ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A 12-year-old child receiving a blood transfusion after a motor vehicle crash, reporting trouble breathing 15 minutes after starting, with a temperature of 101.2°F (38.4°C) up from 98.8°F (37.1°C).
Question 1 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, which could indicate an acute hemolytic or allergic reaction.
Extract:
A child who has sepsis and a critically low platelet count.
Question 2 of 5
A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?
Correct Answer: C
Rationale: Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications.
Extract:
A 14-year-old male client with sickle cell anemia.
Question 3 of 5
The nurses reviewing triggers of sickle cell crisis with a 14-year-old male client with sickle cell anemia. Which statement by the client indicates an understanding of the teaching? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Frequent handwashing, avoiding cold weather, maintaining hydration, and adhering to medications help prevent sickle cell crises.
Extract:
A school-age child who has leukemia. Child is awake and alert, but not talkative. Ongoing upper respiratory infection for the last 2 months. Leukemia in remission for over a year. Bruising noted on shoulder, thighs, and back. Breath sounds clear with subcostal retractions. Oxygen saturation is 92% on room air. Skin is pale and petechiae noted on trunk and thighs. Child states, 'I feel like I can't breathe.' Diagnostic results: WBC count 15,000/mm, Hgb 10 g/dL, Hct 32%.
Question 4 of 5
A nurse is caring for a school-age child who has leukemia. 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 count, low hemoglobin, clear breath sounds with distress, low oxygen saturation, retractions, and petechiae are critical findings indicating potential relapse or complications requiring provider attention.
Extract:
A 3 year old child with upper respiratory infection and low-grade fever being treated with Acetaminophen.
Question 5 of 5
A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. 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.