ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A 6-year-old child with vesicular rash and honey-crusted plaques around the nose and mouth
Question 1 of 5
A 6-year-old child presents to the pediatric clinic with vesicular rash and honey-crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?
Correct Answer: D
Rationale: Filling a prescription for antiviral ointment is inappropriate; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.
Extract:
A child who has sepsis and a critically low platelet count
Question 2 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.
Extract:
A 3-year-old child with pyelonephritis weighing 33 lb
Question 3 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:
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 4 of 5
What should the nurse do next?
Correct Answer: B
Rationale: Notifying the healthcare provider is critical as the child's decreased responsiveness and respiratory rate indicate a potential deterioration in condition that requires prompt medical evaluation.
Extract:
An adolescent with sickle cell anemia, pain in extremities rated 9/10, swelling at hand joints, hemoglobin 5 g/dL, hematocrit 30%, RBC count 3.3, WBC count 12,000/mm3, platelets 148,000/mm3, temperature 38.8°C, pulse 110/min, respiratory rate 20/min, BP 100/80 mm Hg, oxygen saturation 96%
Question 5 of 5
Which of the following actions should the nurse plan to take? (Select all that apply.)
Correct Answer: B,E,F
Rationale: Bedrest minimizes energy expenditure, blood transfusion addresses severe anemia, and IV fluids promote hydration to reduce sickling and pain.