ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
4-year-old child receiving treatment for acute lymphoblastic leukemia
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: C. RBC count within normal range (4-5.5/mm³) suggests stable red cell production, a positive sign. A. Low hemoglobin indicates anemia, not improvement. B. Elevated WBC suggests active disease or infection. D. Low platelets show ongoing thrombocytopenia, not a therapeutic effect.
Extract:
Adolescent client
Question 2 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: Discarding the first void starts the 24-hour period accurately. A. All urine goes in one container. B. Povidone-iodine isn't needed; hygiene suffices. D. Voiding as needed, not hourly, is correct.
Extract:
1-year-old child hospitalized
Question 3 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: A
Rationale: Keyboards are frequently touched, harboring pathogens. B. Gowns are single-use, low risk. C. Unopened formula is sterile. D. Diapers are hygienic.
Extract:
Infant with a prescription for a Pavlik harness
Question 4 of 5
A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diaper over straps protects skin and harness. A. Lotion irritates skin. C. Strap adjustment is by provider only. D. Massage risks irritation.
Extract:
Child with varicella
Question 5 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: Varicella spreads via airborne routes; precautions prevent transmission. A. Aspirin risks Reye's syndrome. B. Warmth increases discomfort; cool is better. D. Koplik spots are for measles, not varicella.