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:
Correct
Answer: C, D
Rationale:
C: Encouraging frequent close contact with visitors should not be included in the teaching plan because immunosuppressed children are at high risk for infections from visitors who may carry pathogens.
D: Cheering up the environment with fresh flowers and plants should not be included as they can harbor bacteria and fungi that pose a risk of infection for immunocompromised patients.
Encouraging frequent, thorough handwashing (
A) is important to reduce the risk of infection. Having the child sleep in a single bed and room (
B) reduces exposure to potential pathogens. Protecting the central venous access device from non-sterile access (E) is crucial to prevent infections.
Extract:
A year-old child who has had watery diarrhea for the past 3 days
Question 2 of 5
A nurse is caring for a year-old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Initiate oral rehydration therapy. This is the most appropriate action because the child has been experiencing watery diarrhea for 3 days, which can lead to dehydration due to fluid loss. Oral rehydration therapy helps replace lost fluids and electrolytes, preventing dehydration. Offering the child just chicken broth (
A) may not provide adequate electrolyte replacement. Starting a hypertonic solution (
C) may be too aggressive and can lead to electrolyte imbalances. Keeping the child NPO (
D) can worsen dehydration. In summary, initiating oral rehydration therapy is crucial to prevent dehydration in a child with watery diarrhea.
Extract:
School-age children with pediculosis capitis
Question 3 of 5
The nurse is reviewing management of pediculosis capitis with the parents of school-age children during a presentation. In addition to medicated shampoo or cream rinse, the treatment for head lice may also include which of the following?
Correct Answer: D
Rationale: The correct answer is D. Removing nits with a fine-tooth comb helps eliminate lice eggs. Washing bedding and clothing in hot water kills lice and their eggs. Soaking combs and brushes in hot water with shampoo helps prevent reinfestation.
Therefore, all options (A, B, and
C) are essential components of comprehensive head lice treatment. Each step targets a different aspect of lice removal and prevention, ensuring a thorough approach to managing pediculosis capitis.
Extract:
A client who is iron deficient
Question 4 of 5
A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Red meat. Red meat is high in heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based sources. This is crucial for someone who is iron deficient as it helps increase their iron levels efficiently. Cashews (
A) and oranges (
B) are sources of non-heme iron, which is not as readily absorbed. Yogurt (
C) does not contain significant amounts of iron. In summary, red meat is the best choice due to its high heme iron content, making it the most effective option for addressing iron deficiency.
Extract:
Children diagnosed with peanut allergy
Question 5 of 5
A nurse has completed an education session with parents of children diagnosed with peanut allergy. Which statement by a parent would indicate a need for additional education?
Correct Answer: B
Rationale: The correct answer is B. This indicates a need for additional education because it suggests a delay in seeking immediate medical attention after using the EpiPen. In cases of anaphylaxis, it is crucial to administer the EpiPen promptly and seek emergency medical help right away. The other choices (A, C,
D) demonstrate understanding and proactive measures in managing the child's peanut allergy, such as carrying the EpiPen, informing the school nurse, and wearing a medical alert bracelet. These actions are all important in ensuring the child's safety and well-being.