ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A 6-year-old child with Sickle Cell Anemia admitted for vaso-occlusive crisis, complaining of pain in the abdomen, right tibia, and headache, pain level 10 on FACES Pain Scale, with tender abdomen, warm and tender right tibia, and history of multiple crises.
Question 1 of 5
The nurse is planning the nursing care for this child and anticipates which of the following to be a part of the plan of care for a child in vaso-occlusive crisis? For each potential intervention, click to specify if the intervention is anticipated or contraindicated.
Correct Answer: A,B,C
Rationale: Monitor RLE pulses, administer oxycodone for pain, and continue IV fluids are anticipated to assess perfusion, manage pain, and maintain hydration. Decreasing oxygen is contraindicated as adequate oxygenation is crucial to prevent further sickling.
Extract:
A six-year old with Glomerulonephritis with blood and urine samples sent to the laboratory.
Question 2 of 5
A six-year old with Glomerulonephritis has had blood and urine samples sent to the laboratory. Which of the following results are expected findings?
Correct Answer: D
Rationale: Elevated BUN and Creatinine indicate impaired kidney function. Urine specific gravity of 1.030 indicates concentrated urine, and a positive ASO titer suggests a recent streptococcal infection, which is associated with glomerulonephritis.
Extract:
A child diagnosed with a Wilm's tumor.
Question 3 of 5
For a child diagnosed with a Wilm's tumor. The nurse recognizes that which of the following is MOST important intervention when planning care for this child?
Correct Answer: A
Rationale: Avoiding further palpation of the abdomen is crucial to prevent rupture of the tumor and potential spread of cancer cells.
Extract:
A child post bone marrow transplantation diagnosed with graft versus host disease.
Question 4 of 5
The nurse is caring for a child post bone marrow transplantation who has been diagnosed with graft versus host disease. The parents ask the nurse how this will be treated. Which of the following would be the nurse's BEST response?
Correct Answer: D
Rationale: The most common initial treatment for GVHD involves steroids and immunosuppressive drugs. This response provides accurate information and addresses the parents' concerns.
Extract:
A 12-month-old infant receiving chemotherapy for neuroblastoma.
Question 5 of 5
A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?
Correct Answer: C
Rationale: Varicella (chickenpox) vaccine is a live attenuated vaccine and should not be given to immunocompromised children, such as those receiving chemotherapy, because it poses a risk of causing an infection.