ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression
Question 1 of 5
A nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply
Correct Answer: C,D
Rationale: Encouraging frequent close contact with visitors and having fresh flowers/plants increase infection risk in an immunocompromised child.
Extract:
A child who is in sickle cell crisis
Question 2 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.
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 3 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 sickle cell anemia after an acute crisis episode
Question 4 of 5
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Offering fluids frequently helps prevent dehydration, which can trigger a sickle cell crisis, making it an essential part of discharge teaching.
Extract:
A child with a urinary tract infection
Question 5 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: All options are correct: Avoiding bubble baths, wiping front to back, completing antibiotics, frequent voiding, wearing cotton underwear, and encouraging fluids help prevent and manage urinary tract infections.