ATI PEDIATRIC NURSING EXAM NEWEST EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS A NEW
UPDATED VERSION LATEST 2024-2025(100% CORRECT
VERIFIED ANSWERS) ATI PEDIATRIC NURSING EXAM
2024 ALREADY GRADED A+
A 6 year old child with sickle cell disease is admitted for a vaso-occlusive crisis
(painful episode). What are the PRIORITY nursing concerns? Select all that apply.
1. Nutrition
2. Hydration
3. Pain Management
4. Prevention from infection
5. Oxygen Supplementation - ANSWER-2 & 3
Preventing from infection is not a priority at this time. Oxygen may be helpful to
prevent further sickling, but it is not effective in reversing sickling because it
cannot penetrate the sickled RBCs in the clogged blood vessels.
An adolescent in sickle cell crisis (knee pain) reports right knee pain. What should
the nurse anticipate the health care provider will order?
,1. Wrap the knee in a cold pack.
2. Apply a warm soak to the knee
3. Administer 0.5 mg of morphine
4. Decrease amount of IV fluids. - ANSWER-2. Apply a warm soak to the knee.
0.5 mg of morphine would be insufficient for an adolescent.
A nurse is developing a teaching plan for a child who has anemia related to
inadequate nutrition. In addition to iron, which nutrients should the nurse include
that are necessary for RBC synthesis?
1. Protein
2. Calcium
3. Vitamin C
4. Vitamin D
5. Carbohydrates - ANSWER-Protein & Vitamin C.
(page 249 in nursing key terms topic review: pediatrics)
A nurse is explaining how hemophilia is inherited to the parents of a recently
diagnosed child. What is the best explanation of the genetic factor that is
involved?
1. The mother is the carrier of the disorder, but is not affected by it.
2. It is an autosomal dominant disorder in which the woman carries the trait.
3. A carrier can be male or female, but it occurs in the sex opposite of the carrier. -
ANSWER-1. The mother is the carrier of the disorder, but is not affected by it.
Number 3 describes sex-linked autosomal recessive disorders, but the carrier can
only be a female.
,Can acetaminophen be given to children with hemophilia? - ANSWER-Yes, Doctors
often recommend acetaminophen, such as Tylenol, for pain relief in people who
have hemophilia.
Desmopressin (DDAVP) - ANSWER-Increases circulating factor VIII, and secretion
of vWF (both made by endothelial cells): Used for Mild hemophilia A
Principal Signs of Rheumatic Fever - ANSWER-Follows a strep infection.
(1) Fever
(2) Joint Pain (especially in knees, wrist or ankles) Joints become swollen, and
often hot and red.
(3) Curved red lines or lumps (erythema marginatum) blanching in the middle of
the lesions appear on the trunk, BUT NEVER ON THE FACE OR HANDS.
(4) Weakness, SOB, chest pain, carditis (involving mitral or aortic valve), murmur.
complication of rheumatic fever - ANSWER-rheumatic heart disease & sydenham
chorea (neuro disorder - aimless movements of the face and extremities;
grimacing present)
Diagnosis of Rheumatic Fever - ANSWER-- test for strep; looking for an increased
AO titer, which would indicate a recent strep infection. 80% of case have had a
positive strep infection in the past week or two.
- Jones Criteria
- Other S/x arthralgia, fever, elevated sedimentation rate or C-reactive protein, or
a prolonged PR interval on EKG.
Treatment of Rheumatic Heart Disease - ANSWER-- Antibiotics (Penicillin,
sulfdiazine, or erythromycin)
, - Apsirin (ASA used for fever, arthritis, and arthralgia's(
- Corticosteroids to reduce inflammation and for severe carditis causing CHF.
Prognosis of Rheumatic Fever - ANSWER-Most children recover fully but are
always at risk for another episode.
Symptoms of Kawasaki disease - ANSWER-- mild anemia
- elevated WBC count & ESR
- increase in plt's
- mild proteinuria and Pyuria (wbc in blood)
- increase in alanine aminotransferase
- hypoalbuminemia
- Strawberry Tongue!
- red, bloodshot eyes
- red swollen hands
- fever
- red cracked lips
- rash all over the body (compare with rheumatic heart disease)
Kawasaki disease - ANSWER-- (inflammation of blood vessels, hence the
strawberry tongue) causes coronary artery aneurysms.
- More common in Asian and Pacific Islander children
- cause is unknown, it is an exaggerated immune response in genetically
susceptible children.
QUESTIONS AND CORRECT DETAILED ANSWERS A NEW
UPDATED VERSION LATEST 2024-2025(100% CORRECT
VERIFIED ANSWERS) ATI PEDIATRIC NURSING EXAM
2024 ALREADY GRADED A+
A 6 year old child with sickle cell disease is admitted for a vaso-occlusive crisis
(painful episode). What are the PRIORITY nursing concerns? Select all that apply.
1. Nutrition
2. Hydration
3. Pain Management
4. Prevention from infection
5. Oxygen Supplementation - ANSWER-2 & 3
Preventing from infection is not a priority at this time. Oxygen may be helpful to
prevent further sickling, but it is not effective in reversing sickling because it
cannot penetrate the sickled RBCs in the clogged blood vessels.
An adolescent in sickle cell crisis (knee pain) reports right knee pain. What should
the nurse anticipate the health care provider will order?
,1. Wrap the knee in a cold pack.
2. Apply a warm soak to the knee
3. Administer 0.5 mg of morphine
4. Decrease amount of IV fluids. - ANSWER-2. Apply a warm soak to the knee.
0.5 mg of morphine would be insufficient for an adolescent.
A nurse is developing a teaching plan for a child who has anemia related to
inadequate nutrition. In addition to iron, which nutrients should the nurse include
that are necessary for RBC synthesis?
1. Protein
2. Calcium
3. Vitamin C
4. Vitamin D
5. Carbohydrates - ANSWER-Protein & Vitamin C.
(page 249 in nursing key terms topic review: pediatrics)
A nurse is explaining how hemophilia is inherited to the parents of a recently
diagnosed child. What is the best explanation of the genetic factor that is
involved?
1. The mother is the carrier of the disorder, but is not affected by it.
2. It is an autosomal dominant disorder in which the woman carries the trait.
3. A carrier can be male or female, but it occurs in the sex opposite of the carrier. -
ANSWER-1. The mother is the carrier of the disorder, but is not affected by it.
Number 3 describes sex-linked autosomal recessive disorders, but the carrier can
only be a female.
,Can acetaminophen be given to children with hemophilia? - ANSWER-Yes, Doctors
often recommend acetaminophen, such as Tylenol, for pain relief in people who
have hemophilia.
Desmopressin (DDAVP) - ANSWER-Increases circulating factor VIII, and secretion
of vWF (both made by endothelial cells): Used for Mild hemophilia A
Principal Signs of Rheumatic Fever - ANSWER-Follows a strep infection.
(1) Fever
(2) Joint Pain (especially in knees, wrist or ankles) Joints become swollen, and
often hot and red.
(3) Curved red lines or lumps (erythema marginatum) blanching in the middle of
the lesions appear on the trunk, BUT NEVER ON THE FACE OR HANDS.
(4) Weakness, SOB, chest pain, carditis (involving mitral or aortic valve), murmur.
complication of rheumatic fever - ANSWER-rheumatic heart disease & sydenham
chorea (neuro disorder - aimless movements of the face and extremities;
grimacing present)
Diagnosis of Rheumatic Fever - ANSWER-- test for strep; looking for an increased
AO titer, which would indicate a recent strep infection. 80% of case have had a
positive strep infection in the past week or two.
- Jones Criteria
- Other S/x arthralgia, fever, elevated sedimentation rate or C-reactive protein, or
a prolonged PR interval on EKG.
Treatment of Rheumatic Heart Disease - ANSWER-- Antibiotics (Penicillin,
sulfdiazine, or erythromycin)
, - Apsirin (ASA used for fever, arthritis, and arthralgia's(
- Corticosteroids to reduce inflammation and for severe carditis causing CHF.
Prognosis of Rheumatic Fever - ANSWER-Most children recover fully but are
always at risk for another episode.
Symptoms of Kawasaki disease - ANSWER-- mild anemia
- elevated WBC count & ESR
- increase in plt's
- mild proteinuria and Pyuria (wbc in blood)
- increase in alanine aminotransferase
- hypoalbuminemia
- Strawberry Tongue!
- red, bloodshot eyes
- red swollen hands
- fever
- red cracked lips
- rash all over the body (compare with rheumatic heart disease)
Kawasaki disease - ANSWER-- (inflammation of blood vessels, hence the
strawberry tongue) causes coronary artery aneurysms.
- More common in Asian and Pacific Islander children
- cause is unknown, it is an exaggerated immune response in genetically
susceptible children.
