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 2-month-old child with a fever of 101.7°F, appears toxic with poor color
Question 2 of 5
The nurse is caring for a 2-month-old child with a fever of 101.7°F. The child also appears toxic with poor color. Which of the following actions would the nurse expect to implement as a priority?
Correct Answer: B
Rationale: Administering antibiotics is the priority action because the child shows signs of potential serious infection, and timely antibiotic treatment is crucial in young infants who may quickly deteriorate.
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: Absent bowel sounds indicate a lack of gastrointestinal function, which supports the continuation of NPO status until bowel function returns.
Extract:
A 6-year-old child with vesicular rash and honey-crusted plaques around the nose and mouth
Question 4 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 acute gastroenteritis but is able to tolerate oral fluids
Question 5 of 5
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?
Correct Answer: A
Rationale: An oral rehydration solution is specifically designed to replace lost fluids and electrolytes, making it the best choice for children recovering from gastroenteritis.