ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A client with a white blood cell (WBC) count of 15,000/mm3.
Question 1 of 5
A nurse is caring for a client who has a white blood cell (WBC) count of 15,000/mm3. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring temperature every 4 hours detects infection or inflammation, common with high WBC. Isolation, antihistamines, or fluid increase are not specific to high WBC.
Extract:
A preschooler with acute lymphoblastic leukemia (ALL), receiving chemotherapy and steroids, no bowel movement for 5 days, crying and clinging to guardian, temperature of 38.8°C (101.9°F) tympanic, erythematous central line catheter insertion site with purulent drainage.
Question 2 of 5
A nurse on a pediatric unit is preparing to admit a preschooler after receiving a transfer report from a nurse in the emergency department. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: D
Rationale: Erythema and purulent drainage at the central line site suggest infection, risking sepsis in an immunocompromised child. This requires immediate reporting, blood cultures, and antibiotics. Constipation, crying, and fever are concerning but less urgent.
Extract:
A 4-month-old infant with high head circumference percentile, low weight percentile.
Question 3 of 5
The nurse is caring for a 4-month-old infant in the emergency department. The nurse reviews the infant's medical record and assessment findings. Which of the following conditions should the nurse suspect, and what actions should the nurse take to address that condition, and what parameters should the nurse monitor to assess the infant's progress? The nurse should suspect that the infant has
Correct Answer: C
Rationale: Hydrocephalus is indicated by high head circumference and low weight, suggesting fluid accumulation in the brain. Actions include neurological assessments and imaging. Monitor head circumference and neurological status. Failure to thrive, microcephaly, or macrocephaly are less likely based on the findings.
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 4 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 child with mumps.
Question 5 of 5
A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?
Correct Answer: A
Rationale: Mumps spreads via respiratory droplets, requiring droplet precautions. Airborne, contact, or standard precautions are insufficient or inappropriate.