ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
An adolescent who has hemophilia A and is scheduled for wisdom teeth extractions
Question 1 of 5
A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?
Correct Answer: B
Rationale: Recombinant factor VIII is essential to ensure adequate clotting during and after the extraction, minimizing the risk of bleeding complications.
Extract:
A child who has a new prescription for an oral antibiotic
Question 2 of 5
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of following information should the nurse include in the discharge instructions? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Providing written information, discussing adverse effects, and explaining the reason for the medication are essential; stopping early or using a kitchen spoon are incorrect.
Extract:
A child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression
Question 3 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 4 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 child with urticaria weighing 44 lbs (20 kg)
Question 5 of 5
The health care provider has prescribed diphenhydramine (Benadryl) 5 mg/kg/dose for a child with urticaria weighing 44 lbs. (20 kg). Assume this is a safe dose. The medication is supplied as 12.5 mg/5 ml. How many milliliters will the nurse administer to the child for one dose? Record your answer using a whole number.
Correct Answer: A
Rationale: The child weighs 20 kg; 5 mg/kg * 20 kg = 100 mg. The medication is 12.5 mg/5 mL, so 100 mg * 5 mL / 12.5 mg = 8 mL. [Note: The original document incorrectly states 40 mL, which is a calculation error.]