ATI RN
ATI Nur 270 Pediatrics GI Questions
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 1 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:
Correct
Answer: B, E, F
Rationale:
-Bedrest is essential for promoting rest and healing in an adolescent client.
-Obtaining consent for a blood transfusion is crucial to ensure client safety and legal compliance.
-Administering IV fluids may be necessary to maintain hydration and support the client's condition.
Summary:
-Applying cold compresses (
A) is not typically indicated for general adolescent care.
-Providing oxygen at 6 L/min via nasal cannula (
C) may not be needed without specific respiratory issues.
-Fluid restriction to 1,400 mL/day (
D) could be harmful if the client needs adequate hydration.
-Performing passive range-of-motion exercises (G) may not be a priority unless specified for the client's condition.
Extract:
A 3-year-old child with pyelonephritis. The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb.
Question 2 of 5
A 3-year-old child is hospitalized with a diagnosis of pyelonephritis The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb. The dose ordered is the safe dose, How many milligrams should the nurse administer in each dose? Record your answer using a whole number
Correct Answer: 300 mg
Rationale:
Rationale:
1. Convert weight from lb to kg: 33 lb ÷ 2.2 = 15 kg
2. Calculate total daily dose: 60 mg/kg/day x 15 kg = 900 mg/day
3. Divide total daily dose by 3 doses: 900 mg ÷ 3 doses = 300 mg per dose
Therefore, the correct answer is 300 mg per dose.
Summary:
A. Incorrect - No calculation provided
B. Incorrect - No calculation provided
C. Incorrect - No calculation provided
D. Incorrect - No calculation provided
E. Incorrect - No calculation provided
F. Incorrect - No calculation provided
G. Incorrect - No calculation provided
Extract:
A 9-year-old client after a bee sting, experiencing nausea and vomiting, blood pressure 68/40 mm Hg, pulse 148 beats/minute, O2 saturation 86%, and dyspneic.
Question 3 of 5
A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. 02 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Give epinephrine. In this scenario, the client is exhibiting signs of an anaphylactic reaction to the bee sting, including hypotension, tachycardia, low O2 saturation, and dyspnea. Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse the severe allergic reaction by increasing blood pressure, improving breathing, and reducing swelling. Administering epinephrine promptly is crucial to prevent further deterioration and potentially save the client's life.
Other choices are incorrect:
A. Administering Benadryl may help with allergic symptoms but will not address the life-threatening symptoms of anaphylaxis.
B. Applying ice to the site is not a priority in this situation as the client is experiencing systemic symptoms of anaphylaxis.
D. Determining if the sting is in situ is not a priority compared to addressing the client's immediate life-threatening symptoms.
Extract:
A client who will have blood sampling for a serum creatinine level.
Question 4 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 correct answer is D. The serum creatinine level test is used to assess kidney function. Creatinine is a waste product that the kidneys filter out of the blood. Elevated levels indicate impaired kidney function.
Therefore, by measuring serum creatinine levels, doctors can evaluate how well the kidneys are functioning.
Choice A is incorrect because the nurse should provide information rather than deflecting the question.
Choice B is incorrect as it oversimplifies the purpose of the test.
Choice C is incorrect because the test primarily assesses kidney function, not medication interference.
Extract:
A child with acute abdominal pain, currant-jelly-like stools and suspected intussusception.
Question 5 of 5
The nurse is providing care to a child with acute abdominal pain, currant-jelly-like stools and suspected intussusception. The nurse will discuss with the caregivers that the child will have which procedure
Correct Answer: B
Rationale: The correct answer is B: Enema with air infusion. This procedure is a non-invasive diagnostic test used to confirm intussusception by pushing the telescoped intestine back into place. It helps in relieving the obstruction and can also be therapeutic. Abdominal surgery (
A) would be considered if the condition does not resolve with the enema. Ano-rectal pull-through procedure (
C) is not indicated for intussusception. Colostomy (
D) is a surgical procedure to divert stool and would not address the underlying issue of intussusception.