ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A 9-year-old client after a bee sting, experiencing nausea and vomiting, BP 68/40 mm Hg, pulse 148 beats/minute, O2 saturation 86%, dyspneic
Question 1 of 5
A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. O2 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?
Correct Answer: C
Rationale: Giving epinephrine is the priority action as it counteracts the anaphylactic reaction, improves blood pressure, and alleviates respiratory distress.
Extract:
A 4-month-old infant who is one day postoperative following surgical repair of a cleft lip
Question 2 of 5
A nurse is caring for a 4-month-old infant who is one day postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take? Select all that apply
Correct Answer: A,D,E
Rationale: Positioning in Semi-Fowler's prevents aspiration, elbow restraints prevent touching the surgical site, and IV therapy ensures nutrition until oral feeding is safe.
Extract:
A 3-year-old child with upper respiratory infection and low-grade fever being treated with Acetaminophen
Question 3 of 5
A 3-year-old child with upper respiratory infection and low-grade fever is being treated with Acetaminophen. The nurse is reviewing important anticipatory guidance with the parents. Which statement by the parents indicates the need for further teaching about this medication?
Correct Answer: B
Rationale: The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.
Extract:
A child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD)
Question 4 of 5
The home health care nurse is visiting a child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD). Which of the following would lead the nurse to identify a nursing diagnosis of fluid overload related to CAPD?
Correct Answer: B
Rationale: Shortness of breath can be a sign of fluid overload, particularly in children with renal failure, as excess fluid can accumulate and lead to pulmonary edema.
Extract:
A child who is in sickle cell crisis
Question 5 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: Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.