ATI RN
ATI Nur 270 Pediatrics GI Questions
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 1 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:
An adolescent with sickle cell anemia, reporting pain in extremities as 9/10, swelling at hand joints, hemoglobin 5 g/dL, hematocrit 30%, RBC count 3.3, WBC count 12,000/mm3, platelets 148,000/mm3, temperature 38.8°C, pulse 110/min, respiratory rate 20/min, BP 100/80 mm Hg, oxygen saturation 96%.
Question 2 of 5
A nurse is planning care for an adolescent client. Which of the following actions should the nurse plan to take? Select all that apply.
Correct Answer: B,E,F
Rationale: Bedrest, obtaining consent for a blood transfusion due to low hemoglobin, and administering IV fluids are appropriate to manage pain, treat anemia, and improve hydration in a sickle cell crisis.
Extract:
A child with renal failure undergoing continuous ambulatory peritoneal dialysis (CAPD).
Question 3 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.
Extract:
A toddler with acute otitis media.
Question 4 of 5
The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?
Correct Answer: D
Rationale: Baby aspirin is contraindicated in children due to the risk of Reye’s syndrome, indicating that the caregiver needs further teaching regarding safe medication administration for pain.
Extract:
A child experiencing an acute exacerbation of Crohn disease, prescribed prednisone.
Question 5 of 5
A child is experiencing an acute exacerbation of Crohn disease for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful?
Correct Answer: C
Rationale: This statement indicates a clear understanding of the need for gradual tapering of prednisone to prevent withdrawal symptoms and rebound exacerbation.