ATI RN
ATI Custom Pediatrics Comprehensive Exam Questions
Extract:
Child with newly diagnosed acute lymphoblastic leukemia
Question 1 of 5
A nurse is caring for a child with newly diagnosed acute lymphoblastic leukemia. What clinical findings does the nurse anticipate when assessing the child? Select all that apply.
Correct Answer: A,C,E
Rationale: Fatigue, pallor, and bruises result from anemia and low platelet counts in ALL, unlike edema or jaundice, which are less common.
Extract:
17-year-old with type 1 diabetes
Question 2 of 5
17-year-old student with type 1 diabetes asks the nurse which hormone causes the blood glucose level to rise. When responding the nurse should explain in language that the client can understand that liver glycogenolysis is stimulated by a hormone secreted by the islets of Langerhans. Which hormone is this?
Correct Answer: C
Rationale: Glucagon, secreted by the islets of Langerhans, stimulates glycogenolysis, raising blood glucose, unlike insulin or other hormones listed.
Extract:
2-day-old neonate weighing 8 pounds at birth, lost one-half pound
Question 3 of 5
The new mother of a 2-day-old neonate who weighed 8 pounds at birth is distressed that the baby has lost one-half pound. The home health nurse's response is one of:
Correct Answer: B
Rationale: A weight loss of up to 10% in the first few days is normal due to fluid loss and feeding adjustments, warranting reassurance.
Extract:
Infant prescribed levothyroxine 0.175 mg PO once a day, available as 88 mcg/tablet
Question 4 of 5
A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: B
Rationale: Calculation: 0.175 mg = 175 mcg; 175 mcg/ 88 mcg/tablet = 1.99, rounded to 2 tablets per dose.
Extract:
1-year-old weighing 22 pounds post-open heart surgery
Question 5 of 5
The nurse caring for a 22-pound 1-year-old child who has had open heart surgery is aware that the minimum acceptable urine output for the child
Correct Answer: B
Rationale: For a 22-pound (10 kg) child, minimum urine output is 1 mL/kg/hour, equaling 10 mL/hour, making 8 mL/hour acceptable but low, warranting monitoring.