ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
Children diagnosed with peanut allergy
Question 1 of 5
A nurse has completed an education session with parents of children diagnosed with peanut allergy. Which statement by a parent would indicate a need for additional education?
Correct Answer: B
Rationale: Parents should notify emergency services and seek immediate medical care after using the EpiPen, not just notify the physician's office the next business day.
Extract:
A 17-year-old female client who has severe acne
Question 2 of 5
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?
Correct Answer: D
Rationale: Feelings of isolation and depression are serious side effects associated with isotretinoin and should be reported immediately due to the risk of self-harm or suicidal thoughts.
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 3 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 child with a urinary tract infection
Question 4 of 5
A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply
Correct Answer: A,B,C,E
Rationale: Encouraging fluids, frequent voiding, wiping front to back, and completing antibiotics are essential for UTI management; nylon underwear is incorrect as it traps moisture, increasing infection risk.
Extract:
A child with urticaria weighing 44 lbs (20 kg)
Question 5 of 5
The health care provider has prescribed diphenhydramine (Benadryl) 5 mg/kg/dose for a child with urticaria weighing 44 lbs. (20 kg). Assume this is a safe dose. The medication is supplied as 12.5 mg/5 ml. How many milliliters will the nurse administer to the child for one dose? Record your answer using a whole number.
Correct Answer: A
Rationale: The child weighs 20 kg; 5 mg/kg * 20 kg = 100 mg. The medication is 12.5 mg/5 mL, so 100 mg * 5 mL / 12.5 mg = 8 mL. [Note: The original document incorrectly states 40 mL, which is a calculation error.]