ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets.
Question 1 of 5
A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?
Correct Answer: D
Rationale: Giving ferrous sulfate with orange juice enhances the absorption of iron due to the vitamin C content, which is beneficial for children with iron deficiency anemia.
Extract:
An 8-year-old boy with sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. History of strep throat a little over a week ago. Assessment findings: Temp 100.6F, RR-22, HR-105, BP= 130/89.
Question 2 of 5
An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Assessment findings: Temp 100.6F, RR-22. HR-105, BP= 130/89 Which condition should the nurse suspect?
Correct Answer: A
Rationale: Acute glomerulonephritis is characterized by the sudden onset of hematuria (reddish-brown urine), proteinuria (4+ protein), and a recent history of streptococcal infection, making it the most likely diagnosis.
Extract:
A 9-year-old client after a bee sting, experiencing nausea and vomiting, blood pressure 68/40 mm Hg, pulse 148 beats/minute, O2 saturation 86%, and 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. 02 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 acute abdominal pain, currant-jelly-like stools and suspected intussusception.
Question 4 of 5
The nurse is providing care to a child with acute abdominal pain, currant-jelly-like stools and suspected intussusception. The nurse will discuss with the caregivers that the child will have which procedure
Correct Answer: B
Rationale: An enema with air infusion (often a contrast enema) can be used to treat intussusception by helping to unfold the intestine, making it a commonly discussed procedure.
Extract:
A child with sickle cell anemia admitted for the treatment of vaso-occlusive crisis.
Question 5 of 5
The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlosive crisis which prescription documented in the child's chart should the nurse question?
Correct Answer: B
Rationale: Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.