ATI RN
ATI Paediatrics exam 1 simmons U BSN Questions
Extract:
Adolescent post-cardiac catheterization with changes in right femoral area
Question 1 of 5
A nurse is caring for an adolescent following a cardiac catheterization. Which of the following assessment findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider.
Correct Answer: A,E,F,G
Rationale: The correct answer includes reporting the right lower extremity color and warmth, pulses of the right extremity, pressure dressing, and pain to the provider. These findings are crucial post-cardiac catheterization to monitor for potential complications like vascular compromise, bleeding, and pain. Changes in extremity color and warmth could indicate decreased perfusion or blood flow, abnormal pulses could suggest vascular issues, a dislodged clot, or arterial spasm, the pressure dressing should be monitored for signs of bleeding or hematoma, and pain could indicate vascular compromise or other complications. Monitoring blood pressure, respiratory rate, and adolescent's position are important but not the priority in this scenario. Reporting these findings promptly ensures timely intervention and prevents further complications.
Extract:
Child with sickle cell anemia, normal hemoglobin at birth, now has hemoglobin S
Question 2 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: The correct answer is D because at birth, newborns have a high concentration of fetal hemoglobin in their blood, which gradually decreases and is replaced by adult hemoglobin. In the case of sickle cell anemia, the normal fetal hemoglobin is gradually replaced by abnormal S hemoglobin, leading to the manifestation of the disease. This process explains why the child's hemoglobin was normal at birth but later changed to S hemoglobin.
Choice A is incorrect because the bone marrow does produce hemoglobin, including the abnormal S hemoglobin in individuals with sickle cell anemia.
Choice B is incorrect because the placenta does not prevent the passage of hemoglobin S from the mother to the fetus, as it is a genetic condition inherited from the parents.
Choice C is incorrect because antibodies transmitted from the mother do not play a role in the development of sickle cell anemia.
Overall, the correct answer provides a clear and logical explanation for the change in hemoglobin type in the child with sick
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: The correct answer is C: "Our child's blood count will need to be monitored routinely for several weeks." This statement indicates an understanding of the teaching because monitoring the child's blood count is essential in managing iron deficiency anemia and ensuring the effectiveness of the iron supplementation. Regular monitoring helps healthcare providers assess the child's response to treatment and make necessary adjustments.
Choice A is incorrect because iron supplements are generally recommended to be taken on an empty stomach for better absorption.
Choice B is incorrect as there is no evidence that restricting fiber will enhance iron absorption.
Choice D is incorrect because iron supplements are typically divided into smaller doses throughout the day for better absorption and to reduce side effects.
Extract:
Children with ß-thalassemia major
Question 4 of 5
The therapeutic management of children with ß-thalassemia major consists primarily of:
Correct Answer: D
Rationale: The correct answer is D: Blood transfusions and chelation therapy. Children with β-thalassemia major require regular blood transfusions to manage their anemia. Chelation therapy is essential to remove excess iron from the body due to the iron overload from transfusions. Immunizations (
A) are important but not the primary management. Adequate hydration (
B) is necessary but not the primary therapy. Oxygen therapy (
C) may be needed in some cases but is not the primary management for thalassemia major.
Extract:
Toddler with iron deficiency anemia
Question 5 of 5
A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following should the nurse recommend as a method of preventing iron deficiency anemia?
Correct Answer: D
Rationale:
Correct
Answer: D: Avoid a diet that consists primarily of milk
Rationale: Milk is a poor source of iron and excessive consumption can lead to iron deficiency anemia in toddlers. Milk can also interfere with the absorption of iron from other food sources. A diet primarily consisting of milk may not provide enough iron for the toddler's needs.
Summary of other choices:
A: Limit intake of high-protein foods - Protein does not directly impact iron absorption. Iron deficiency anemia is more related to low iron intake.
B: Include fluoridated water in the toddler's diet - Fluoridated water is not directly related to preventing iron deficiency anemia.
C: Administer fat-soluble vitamins daily - Fat-soluble vitamins do not prevent iron deficiency anemia. Iron is a mineral, not a vitamin.
E: (Not provided) - Cannot evaluate without information.