ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A 3-year-old child with pyelonephritis weighing 33 lb
Question 1 of 5
A 3-year-old child is hospitalized with a diagnosis of pyelonephritis. The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb. The dose ordered is the safe dose. How many milligrams should the nurse administer in each dose? Record your answer using a whole number
Correct Answer: A
Rationale: The child weighs 33 lbs, or 15 kg (33/2.2). The prescribed dose is 60 mg/kg/day, so 15 kg * 60 mg/kg = 900 mg/day. Divided into three doses, 900 mg / 3 = 300 mg per dose.
Extract:
School-age children with pediculosis capitis
Question 2 of 5
The nurse is reviewing management of pediculosis capitis with the parents of school-age children during a presentation. In addition to medicated shampoo or cream rinse, the treatment for head lice may also include which of the following?
Correct Answer: D
Rationale: All of the provided options are appropriate measures for managing pediculosis capitis effectively.
Extract:
A child with sickle cell anemia admitted for treatment of vaso-occlusive crisis
Question 3 of 5
The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescription documented in the child's chart should the nurse question?
Correct Answer: B
Rationale: Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.
Extract:
Child with leukemia in remission for over a year, ongoing upper respiratory infection for 2 months, bruising on shoulder, thighs, and back, breath sounds clear with subcostal retractions, oxygen saturation 92% on room air, pale skin, petechiae on trunk and thighs, child states 'I feel like I can't breathe,' WBC 15,000/mm, Hgb 10 g/dL, Hct 32%
Question 4 of 5
Which of the following assessment findings should the nurse report to the provider? Select the 5 findings that should be reported to the provider.
Correct Answer: A,B,D,E,F
Rationale: Elevated WBC, low hemoglobin, clear breath sounds with distress, low oxygen saturation, retractions, and petechiae are critical findings indicating potential leukemia relapse or infection.
Extract:
A child who has sepsis and a critically low platelet count
Question 5 of 5
A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?
Correct Answer: C
Rationale: Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications.