ATI RN
ATI Nurs 335 Pediatrics Exam Questions
Extract:
Question 1 of 5
How do preschool-aged children typically understand death? Select all that apply.
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Preschool-aged children often have limited understanding of death.
A) They may believe death is punishment due to their egocentric thinking, linking consequences to behavior.
B) They may see death as temporary or reversible, influenced by their cognitive development. E) They may think their thoughts can cause death due to magical thinking. These choices align with typical preschool perspectives on death. Incorrect options include
C) Fear of death is common but not the only way children understand it.
D) While some children grasp death as natural, it may not be universal. F) Concrete understanding of death as permanent typically develops later.
Extract:
A nurse working on a medical unit is caring for a client who is prescribed seizure precautions.
Question 2 of 5
Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Obtain IV access. This intervention is crucial for administering medications, fluids, and emergency treatments. It allows for quick access in case of a medical emergency. Keeping a padded tongue blade (
B) is not a standard nursing intervention and can pose a risk of choking. Keeping the lights on (
C) can disrupt the client's sleep and hinder the healing process. Placing the bed in a high position (
D) does not directly impact the client's care plan and may not be necessary unless specified for medical reasons.
Extract:
A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time.
Question 3 of 5
Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
Correct Answer: A
Rationale: The correct answer is A: Administer an antiemetic before chemotherapy begins. Administering an antiemetic before chemotherapy helps prevent or minimize nausea and vomiting, common reactions to chemotherapy. This action targets the root cause of the reactions by blocking the signals that trigger nausea and vomiting. Encouraging drinking large amounts of favorite fluids (
B) may not be effective in preventing these reactions. Offering frequent small meals (
C) may be helpful, but it may not address the underlying cause. Providing the child's favorite music (
D) may offer distraction but does not directly prevent or minimize the reactions.
Extract:
A nurse is creating a plan of care for a pediatric client who has been diagnosed with osteosarcoma and will be receiving chemotherapy with radiation interventions.
Question 4 of 5
Which of the following expected adverse effects should the nurse monitor the client for? Select all that apply.
Correct Answer: A,B,C,D
Rationale: The correct answer is A, B, C, and D. A nurse should monitor a client for expected adverse effects to ensure timely interventions. Nausea, hair loss, diarrhea, and skin sensitivity are common side effects of many medications. Nausea can indicate gastrointestinal upset, hair loss may occur due to drug toxicity, diarrhea could result from GI disturbance, and skin sensitivity could signal an allergic reaction or dermatological issue. Weight gain is not typically listed as an expected adverse effect and is more commonly associated with certain medications, conditions, or lifestyle factors.
Extract:
A nurse is assessing a pediatric client who is exhibiting manifestations of rhabdomyosarcoma.
Question 5 of 5
In which area of the body should the nurse expect to find a tumor?
Correct Answer: B
Rationale: The correct answer is B: Upper leg. Tumors in the upper leg are commonly found in the soft tissue and bones. This area is prone to different types of tumors such as sarcomas. Tumors in the ribs, head, and spine are less common and might indicate other health conditions. The upper leg has a higher likelihood of developing tumors due to its complex structure and functions, making it a common site for tumor growth.
Therefore, the nurse should expect to find a tumor in the upper leg based on the prevalence of tumors in this area compared to the other options provided.