ATI RN
ATI Custom Pediatrics Comprehensive Exam Questions
Extract:
Client with sickle cell anemia on blood transfusion regimen
Question 1 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.
Extract:
Child with Thalassemia major
Question 2 of 5
A long-term complication seen in Thalassemia major is associated to which of the following?
Correct Answer: D
Rationale: Hemochromatosis/hemosiderosis, due to repeated transfusions, is a long-term complication of Thalassemia major, causing iron overload.
Extract:
Child diagnosed with osteomyelitis
Question 3 of 5
Which would the nurse assess in a child diagnosed with osteomyelitis? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Fever, reluctance to move, redness, swelling, and severe pain are hallmark symptoms of osteomyelitis due to bone infection and inflammation.
Extract:
Neonate with anterior fontanel
Question 4 of 5
The nervous parent asks when the big 'soft spot' (anterior fontanel) will be closed. The nurse's most informative response would be
Correct Answer: C
Rationale: The anterior fontanel typically closes between 12 and 18 months, providing parents with an accurate timeline while acknowledging normal developmental variability.
Extract:
Child being evaluated for celiac disease
Question 5 of 5
The parent of a child being evaluated for celiac disease asks the nurse why it is important to make dietary changes. What is the nurse's best response?
Correct Answer: B
Rationale: Gluten damages intestinal mucosal cells in celiac disease, causing malabsorption, necessitating dietary changes to prevent nutrient deficiencies.