ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A 17-year-old female client who has severe acne
Question 1 of 5
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?
Correct Answer: D
Rationale: Feelings of isolation and depression are serious side effects associated with isotretinoin and should be reported immediately due to the risk of self-harm or suicidal thoughts.
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 2 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:
A toddler who has acute otitis media
Question 3 of 5
A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: Administering analgesic medication addresses the child's pain and discomfort, which is a priority in acute otitis media.
Extract:
An adolescent with sickle cell anemia, pain in extremities rated 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 4 of 5
Which of the following actions should the nurse plan to take? (Select all that apply.)
Correct Answer: B,E,F
Rationale: Bedrest minimizes energy expenditure, blood transfusion addresses severe anemia, and IV fluids promote hydration to reduce sickling and pain.
Extract:
A child who has acute gastroenteritis but is able to tolerate oral fluids
Question 5 of 5
A nurse is caring for a child who has acute gastroenteritis but is able to tolerate oral fluids. The nurse should anticipate providing which of the following types of fluid?
Correct Answer: A
Rationale: An oral rehydration solution is specifically designed to replace lost fluids and electrolytes, making it the best choice for children recovering from gastroenteritis.