveness. Hydration, temperature, and cough are less specific.