ATI RN
ATI Nur 270 Pediatrics GI GU Exam 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 nurse should notify the health care provider (HCP) next because it is essential to inform the provider of any concerning changes in the patient's condition for further evaluation and guidance. This step ensures timely and appropriate medical intervention. Raising the head of the bed (
A) can be beneficial for some conditions but is not the priority in this scenario. Obtaining an oximeter reading (
C) may provide additional information, but it is not as urgent as notifying the HCP. Implementing seizure precautions (
D) may be necessary if the patient is at risk for seizures, but it is not the immediate next step.
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 because isotretinoin can cause mood changes, including depression and suicidal thoughts. It is essential to report these immediately to the provider to ensure the client's safety. Back pain (
A), frequent nosebleeds (
B), and itching of skin (
C) are common side effects of isotretinoin but are not typically considered urgent. Feelings of isolation and depression can have serious consequences and require immediate attention to prevent harm.
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 should indicate to continue NPO status?
Correct Answer: B
Rationale: The correct answer is B: Absent bowel sounds. This indicates decreased gastrointestinal motility, which can lead to complications like ileus postoperatively. Passing of flatus (choice
A) every 30 min shows bowel function, so NPO status may not be necessary. Abdominal girth 1 cm larger than yesterday (choice
C) may indicate bloating but not necessarily a reason to continue NPO. Report of pain at the operative site (choice
D) is important to address but doesn't directly impact the need for NPO status.
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 child will experience severe pain due to blocked blood flow and tissue damage. This is a hallmark symptom of sickle cell crisis. Constipation (
A) is not typically associated with sickle cell crisis. High fever (
B) is more commonly seen in infections. Bradycardia (
C) refers to a slow heart rate, which is not a typical finding in sickle cell crisis. In summary, pain is the key manifestation of sickle cell crisis due to vaso-occlusive events, making it the expected finding.
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 answer includes all choices (A, B, C, D, E, F) because they are all crucial in managing a urinary tract infection in a child. A: Avoiding bubble baths helps prevent irritation and infection. B: Wiping front to back reduces the risk of introducing bacteria into the urethra. C: Completing the prescribed antibiotics is essential to fully eradicate the infection. D: Encouraging frequent voiding helps flush out bacteria from the urinary tract. E: Wearing cotton underwear promotes breathability and reduces moisture, creating a less favorable environment for bacterial growth. F: Drinking fluids helps dilute urine and flush out bacteria. These instructions collectively promote hygiene, infection prevention, and treatment adherence.