ATI RN
ATI Custom Pediatrics Comprehensive Exam Questions
Extract:
Neonate with weaker femoral pulses
Question 1 of 5
The nurse is performing an admission assessment on the neonate and finds femoral pulses to be weaker than the brachial and radial pulses. The next nursing action should be
Correct Answer: C
Rationale: Measuring blood pressure in all extremities helps assess for coarctation of the aorta, a potential cause of weak femoral pulses.
Extract:
16-year-old with advanced osteosarcoma and metastasis to the lungs
Question 2 of 5
A 16-year-old has been admitted to the hospital for advanced osteosarcoma with metastasis to the lungs. His prognosis is poor. He is continuing to require oxygen and needs to remain in the hospital for monitoring. The adolescent is very frustrated and states that he doesn't want to stay in the hospital and wants to be with his friends. Which of the following is the best option?
Correct Answer: D
Rationale: A multi-disciplinary team meeting respects the teenager's wishes, involves family, and aligns care with his emotional and social needs, crucial for a terminal illness.
Extract:
3-year-old with mild iron deficiency anemia
Question 3 of 5
A 3-year-old child with mild iron deficiency anemia is seen by a nurse in the clinic. In addition to weakness and fatigue, what should the nurse expect the child to exhibit?
Correct Answer: A
Rationale: Increased pulse rate compensates for reduced oxygen-carrying capacity in iron deficiency anemia, unlike other listed symptoms.
Extract:
Child with nephrotic syndrome
Question 4 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.
Extract:
Client with sickle cell anemia on blood transfusion regimen
Question 5 of 5
The nurse observes that a client with sickle cell anemia and on a blood transfusion regimen has cardiac dysrhythmias due to iron overdose toxicity. Which medication is most beneficial to this client?
Correct Answer: D
Rationale: Deferoxamine chelates excess iron, reducing cardiac complications from iron overload in transfusion-dependent sickle cell anemia.