ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A child with a brain tumor has a decreased respiratory rate and is less responsive to verbal commands than he was when the nurses assessed the client the previous hour.
Question 1 of 5
What should the nurse do next?
Correct Answer: B
Rationale: The correct answer is B: Notify the health care provider (HCP). The nurse should notify the HCP to report any significant changes in the patient's condition, as this could indicate a need for immediate medical intervention or change in the treatment plan. This step ensures timely communication and collaboration with the HCP to provide appropriate care. Raising the head of the bed (
A) may be indicated for certain conditions but is not the priority in this scenario. Obtaining an oximeter reading (
C) and implementing seizure precautions (
D) may be important interventions, but contacting the HCP takes precedence in this situation to seek further guidance and direction.
Extract:
A 17-year-old female client who has severe acne.
Question 2 of 5
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?
Correct Answer: D
Rationale: The correct answer is D: Feelings of isolation and depression. This is the priority adverse effect to report immediately because isotretinoin is known to potentially worsen depression and lead to suicidal thoughts in some individuals, especially adolescents. Prompt reporting and intervention are crucial to prevent any harm.
A: Back pain is a common but not typically severe adverse effect of isotretinoin.
B: Frequent nosebleeds are a common side effect of isotretinoin and usually do not require immediate reporting.
C: Itching of the skin is a common side effect of isotretinoin and can usually be managed with moisturizers or other interventions.
In summary, feelings of isolation and depression are the priority to report immediately due to the serious implications of worsening mental health.
Extract:
A child who is postoperative following surgical removal of a Wilms' tumor.
Question 3 of 5
A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments sacation.co continue NPO status?
Correct Answer: B
Rationale: The correct answer is B: Absent bowel sounds. Following surgical removal of a Wilms' tumor, the child may experience paralytic ileus, leading to absent bowel sounds. This indicates decreased gastrointestinal motility and necessitates continuing NPO status to prevent complications like vomiting and aspiration. Passing flatus (
A) is a positive sign but does not indicate readiness for oral intake. Abdominal girth increase (
C) may suggest fluid retention or gas accumulation, not necessarily a reason to continue NPO. Pain at the operative site (
D) can be managed with appropriate analgesia and is not a direct contraindication for oral intake.
Extract:
A child who is in sickle cell crisis.
Question 4 of 5
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Pain. During a sickle cell crisis, the sickle-shaped red blood cells block blood flow, causing tissue ischemia and severe pain. This pain typically occurs in the bones and joints. Constipation (
Choice
A) is not a typical finding in sickle cell crisis. High fever (
Choice
B) is not a common symptom unless there is an underlying infection. Bradycardia (
Choice
C) is unlikely in sickle cell crisis, as the body usually responds with compensatory tachycardia.
Therefore, pain (
Choice
D) is the most expected finding in a child experiencing a sickle cell crisis.
Extract:
A child with a urinary tract infection.
Question 5 of 5
A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply
Correct Answer: A,B,C,D,E,F
Rationale: The correct answers are A, B, C, D, E, and F.
A: Avoiding bubble baths helps prevent irritation and infection in the urinary tract.
B: Wiping front to back reduces the risk of introducing bacteria to the urinary tract.
C: Completing the antibiotic course ensures complete eradication of the infection.
D: Frequent voiding helps flush out bacteria from the urinary tract.
E: Cotton underwear allows the area to breathe, reducing moisture and bacterial growth.
F: Drinking fluids helps flush out bacteria and maintain hydration.
These choices promote hygiene, infection prevention, and proper treatment for a child with a urinary tract infection.