ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A 13-year-old client with right lower quadrant abdominal pain, nausea, and fever. Client reports pain around belly button the previous evening, now in right lower quadrant. Abdomen soft with tenderness to palpation in right lower quadrant. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Client reports increase in right lower quadrant pain, rating pain as 9 on a 0 to 10 pain scale. Vomits 50 ml gastric contents into basin. WBC count 22,000/mm3, C-Reactive Protein 1.8 mg/dL.
Question 1 of 5
A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply.)
Correct Answer: A,B,E,F
Rationale: Given the client's symptoms and elevated WBC count indicating a possible infection, IV antibiotics are anticipated. Maintaining NPO status is necessary for potential surgery. Informed consent is required for surgical procedures like appendectomy. An abdominal ultrasound helps confirm appendicitis.
Extract:
A 10-month-old infant.
Question 2 of 5
A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: By 9-10 months, infants should sit steadily without support. Difficulty in doing so might indicate developmental delay and should be reported.
Extract:
A child who is having a seizure.
Question 3 of 5
A nurse is caring for a child who is having a seizure. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Removing objects from the bed prevents injury, placing the client in a side-lying position reduces aspiration risk, and assessing airway patency ensures adequate breathing. Placing a tongue depressor is contraindicated as it can cause injury.
Extract:
Parents of school-age boys.
Question 4 of 5
A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
Correct Answer: A
Rationale: Puberty might be considered delayed if there are no scrotal changes by the age of 11 years, as testicular enlargement is one of the earliest signs of puberty in boys.
Extract:
A 2-month-old infant with Hirschsprung's disease.
Question 5 of 5
A nurse is planning care for a 2-month-old infant with Hirschsprung's disease. Which of the following conditions should the nurse recognize is associated with this diagnosis?
Correct Answer: B
Rationale: Hirschsprung's disease (congenital aganglionic megacolon) leads to inadequate motility of part of the intestine and results in a mechanical obstruction.