ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A client who will have blood sampling for a serum creatinine level.
Question 1 of 5
A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The serum creatinine test is a standard measure of kidney function, indicating how well the kidneys are filtering waste from the blood.
Extract:
A child who has sickle cell anemia after an acute crisis episode.
Question 2 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 4 year old child with varicella and vesicular rash in various stages of healing.
Question 3 of 5
A 4 year old child presents with varicella and vesicular rash in various stages of healing. Which statement by the parent indicates understanding of the teaching?
Correct Answer: C
Rationale: Once lesions have crusted, the child is no longer contagious, indicating understanding of the contagious period.
Extract:
A school-age child who has leukemia. Child is awake and alert, but not talkative. Ongoing upper respiratory infection for the last 2 months. Leukemia in remission for over a year. Bruising noted on shoulder, thighs, and back. Breath sounds clear with subcostal retractions. Oxygen saturation is 92% on room air. Skin is pale and petechiae noted on trunk and thighs. Child states, 'I feel like I can't breathe.' Diagnostic results: WBC count 15,000/mm, Hgb 10 g/dL, Hct 32%.
Question 4 of 5
A nurse is caring for a school-age child who has leukemia. 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 count, low hemoglobin, clear breath sounds with distress, low oxygen saturation, retractions, and petechiae are critical findings indicating potential relapse or complications requiring provider attention.
Extract:
A child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD).
Question 5 of 5
The home health care nurse is visiting a child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD). Which of the following would lead the nurse to identify a nursing diagnosis of fluid overload related to CAPD?
Correct Answer: B
Rationale: Shortness of breath can be a sign of fluid overload, particularly in children with renal failure, as excess fluid can accumulate and lead to pulmonary edema.