ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
A child with suspected acute appendicitis
Question 1 of 5
A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations indicate to the nurse that the child's appendix is perforated?
Correct Answer: C
Rationale: The correct answer is C: Sudden decrease in abdominal pain. This indicates appendix perforation as the pain may lessen due to leakage of infectious material into the peritoneal cavity, temporarily relieving pressure on the inflamed appendix. Flaccid abdomen (
A) is not indicative of perforation as there may still be inflammation and infection present. A low-grade fever (
B) can be present in uncomplicated appendicitis, not necessarily indicating perforation. Absent Rovsing's sign (
D), where palpation of the left lower quadrant doesn't elicit pain in the right lower quadrant, is more indicative of uncomplicated appendicitis.
Extract:
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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