ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: C
Rationale: A. Low hemoglobin indicates anemia, which is a common side effect of leukemia and its treatment, so it does not necessarily indicate treatment effectiveness. B. Platelet count within normal range is a positive sign, but it does not directly indicate the effectiveness of treatment for leukemia. C. Normalization of the RBC count indicates bone marrow recovery, suggesting treatment effectiveness in acute lymphoblastic leukemia. D. Elevated WBC count is expected in leukemia and may not necessarily indicate treatment effectiveness.
Question 2 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: D
Rationale: A. The child's throat pain increasing is expected post-tonsillectomy and can be managed with pain medication. While important to address, it is not the priority in this situation. B. The child refusing clear liquids may indicate discomfort or difficulty swallowing, but it is not as immediately concerning as other assessment findings. C. The child crying often may be a response to pain or discomfort but does not indicate a physiological problem requiring immediate attention. D. The child swallowing frequently is a priority finding because it could indicate bleeding, which is a significant complication after tonsillectomy and requires immediate intervention to prevent further complications or deterioration in the child's condition.
Question 3 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: A. Partial thromboplastin time (PTT) is not typically used to diagnose rheumatic fever. It is used to evaluate coagulation disorders. B. Elevated C-reactive protein (CRP) levels indicate inflammation, which can be associated with rheumatic fever. C. Elevated erythrocyte sedimentation rate (ESR) is a marker of inflammation and can be elevated in rheumatic fever. D. Elevated Antistreptolysin O (ASO) titer indicates recent streptococcal infection, which is a predisposing factor for rheumatic fever. E. Blood urea nitrogen (BUN) is not typically used to diagnose rheumatic fever. It is used to assess kidney function.
Question 4 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: A. Riding the bicycle against the flow of traffic increases the risk of collisions with oncoming vehicles. Children should ride with the flow of traffic to be more predictable and visible to drivers. B. Keeping the bicycle at least 3 feet from the curb while riding in the street is excessive and may place the child too far into traffic; a safer distance is closer to 1-2 feet to avoid hazards like parked cars. C. Walking the bicycle through intersections allows the child to safely navigate intersections as pedestrians, reducing the risk of accidents with vehicles. D. The height of the child's feet when seated on the bicycle being 3 to 6 inches off the ground is unsafe; their feet should be able to touch the ground for balance and control while stopping and starting.
Question 5 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: A. Warming goat's milk before feeding does not address the issue of nutritional adequacy or suitability for the infant's age. B. Soy milk may not be appropriate for a 10-month-old infant and may not adequately address nutritional needs. C. Commercially prepared formula is recommended for infants who are not breastfeeding and provides essential nutrients necessary for growth and development. D. Reinitiating breastfeeding may not be feasible or appropriate in this situation if the parent has chosen to feed the infant goat milk.