Questions 64

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ATI Nur235 Pediatrics Final Exam Questions

Extract:

Pediatric client with leukemia receiving chemotherapy, platelets 19,500/mcl, hemoglobin 11 g/dL, WBC 9,800/mcl.


Question 1 of 5

The nurse analyzes the laboratory values of a pediatric client with leukemia who is receiving chemotherapy. The nurse notes the following lab values: platelets 19,500/mcl (nl. 140,000-400,000/mcL), hemoglobin 11 g/dL (nl. 12-16 g/dL), white blood cell count 9,800/mcl (nl. 5,000-10,000/mcL). Based on these findings, which intervention should the nurse prioritize in the plan of care?

Correct Answer: D

Rationale: A critically low platelet count (19,500/mcl) increases bleeding risk, making bleeding precautions the priority.

Extract:

1-month-old infant diagnosed with developmental dysplasia of the hip (DDH).


Question 2 of 5

A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip (DDH). On assessment, the nurse understands that which finding would be noted in this condition?

Correct Answer: A

Rationale: Limited hip abduction is a common finding in DDH due to improper joint alignment.

Extract:

Toddler with iron-deficiency anemia taking iron supplements.


Question 3 of 5

A nurse is providing teaching to the parents of a toddler who has iron-deficiency anemia and is taking iron supplements. Which statement by the parents indicates an understanding of the teaching?

Correct Answer: C

Rationale: Routine blood count monitoring is essential to evaluate the effectiveness of iron supplementation and adjust dosages.

Extract:

Pediatric client suspected to have acute glomerulonephritis.


Question 4 of 5

The nurse is reviewing the medical record of a pediatric client suspected to have acute glomerulonephritis. What finding should the nurse expect to note in a client with this diagnosis?

Correct Answer: C

Rationale: A positive antistreptolysin O titer indicates a recent streptococcal infection, often linked to post-streptococcal glomerulonephritis.

Extract:

14-year-old client with celiac disease.


Question 5 of 5

The nurse is caring for a 14-year-old client diagnosed with celiac disease. The nurse knows that the client understands the diet instructions when they request which of the following meals?

Correct Answer: B

Rationale: Cheese, banana, rice cakes, and milk are gluten-free, suitable for celiac disease.

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