ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
A sign specific to red blood cell destruction (hemolytic) anemia is:
Correct Answer: A
Rationale: Jaundice is the correct answer for red blood cell destruction anemia because it results from the breakdown of red blood cells, causing an increase in bilirubin levels. Jaundice presents as yellowing of the skin and eyes. Pica (eating non-food items), anorexia (loss of appetite), and tachycardia (rapid heart rate) are not specific signs of hemolytic anemia. Jaundice is a key indicator due to the excess bilirubin released from the destruction of red blood cells.
Question 2 of 5
Anorexia nervosa may best be described as:
Correct Answer: D
Rationale: Anorexia nervosa is characterized by severe weight loss due to restrictive eating behaviors and distorted body image.
Choice D is correct as it accurately describes the hallmark symptom of anorexia.
Choices A and B are incorrect because anorexia nervosa is more common in adolescent females and does not discriminate based on socioeconomic status.
Choice C is incorrect as anorexia nervosa is primarily a psychological disorder, not a pituitary disorder.
Question 3 of 5
A nurse is caring for a baby that may have sickle cell disease. Which of the following tests should be performed to distinguish sickle cell trait from sickle cell disease?
Correct Answer: A
Rationale: The correct answer is A: Hemoglobin electrophoresis. This test is used to distinguish sickle cell trait from sickle cell disease by separating different types of hemoglobin based on their electrical charge. Sickle cell trait will show a different hemoglobin pattern compared to sickle cell disease.
B: Sickle solubility test is not specific enough to differentiate between sickle cell trait and disease.
C: Complete Blood Count (CB
C) provides general information about blood cells but does not specifically differentiate between sickle cell trait and disease.
D: International Normalized Ratio (INR) is used to monitor blood clotting and is not relevant for distinguishing sickle cell trait from disease.
Question 4 of 5
A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Perform chest percussion and postural drainage at least twice daily. This is crucial in managing cystic fibrosis as it helps to loosen and clear mucus from the lungs. Chest percussion and postural drainage can improve lung function and reduce the risk of respiratory infections. Restricting intake of foods that contain gluten (
B) is not necessary for cystic fibrosis. Administering pancreatic enzymes on an empty stomach (
C) is important but not the priority in this case. Using a nebulizer to administer a bronchodilator following airway clearance therapy (
D) is helpful but not as essential as chest percussion and postural drainage.
Question 5 of 5
A child being administered a new medication displays signs of an adverse drug reaction. The nurse would expect treatment of the reaction to include (Select all that apply):
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Discontinuing the drug is essential to stop the adverse reaction. Administering antihistamines helps manage symptoms like itching and hives. Corticosteroids can reduce inflammation and allergic responses caused by the reaction. Antibiotics (choice
A) are not indicated unless there is a specific infection requiring treatment. No other choices were provided, but it's crucial to focus on stopping the offending drug, managing symptoms, and addressing inflammation in the case of an adverse drug reaction.