ATI RN
ATI Nurs 335 Pediatrics Exam Questions
Extract:
A nurse is caring for a client who presents to the emergency room in sickle cell crisis.
Question 1 of 5
Which of the following medications should the nurse anticipate administering?
Correct Answer: D
Rationale: The correct answer is D: Pain medications. The nurse should anticipate administering pain medications to address any pain or discomfort the patient may be experiencing. Pain management is essential for the patient's comfort and well-being. Laxatives (
A) are used for constipation, thyroid replacement medications (
B) are for hypothyroidism, and diuretics (
C) are for fluid retention. These choices are not relevant unless specifically indicated for the patient. Pain medications (
D) should be prioritized for immediate relief.
Extract:
Question 2 of 5
Which of the following is a risk factor for iron deficiency anemia in toddlers?
Correct Answer: C
Rationale: The correct answer is C: Excessive intake of cow's milk. This is because cow's milk can interfere with the absorption of iron in the body, leading to iron deficiency anemia in toddlers. Excessive cow's milk consumption displaces iron-rich foods in the diet, contributing to the risk.
Choices A and B are actually beneficial for preventing iron deficiency anemia as they provide sources of iron.
Choice D, participating in physical activities, is not a risk factor for iron deficiency anemia in toddlers.
Extract:
The nurse is monitoring an infant for signs of increased intracranial pressure (ICP).
Question 3 of 5
Which are late signs of increased intracranial pressure (ICP) in an infant?
Correct Answer: D
Rationale: The correct answer is D because Cheyne-Stokes respirations, which involve periods of deep breathing followed by periods of apnea, are late signs of increased ICP in infants. This pattern indicates severe brainstem dysfunction due to elevated pressure. The other choices are incorrect because A describes early signs of ICP, B is not associated with ICP, and C does not specifically indicate increased ICP in infants. Overall, recognizing Cheyne-Stokes respirations in an infant can prompt immediate intervention to address the underlying cause of increased ICP.
Extract:
Question 4 of 5
When administering oral iron supplements to a client with anemia, the nurse should take which action to ensure optimal absorption?
Correct Answer: D
Rationale: The correct answer is D: Administer the iron supplement with a vitamin C-rich drink. Vitamin C enhances iron absorption by converting iron into a more absorbable form. This helps the body utilize iron more effectively to combat anemia. Crushing iron supplements with applesauce (
A) may decrease absorption as it may bind to the food. Administering with milk (
B) is not recommended as calcium can inhibit iron absorption. Discontinuing if stools are tarry green (
C) is relevant for monitoring side effects.
Extract:
A nurse is planning care for a 6-year-old child who has bacterial meningitis.
Question 5 of 5
Which of the following nursing interventions is unnecessary in the client's plan of care?
Correct Answer: D
Rationale: The correct answer is D: Measure head circumference every shift. This intervention is unnecessary because measuring head circumference every shift is not a standard nursing practice unless there is a specific medical condition or concern related to head size, such as in pediatric patients with hydrocephalus. In this case, there is no indication or rationale provided in the question to support the need for frequent head circumference measurements. Placing the client in a semi-Fowler's position helps with breathing and prevents aspiration (
A). Admitting the client to a private room reduces the risk of infection transmission (
B). Implementing seizure precautions ensures the client's safety if they are at risk for seizures (
C). These interventions are all relevant to the client's plan of care, making them necessary compared to measuring head circumference, which lacks justification in this scenario.