ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A client who has acute glomerulonephritis
Question 1 of 5
A nurse is planning care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Monitoring weight is crucial in acute glomerulonephritis to assess for fluid retention and manage edema effectively.
Extract:
A 2-month-old child with a fever of 101.7°F, appears toxic with poor color
Question 2 of 5
The nurse is caring for a 2-month-old child with a fever of 101.7°F. The child also appears toxic with poor color. Which of the following actions would the nurse expect to implement as a priority?
Correct Answer: B
Rationale: Administering antibiotics is the priority action because the child shows signs of potential serious infection, and timely antibiotic treatment is crucial in young infants who may quickly deteriorate.
Extract:
A 12-year-old child receiving a blood transfusion after a motor vehicle crash, reports trouble breathing 15 minutes after starting, temperature 101.2°F up from 98.8°F
Question 3 of 5
The nurse is administering a blood transfusion to a 12-year-old child after a motor vehicle crash. About 15 minutes after beginning the transfusion, the child reports trouble breathing. The child's temperature is now 101.2°F (38.4°C) up from a baseline of 98.8°F (37.1°C). Which action would the nurse do next?
Correct Answer: C
Rationale: Stopping the transfusion is the critical first step in managing a suspected transfusion reaction, particularly since the child is exhibiting respiratory distress and a fever.
Extract:
An 8-year-old child with acute lymphoblastic leukemia receiving chemotherapy through a central venous access device
Question 4 of 5
A nurse is reviewing the discharge plan with the family of an 8-year-old child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?
Correct Answer: B
Rationale: Parents should notify their provider immediately if their child has a sore throat, as this could indicate a possible infection in an immunocompromised child.
Extract:
Child with leukemia in remission for over a year, ongoing upper respiratory infection for 2 months, bruising on shoulder, thighs, and back, breath sounds clear with subcostal retractions, oxygen saturation 92% on room air, pale skin, petechiae on trunk and thighs, child states 'I feel like I can't breathe,' WBC 15,000/mm, Hgb 10 g/dL, Hct 32%
Question 5 of 5
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, low hemoglobin, clear breath sounds with distress, low oxygen saturation, retractions, and petechiae are critical findings indicating potential leukemia relapse or infection.