ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A child who has sickle cell anemia after an acute crisis episode
Question 1 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 6-year-old child with vesicular rash and honey-crusted plaques around the nose and mouth
Question 2 of 5
A 6-year-old child presents to the pediatric clinic with vesicular rash and honey-crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?
Correct Answer: D
Rationale: Filling a prescription for antiviral ointment is inappropriate; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.
Extract:
A child with urticaria weighing 44 lbs (20 kg)
Question 3 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.]
Extract:
An 8-year-old boy with sudden onset of abdominal pain and reddish-brown urine, urinalysis shows 4+ protein, history of strep throat a little over a week ago, Temp 100.6F, RR-22, HR-105, BP=130/89
Question 4 of 5
An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Assessment findings: Temp 100.6F, RR-22, HR-105, BP=130/89. Which condition should the nurse suspect?
Correct Answer: A
Rationale: Acute glomerulonephritis is characterized by the sudden onset of hematuria (reddish-brown urine), proteinuria (4+ protein), and a recent history of streptococcal infection, making it the most likely diagnosis.
Extract:
A child with a brain tumor has a decreased respiratory rate and is less responsive to verbal commands than he was when the nurses assessed the client the previous hour.
Question 5 of 5
What should the nurse do next?
Correct Answer: B
Rationale: Notifying the healthcare provider is critical as the child's decreased responsiveness and respiratory rate indicate a potential deterioration in condition that requires prompt medical evaluation.