ATI RN
ATI Custom Pediatrics Comprehensive Exam Questions
Extract:
Adolescent with hemophilia
Question 1 of 5
The nurse is assessing an adolescent child with the diagnosis of hemophilia. In which part of the body would the nurse expect bleeding to occur?
Correct Answer: A
Rationale: Hemarthrosis (joint bleeding) is common in hemophilia due to impaired clotting, particularly in weight-bearing joints.
Extract:
Child post-heart surgery for Tetralogy of Fallot
Question 2 of 5
When assessing a child after heart surgery to correct Tetralogy of Fallot (TOF), which finding should alert the nurse to suspect a low cardiac output?
Correct Answer: A
Rationale: Altered consciousness and thready pulse indicate poor perfusion, suggestive of low cardiac output post-TOF repair.
Extract:
Adolescent experiencing vaso-occlusive crisis with right knee pain
Question 3 of 5
An adolescent experiencing a vaso-occlusive crisis reports right knee pain. Which is the most appropriate intervention?
Correct Answer: B
Rationale: Acetaminophen manages pain in vaso-occlusive crises safely, unlike heat or compression, which may worsen inflammation, or reduced fluids, which exacerbate sickling.
Extract:
17-year-old with type 1 diabetes
Question 4 of 5
17-year-old student with type 1 diabetes asks the nurse which hormone causes the blood glucose level to rise. When responding the nurse should explain in language that the client can understand that liver glycogenolysis is stimulated by a hormone secreted by the islets of Langerhans. Which hormone is this?
Correct Answer: C
Rationale: Glucagon, secreted by the islets of Langerhans, stimulates glycogenolysis, raising blood glucose, unlike insulin or other hormones listed.
Extract:
Child with nephrotic syndrome
Question 5 of 5
The nurse anticipates that there will be two classic hematologic characteristics in the blood chemistry of a child with nephrotic syndrome which are: (Select all that apply.)
Correct Answer: A,C,D
Rationale: Anemia, hyperlipidemia, and hypoproteinemia are classic findings in nephrotic syndrome due to protein loss, compensatory lipoprotein synthesis, and reduced erythropoiesis.