ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A 12-year-old child who is newly diagnosed with asthma.
Question 1 of 5
A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?
Correct Answer: C
Rationale: Eliminating allergens that irritate the lungs is an effective strategy for asthma management and prevention of attacks.
Extract:
A child who has otitis media.
Question 2 of 5
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?
Correct Answer: D
Rationale: Tugging on the ear is a common sign of discomfort in children with otitis media due to pressure and pain in the middle ear.
Extract:
A 6-week-old infant who has a pyloric stenosis.
Question 3 of 5
A nurse is caring for a 6-week-old infant who has a pyloric stenosis. Which of the following clinical manifestations should the nurse expect?
Correct Answer: C
Rationale: Projectile vomiting is a hallmark sign of pyloric stenosis due to the obstruction at the pylorus, preventing food from passing into the small intestine.
Extract:
A 13-year-old client with right lower quadrant abdominal pain, nausea, and fever. Client reports pain around belly button the previous evening, now in right lower quadrant. Abdomen soft with tenderness to palpation in right lower quadrant. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Client reports increase in right lower quadrant pain, rating pain as 9 on a 0 to 10 pain scale. Vomits 50 ml gastric contents into basin. WBC count 22,000/mm3, C-Reactive Protein 1.8 mg/dL.
Question 4 of 5
A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply.)
Correct Answer: A,B,E,F
Rationale: Given the client's symptoms and elevated WBC count indicating a possible infection, IV antibiotics are anticipated. Maintaining NPO status is necessary for potential surgery. Informed consent is required for surgical procedures like appendectomy. An abdominal ultrasound helps confirm appendicitis.
Extract:
A client who has heart failure and a history of asthma.
Question 5 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: B
Rationale: Carvedilol is a beta-blocker used to manage heart failure, but it can also cause bronchoconstriction, which is dangerous for clients with asthma. Beta-blockers can exacerbate asthma symptoms, so clarification is needed before administration.