ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
An 8-year-old child with acute lymphoblastic leukemia receiving chemotherapy through a central venous access device
Question 1 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 2 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.
Extract:
A 3-year-old child with upper respiratory infection and low-grade fever being treated with Acetaminophen
Question 3 of 5
A 3-year-old child with upper respiratory infection and low-grade fever is being treated with Acetaminophen. The nurse is reviewing important anticipatory guidance with the parents. Which statement by the parents indicates the need for further teaching about this medication?
Correct Answer: B
Rationale: The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.
Extract:
A child with sickle cell anemia admitted for treatment of vaso-occlusive crisis
Question 4 of 5
The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescription documented in the child's chart should the nurse question?
Correct Answer: B
Rationale: Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.
Extract:
A toddler with acute otitis media
Question 5 of 5
The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?
Correct Answer: D
Rationale: Baby aspirin is contraindicated in children due to the risk of Reye's syndrome, indicating that the caregiver needs further teaching regarding safe medication administration for pain.