ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A child who has acute gastroenteritis but is able to tolerate oral fluids
Question 1 of 5
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?
Correct Answer: A
Rationale: An oral rehydration solution is specifically designed to replace lost fluids and electrolytes, making it the best choice for children recovering from gastroenteritis.
Extract:
A child with sickle cell anemia admitted for treatment of vaso-occlusive crisis
Question 2 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-occlusive 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.
Extract:
Child with leukemia in remission for over a year, ongoing upper respiratory infection for 2 months, bruising on shoulder, thighs, and back, breath sounds clear with subcostal retractions, oxygen saturation 92% on room air, pale skin, petechiae on trunk and thighs, child states 'I feel like I can't breathe,' WBC 15,000/mm, Hgb 10 g/dL, Hct 32%
Question 3 of 5
Which of the following assessment findings should the nurse report to the provider? Select the 5 findings that should be reported to the provider.
Correct Answer: A,B,D,E,F
Rationale: Elevated WBC, low hemoglobin, clear breath sounds with distress, low oxygen saturation, retractions, and petechiae are critical findings indicating potential leukemia relapse or infection.
Extract:
An 8-year-old child with acute lymphoblastic leukemia receiving chemotherapy through a central venous access device
Question 4 of 5
A nurse is reviewing the discharge plan with the family of an 8-year-old child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?
Correct Answer: B
Rationale: Parents should notify their provider immediately if their child has a sore throat, as this could indicate a possible infection in an immunocompromised child.
Extract:
A child who is in sickle cell crisis
Question 5 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: Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.