ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A child who is postoperative following surgical removal of a Wilms' tumor
Question 1 of 5
A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments should indicate to continue NPO status?
Correct Answer: B
Rationale: Absent bowel sounds indicate a lack of gastrointestinal function, which supports the continuation of NPO status until bowel function returns.
Extract:
Pediatric enuresis
Question 2 of 5
Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.
Correct Answer: B,F
Rationale: Urinary tract infections and diabetes mellitus can cause enuresis and should be evaluated and treated before investigating psychological causes.
Extract:
A 3-year-old child with upper respiratory infection and low-grade fever being treated with Acetaminophen
Question 3 of 5
A 3-year-old child with upper respiratory infection and low-grade fever is being treated with Acetaminophen. The nurse is reviewing important anticipatory guidance with the parents. Which statement by the parents indicates the need for further teaching about this medication?
Correct Answer: B
Rationale: The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.
Extract:
A 9-year-old client after a bee sting, experiencing nausea and vomiting, BP 68/40 mm Hg, pulse 148 beats/minute, O2 saturation 86%, dyspneic
Question 4 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. O2 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 who has sepsis and a critically low platelet count
Question 5 of 5
A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?
Correct Answer: C
Rationale: Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications.