ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A child who is in sickle cell crisis
Question 1 of 5
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Pain. During a sickle cell crisis, the child will experience severe pain due to blocked blood flow and tissue damage. This is a hallmark symptom of sickle cell crisis. Constipation (
A) is not typically associated with sickle cell crisis. High fever (
B) is more commonly seen in infections. Bradycardia (
C) refers to a slow heart rate, which is not a typical finding in sickle cell crisis. In summary, pain is the key manifestation of sickle cell crisis due to vaso-occlusive events, making it the expected finding.
Extract:
A child with a urinary tract infection
Question 2 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,D,E,F
Rationale: The correct answer includes all choices (A, B, C, D, E, F) because they are all crucial in managing a urinary tract infection in a child. A: Avoiding bubble baths helps prevent irritation and infection. B: Wiping front to back reduces the risk of introducing bacteria into the urethra. C: Completing the prescribed antibiotics is essential to fully eradicate the infection. D: Encouraging frequent voiding helps flush out bacteria from the urinary tract. E: Wearing cotton underwear promotes breathability and reduces moisture, creating a less favorable environment for bacterial growth. F: Drinking fluids helps dilute urine and flush out bacteria. These instructions collectively promote hygiene, infection prevention, and treatment adherence.
Extract:
A parent calls a clinic and reports that his 2-month-old infant is hungry more than usual but is having projectile vomiting immediately after eating
Question 3 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: Bring your baby in to the clinic today. This is the best choice because it allows the nurse to assess the baby's condition in person and provide immediate care if necessary. Bringing the baby to the clinic ensures a thorough evaluation and appropriate treatment. Option A is incorrect because switching formula without proper evaluation can worsen the baby's condition. Option C is incorrect as giving oral rehydration solution might not address the underlying issue. Option D is incorrect as burping alone may not resolve the problem. It's crucial to prioritize the baby's health and seek professional medical advice promptly.
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: The correct answers are A, B, C, and E.
A: Encouraging fluids helps flush out bacteria from the urinary tract.
B: Frequent voiding prevents urine from pooling and helps prevent reinfection.
C: Wiping front to back reduces the risk of introducing bacteria from the rectum to the urinary tract.
E: Completing antibiotics ensures all bacteria are eradicated, preventing recurrence.
D: Nylon underwear can trap moisture and promote bacterial growth, so it is incorrect.
In summary, choices A, B, C, and E are correct because they promote proper hydration, prevent reinfection, maintain hygiene, and ensure complete treatment.
Choice D is incorrect as nylon underwear can exacerbate the infection.
Extract:
A 4-year-old child hospitalized with vomiting and suspected dehydration. The child.Cloudflare Ray ID: 8e616e0d8944936 weighs 44 lbs.
Question 5 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 correct answer is A: 10 mg.
To calculate the dose, first convert the child's weight from lbs to kg. 44 lbs is approximately 20 kg.
Then, multiply the weight by the safe dose of 0.5 mg/kg: 20 kg x 0.5 mg/kg = 10 mg. The correct dose should be 10 mg. Other choices are incorrect because they do not align with the safe dose calculation based on the child's weight.