ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day.
Question 1 of 5
A nurse is teaching the mother of a child who has cystic fibrosis and has a prescription for pancreatic enzymes three times per day. Which of the following statements indicates that the mother understands the teaching?
Correct Answer: D
Rationale: Pancreatic enzymes aid fat digestion in cystic fibrosis.
Extract:
Nurses Notes (0700 hrs): Client presents to the ED with guardian. Client reports that they began having pain around their “belly button†the previous evening around 2100. Reports that pain is now in right lower quadrant and became worse earlier this morning. Reports nausea. Abdomen soft with tenderness to palpation in right lower quadrant. Bowel sounds positive in all four quadrants. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Notified provider of client's arrival and assessment data. Prescriptions received. Vital Signs (0700 hrs): Temperature: 37.7°C (99.9°F), Pulse rate: 98/min, Respiratory rate: 22/min, Blood pressure: 124/64 mm Hg, Oxygen saturation: 99% on room air. Diagnostic Results (0700 hrs): CBC and C-Reactive Protein drawn and sent to lab. Nurses Notes (0800 hrs): Client continues to report right lower quadrant pain, now rated as 7 on a 0 to 10 pain scale. Reports increased nausea and has vomited once. Abdomen remains soft with increased tenderness in the right lower quadrant. Bowel sounds remain positive in all four quadrants. Client appears more uncomfortable and is guarding the right lower quadrant. Notified provider of client's status and updated assessment data. Vital Signs (0800 hrs): Temperature: 38.1°C (100.6°F), Pulse rate: 102/min, Respiratory rate: 24/min, Blood pressure: 126/68 mm Hg, Oxygen saturation: 98% on room air. Diagnostic Results (0800 hrs): WBC count: 22,000/mm³, RBC count: 4.5 million/mm³, Hgb: 14 g/dL, Hct: 44%, Platelets: 350,000/mm³, C-Reactive Protein: 11.8 mg/dL.
Question 2 of 5
The nurse has notified the provider of the client's 0800 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?
Correct Answer: B,D,E,F
Rationale:
Choice A: Promethazine is an antiemetic but does not address appendicitis.
Choice B: Consent for surgery is needed for appendectomy.
Choice C: Acetaminophen does not treat the cause.
Choice D: IV antibiotics prevent infection.
Choice E: NPO status prepares for surgery.
Choice F: Ultrasound confirms appendicitis.
Choice G: Enemas could worsen the condition.
Extract:
Preschooler with acute nasopharyngitis.
Question 3 of 5
A nurse is caring for a preschooler with acute nasopharyngitis. Which information should the nurse include when teaching the parents about this health problem?
Correct Answer: D
Rationale: Cough should not be suppressed as it clears mucus from airways.
Extract:
Parents of a child with frequent nosebleeds.
Question 4 of 5
A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicates that they have understood the teaching?
Correct Answer: B
Rationale: Upright and forward position with nose pressure is the correct technique.
Extract:
3-year-old child and suspects developmental delay.
Question 5 of 5
A nurse is assessing a 3-year-old child and suspects the child may have a developmental delay. Which of the following actions is a priority for the nurse to take?
Correct Answer: D
Rationale: Discussing findings with the provider ensures proper evaluation and intervention.