ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A child with urticaria weighing 44 lbs (20 kg)
Question 1 of 5
The health care provider has prescribed diphenhydramine (Benadryl) 5 mg/kg/dose for a child with urticaria weighing 44 lbs. (20 kg). Assume this is a safe dose. The medication is supplied as 12.5 mg/5 ml. How many milliliters will the nurse administer to the child for one dose? Record your answer using a whole number.
Correct Answer: A
Rationale: The correct answer is A: 8 mL.
To calculate this, first, determine the child's dose: 5 mg/kg x 20 kg = 100 mg.
Then, convert 100 mg to mL using the medication concentration: 12.5 mg/5 mL = 100 mg/x mL. Cross multiply to get x = 40 mL. Since the child's dose is 100 mg, the nurse will administer 8 mL (100 mg ÷ 12.5 mg/mL = 8 mL).
Choice B (10 mL) is incorrect as it does not accurately calculate the dose based on the child's weight and medication concentration.
Choices C (12 mL) and D (14 mL) are also incorrect, as they do not reflect the correct calculation of the dose per the weight of the child and medication concentration.
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: The correct action for the nurse to take next is to stop the transfusion (
Choice
C). The child's symptoms of trouble breathing and increased temperature suggest a possible transfusion reaction, such as a febrile non-hemolytic reaction or an acute hemolytic reaction. Stopping the transfusion is crucial to prevent further complications and ensure the child's safety. Additionally, the nurse should assess the child's vital signs, respiratory status, and overall condition, and notify the healthcare provider immediately for further instructions and management. Giving diphenhydramine (
Choice
A) may be indicated for allergic reactions, but in this scenario, stopping the transfusion takes precedence. Checking the child's apical pulse (
Choice
B) may provide information on the child's heart rate but does not address the immediate concern of potential transfusion reaction. Collecting a urine sample (
Choice
D) is not relevant or urgent in this situation.
Extract:
A child with a brain tumor has a decreased respiratory rate and is less responsive to verbal commands than he was when the nurses assessed the client the previous hour.
Question 3 of 5
What should the nurse do next?
Correct Answer: B
Rationale: The nurse should notify the health care provider (HCP) next because it is essential to inform the provider of any concerning changes in the patient's condition for further evaluation and guidance. This step ensures timely and appropriate medical intervention. Raising the head of the bed (
A) can be beneficial for some conditions but is not the priority in this scenario. Obtaining an oximeter reading (
C) may provide additional information, but it is not as urgent as notifying the HCP. Implementing seizure precautions (
D) may be necessary if the patient is at risk for seizures, but it is not the immediate next step.
Extract:
A 17-year-old female client who has severe acne
Question 4 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: The correct answer is D: Feelings of isolation and depression. This is the priority because isotretinoin can cause mood changes, including depression and suicidal thoughts. It is essential to report these immediately to the provider to ensure the client's safety. Back pain (
A), frequent nosebleeds (
B), and itching of skin (
C) are common side effects of isotretinoin but are not typically considered urgent. Feelings of isolation and depression can have serious consequences and require immediate attention to prevent harm.
Extract:
A child who is postoperative following surgical removal of a Wilms' tumor
Question 5 of 5
A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments should indicate to continue NPO status?
Correct Answer: B
Rationale: The correct answer is B: Absent bowel sounds. This indicates decreased gastrointestinal motility, which can lead to complications like ileus postoperatively. Passing of flatus (choice
A) every 30 min shows bowel function, so NPO status may not be necessary. Abdominal girth 1 cm larger than yesterday (choice
C) may indicate bloating but not necessarily a reason to continue NPO. Report of pain at the operative site (choice
D) is important to address but doesn't directly impact the need for NPO status.