ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child with pertussis.
Question 1 of 5
A nurse is caring for a child who has pertussis. The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names?
Correct Answer: B
Rationale: Pertussis is commonly called whooping cough due to its characteristic coughing spells.
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 2 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:
An adolescent in the ED with high fever, headache, neck stiffness, CSF analysis: WBC count 300 cells/microliter, protein 45 mg/dL, glucose 40 mg/dL, turbid color.
Question 3 of 5
A nurse is caring for an adolescent who was brought to the emergency department (ED) with a high fever, headache, and neck stiffness. The nurse reviews the adolescent's cerebrospinal fluid (CSF) analysis results and notes the following: - WBC count 300 cells/microliter (normal range: 0 to 10 cells/microliter) - Protein 45 mg/dL (normal range: 15 to 45 mg/dL) - Glucose 40 mg/dL (normal range: 50 to 75 mg/dL) - Color Turbid (normal: clear and colorless) The nurse should suspect that the adolescent has which of the following conditions?
Correct Answer: A
Rationale: Bacterial meningitis is indicated by fever, headache, neck stiffness, and CSF findings (high WBC, low glucose, turbid). It's more severe than viral meningitis. Encephalitis or brain abscess would show focal neurological deficits, not primary CSF changes.
Extract:
A child with suspected rheumatic fever, prescribed an antistreptolysin O (ASO) titer.
Question 4 of 5
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an antistreptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse give?
Correct Answer: A
Rationale: The ASO titer detects recent streptococcal infection, a rheumatic fever trigger. It doesn't diagnose rheumatic fever, confirm immunity, or measure aminoglycoside levels.
Extract:
An adolescent with type 1 diabetes mellitus.
Question 5 of 5
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?
Correct Answer: B
Rationale: An annual influenza vaccine reduces complication risks in type 1 diabetes. Glyburide is for type 2 diabetes, deltoid injections are suboptimal, and glucagon treats hypoglycemia, not hyperglycemia.