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 4-year-old child hospitalized with vomiting and suspected dehydration. The child.Cloudflare Ray ID: 8e616e0d8944936 weighs 44 lbs.
Question 2 of 5
A nurse is providing care to a 4-year-old child hospitalized with vomiting and suspected dehydration. The health care provider has prescribed ondansetron 0.5 mg/kg IV as a one-time dose. The safe dose is 5 mg/kg/dose. The child weighs 44 lbs. How many milligrams should the nurse administer? Round your answer to the nearest tenth if needed
Correct Answer: A
Rationale: The child weighs 44 lbs, or 20 kg (44/2.2). The prescribed dose is 0.5 mg/kg, so 20 kg * 0.5 mg/kg = 10 mg, which is within the safe dose range of 5 mg/kg (100 mg max).
Extract:
Pediatric enuresis
Question 3 of 5
Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.
Correct Answer: B,F
Rationale: Urinary tract infections and diabetes mellitus can cause enuresis and should be evaluated and treated before investigating psychological causes.
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 4 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.
Extract:
A toddler with acute otitis media
Question 5 of 5
The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?
Correct Answer: D
Rationale: Baby aspirin is contraindicated in children due to the risk of Reye's syndrome, indicating that the caregiver needs further teaching regarding safe medication administration for pain.