ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A child with acute exacerbation of Crohn disease prescribed prednisone
Question 1 of 5
A child is experiencing an acute exacerbation of Crohn disease for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful?
Correct Answer: C
Rationale: This statement indicates a clear understanding of the need for gradual tapering of prednisone to prevent withdrawal symptoms and rebound exacerbation.
Extract:
A child who has sickle cell anemia after an acute crisis episode
Question 2 of 5
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Offering fluids frequently helps prevent dehydration, which can trigger a sickle cell crisis, making it an essential part of discharge teaching.
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 3 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 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.
Question 5 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.