ATI RN
ATI Paediatrics exam 1 simmons U BSN Questions
Extract:
Child with iron deficiency anemia taking iron supplements
Question 1 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 2 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 3 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.
Extract:
Child post-tonsillectomy
Question 4 of 5
A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?
Correct Answer: B
Rationale: The correct answer is B: Frequent swallowing. Post-tonsillectomy hemorrhage can present with frequent swallowing due to blood pooling in the mouth, causing the child to swallow frequently. This can indicate active bleeding and should be reported immediately. Mouth breathing (
A) may be due to nasal congestion or airway obstruction, not necessarily hemorrhage. Reports of pain (
C) are expected postoperatively but not specific to hemorrhage. Reports of thirst (
D) may indicate dehydration but not directly related to hemorrhage.
Extract:
Infant with transposition of the great vessels receiving prostaglandin E
Question 5 of 5
The nurse administered prostaglandin E to an infant with transposition of the great vessels. The nurse expects which effect to occur from the medication?
Correct Answer: B
Rationale: The correct answer is B: Ductus arteriosus remains open. Prostaglandin E helps keep the ductus arteriosus open in infants with transposition of the great vessels, improving mixing of oxygenated and deoxygenated blood.
Choice A is incorrect because the ductus venosus is a fetal vessel that closes shortly after birth.
Choice C is incorrect as deoxygenated blood mixing is necessary in this condition.
Choice D is incorrect because closing the ductus arteriosus would worsen oxygenation in this case.