ATI OB-PEDS NURSING EXAM
ATI OB-PEDS NURSING EXAM STUDY
QUESTIONS WITH VERIFIED ANSWERS
GRADED 2025
Which intervention would the nurse recommend to the mother of a 6 month old infant
with sickle cell anemia who is experiencing infection home treatment?
1. Administer a dose of Ibuprofen (Advil).
2. Administer a dose of acetaminophen (Tylenol).
3. Administer a dose of Epinephrine (EpiPen).
4. Administer a does of Cold Medicine. -Correct Answer ✔2. Administer a dose of
acetaminophen (Tylenol).
A 10-year-old patient with aplastic anemia presents with the following vital signs: blood
pressure of 118/70, heart rate of 112, respiratory rate of 28, temperature of 102.3° F.
The nurse can anticipate which orders from the provider? Select all that apply.
1. Obtain a blood culture.
2. Collect a stool sample.
3. Administer antibiotics.
4. Administer an antipyretic.
5. Obtain a complete blood count (CBC). -Correct Answer ✔1, 3, 4, and 5
Obtain a blood culture.
Patients with aplastic anemia are at increased risk for infection. A blood culture would
be obtained to determine the source of infection.
Administer antibiotics.
Patients with aplastic anemia are at increased risk for infection. Prophylactic antibiotics
should be administered to prevent or treat a potential infection.
Administer an antipyretic.
A temperature of 102.3° F is a sign of infection. The provider would order an antipyretic
to treat the fever.
Obtain a complete blood count (CBC).
Patients with aplastic anemia have alterations in red blood cells, white blood cells, and
platelets. A CBC should be obtained to determine the severity of the disease.
A child has completed treatment for leukemia and comes to the clinic with the parents
for a checkup. The parents express to the nurse that they are glad their child has been
cured of cancer and is safe from getting cancer later in life. Which of the following
should the nurse consider in responding?
ATI OB-PEDS NURSING EXAM
,ATI OB-PEDS NURSING EXAM
1. Childhood cancer usually instills immunity to all other cancers.
2. Children surviving one cancer are at higher risk for a second cancer.
3. The child may have a remission of the leukemia but is immune to all other cancers.
4. As long as the child continues to take steroids, there will be no other cancers. -
Correct Answer ✔2. Children surviving one cancer are at higher risk for a second
cancer.
What occurrence results from obstruction within the ventricles of the brain or inadequate
reabsorption of cerebrospinal fluid?
a.Meningitis
b.Meningocele
c.Spina bifida occulta
d.Hydrocephalus -Correct Answer ✔D. Hydrocephalus
The nurse observes that the infant's anterior fontanelle is bulging after placement of a
ventriculoperitoneal shunt. How should the nurse position this infant?
a.Prone, with the head of the bed elevated
b.Supine, with the head flat
c.Side-lying on the operative side
d.In a semi-Fowler's position -Correct Answer ✔D. Semi-Fowler's position
Nursing care wilms -Correct Answer ✔*DO NOT palpate if wilms tumor is suspected
Malignancy that occurs in the kidneys or abdomen
Occurs around age 3
A client diagnosed with Cushing's syndrome is admitted to the hospital and scheduled
for a dexamethasone suppression test. During this test, the nurse should
1.Collect a 24-hour urine specimen to measure serum cortisol levels.
2.Administer 1 mg of dexamethasone orally at night and obtain serum cortisol levels the
next morning.
3.Draw blood samples before and after exercise to evaluate the effect of exercise on
serum cortisol levels.
4.Administer an injection of adrenocorticotropic hormone (ACTH) 30 minutes before
drawing blood to measure serum cortisol levels. -Correct Answer ✔2. Administer 1 mg
of dexamethasone orally at night and obtain serum cortisol levels the next morning.
rational: When Cushing's syndrome is suspected a 24-hour urine collection for free
cortisol is performed. Levels of 50 to 100 mcg/day (1,379 to 2,756 nmol/L) in adults
indicate Cushing's syndrome. If these results are borderline a high-dose
dexamethasone suppression test is done. The Dexamethasone is given at 11 pm to
suppress secretion of the corticotrophin-releasing hormone. A plasma cortisol sample is
ATI OB-PEDS NURSING EXAM
, ATI OB-PEDS NURSING EXAM
drawn at 8 am. Normal cortisol level less than 5 mcg/dL (140 nmol/L) indicates normal
adrenal response.
Kaitlyn, a teenage female client with sickle cell disease, has been admitted to the
nursing unit with a diagnosis of sickle cell crisis. She is experiencing severe pain in her
joints and shortness of breath, and has a temperature of 101.2°F. Kaitlyn's oxygen
saturation on admission was 92%. She rates her pain at a 9 on a 0-10 scale.
What explanation should the nurse give to Kaitlyn when she asks what causes the pain
she is feeling?
1. Inflammation of nerve endings related to fever
2. Lack of blood circulation and oxygen into part of the body
3. Presence of lactic acid in the muscle tissue
4. Physical activity related to disease process -Correct Answer ✔2. Lack of blood
circulation and oxygen into part of the body
When sickle cells clump together and block capillaries, blood circulation to certain parts
of the body is blocked. This decreased blood flow causes pain.
Kaitlyn states that she has been very busy with school lately and drinking less water.
Which statement is the appropriate patient education for the nurse to provide?
1. Being adequately hydrated helps blood move freely through capillary beds.
2. Warm beverages are best to vasodilate your stomach mucosa.
3. Keeping busy is good for the prevention of crisis.
4. It's good to drink water if you are able. -Correct Answer ✔1. Being adequately
hydrated helps blood move freely through capillary beds
The client with sickle cell disease should avoid dehydration. Being adequately hydrated
helps blood move freely through capillary beds and prevents crisis.
Kaitlyn states she wishes to do anything she can to avoid getting an infection when she
is discharged from the hospital. What information should the nurse share with her about
avoiding infection? Select all that apply.
1. "Monitor cuts and sores."
2. "Plan to receive an influenza vaccine every year."
3. "Avoid eating raw fruits and vegetables."
4. "Perform good dental hygiene."
5. "Avoid childhood vaccinations." -Correct Answer ✔1. "Monitor cuts and sores."
2. "Plan to receive an influenza vaccine every year."
4. "Perform good dental hygiene."
You would educate the client to wash her hands frequently, plan to receive an influenza
vaccine every year, perform good dental hygiene, and monitor any cuts, sores, or insect
ATI OB-PEDS NURSING EXAM
ATI OB-PEDS NURSING EXAM STUDY
QUESTIONS WITH VERIFIED ANSWERS
GRADED 2025
Which intervention would the nurse recommend to the mother of a 6 month old infant
with sickle cell anemia who is experiencing infection home treatment?
1. Administer a dose of Ibuprofen (Advil).
2. Administer a dose of acetaminophen (Tylenol).
3. Administer a dose of Epinephrine (EpiPen).
4. Administer a does of Cold Medicine. -Correct Answer ✔2. Administer a dose of
acetaminophen (Tylenol).
A 10-year-old patient with aplastic anemia presents with the following vital signs: blood
pressure of 118/70, heart rate of 112, respiratory rate of 28, temperature of 102.3° F.
The nurse can anticipate which orders from the provider? Select all that apply.
1. Obtain a blood culture.
2. Collect a stool sample.
3. Administer antibiotics.
4. Administer an antipyretic.
5. Obtain a complete blood count (CBC). -Correct Answer ✔1, 3, 4, and 5
Obtain a blood culture.
Patients with aplastic anemia are at increased risk for infection. A blood culture would
be obtained to determine the source of infection.
Administer antibiotics.
Patients with aplastic anemia are at increased risk for infection. Prophylactic antibiotics
should be administered to prevent or treat a potential infection.
Administer an antipyretic.
A temperature of 102.3° F is a sign of infection. The provider would order an antipyretic
to treat the fever.
Obtain a complete blood count (CBC).
Patients with aplastic anemia have alterations in red blood cells, white blood cells, and
platelets. A CBC should be obtained to determine the severity of the disease.
A child has completed treatment for leukemia and comes to the clinic with the parents
for a checkup. The parents express to the nurse that they are glad their child has been
cured of cancer and is safe from getting cancer later in life. Which of the following
should the nurse consider in responding?
ATI OB-PEDS NURSING EXAM
,ATI OB-PEDS NURSING EXAM
1. Childhood cancer usually instills immunity to all other cancers.
2. Children surviving one cancer are at higher risk for a second cancer.
3. The child may have a remission of the leukemia but is immune to all other cancers.
4. As long as the child continues to take steroids, there will be no other cancers. -
Correct Answer ✔2. Children surviving one cancer are at higher risk for a second
cancer.
What occurrence results from obstruction within the ventricles of the brain or inadequate
reabsorption of cerebrospinal fluid?
a.Meningitis
b.Meningocele
c.Spina bifida occulta
d.Hydrocephalus -Correct Answer ✔D. Hydrocephalus
The nurse observes that the infant's anterior fontanelle is bulging after placement of a
ventriculoperitoneal shunt. How should the nurse position this infant?
a.Prone, with the head of the bed elevated
b.Supine, with the head flat
c.Side-lying on the operative side
d.In a semi-Fowler's position -Correct Answer ✔D. Semi-Fowler's position
Nursing care wilms -Correct Answer ✔*DO NOT palpate if wilms tumor is suspected
Malignancy that occurs in the kidneys or abdomen
Occurs around age 3
A client diagnosed with Cushing's syndrome is admitted to the hospital and scheduled
for a dexamethasone suppression test. During this test, the nurse should
1.Collect a 24-hour urine specimen to measure serum cortisol levels.
2.Administer 1 mg of dexamethasone orally at night and obtain serum cortisol levels the
next morning.
3.Draw blood samples before and after exercise to evaluate the effect of exercise on
serum cortisol levels.
4.Administer an injection of adrenocorticotropic hormone (ACTH) 30 minutes before
drawing blood to measure serum cortisol levels. -Correct Answer ✔2. Administer 1 mg
of dexamethasone orally at night and obtain serum cortisol levels the next morning.
rational: When Cushing's syndrome is suspected a 24-hour urine collection for free
cortisol is performed. Levels of 50 to 100 mcg/day (1,379 to 2,756 nmol/L) in adults
indicate Cushing's syndrome. If these results are borderline a high-dose
dexamethasone suppression test is done. The Dexamethasone is given at 11 pm to
suppress secretion of the corticotrophin-releasing hormone. A plasma cortisol sample is
ATI OB-PEDS NURSING EXAM
, ATI OB-PEDS NURSING EXAM
drawn at 8 am. Normal cortisol level less than 5 mcg/dL (140 nmol/L) indicates normal
adrenal response.
Kaitlyn, a teenage female client with sickle cell disease, has been admitted to the
nursing unit with a diagnosis of sickle cell crisis. She is experiencing severe pain in her
joints and shortness of breath, and has a temperature of 101.2°F. Kaitlyn's oxygen
saturation on admission was 92%. She rates her pain at a 9 on a 0-10 scale.
What explanation should the nurse give to Kaitlyn when she asks what causes the pain
she is feeling?
1. Inflammation of nerve endings related to fever
2. Lack of blood circulation and oxygen into part of the body
3. Presence of lactic acid in the muscle tissue
4. Physical activity related to disease process -Correct Answer ✔2. Lack of blood
circulation and oxygen into part of the body
When sickle cells clump together and block capillaries, blood circulation to certain parts
of the body is blocked. This decreased blood flow causes pain.
Kaitlyn states that she has been very busy with school lately and drinking less water.
Which statement is the appropriate patient education for the nurse to provide?
1. Being adequately hydrated helps blood move freely through capillary beds.
2. Warm beverages are best to vasodilate your stomach mucosa.
3. Keeping busy is good for the prevention of crisis.
4. It's good to drink water if you are able. -Correct Answer ✔1. Being adequately
hydrated helps blood move freely through capillary beds
The client with sickle cell disease should avoid dehydration. Being adequately hydrated
helps blood move freely through capillary beds and prevents crisis.
Kaitlyn states she wishes to do anything she can to avoid getting an infection when she
is discharged from the hospital. What information should the nurse share with her about
avoiding infection? Select all that apply.
1. "Monitor cuts and sores."
2. "Plan to receive an influenza vaccine every year."
3. "Avoid eating raw fruits and vegetables."
4. "Perform good dental hygiene."
5. "Avoid childhood vaccinations." -Correct Answer ✔1. "Monitor cuts and sores."
2. "Plan to receive an influenza vaccine every year."
4. "Perform good dental hygiene."
You would educate the client to wash her hands frequently, plan to receive an influenza
vaccine every year, perform good dental hygiene, and monitor any cuts, sores, or insect
ATI OB-PEDS NURSING EXAM
