ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A 2-month-old child with a fever of 101.7°F, appears toxic with poor color
Question 1 of 5
The nurse is caring for a 2-month-old child with a fever of 101.7°F. The child also appears toxic with poor color. Which of the following actions would the nurse expect to implement as a priority?
Correct Answer: B
Rationale: Administering antibiotics is the priority action because the child shows signs of potential serious infection, and timely antibiotic treatment is crucial in young infants who may quickly deteriorate.
Extract:
An 8-year-old child with acute lymphoblastic leukemia receiving chemotherapy through a central venous access device
Question 2 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:
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, staying hydrated, and adhering to medications help prevent sickle cell crises; restricting fluids is incorrect.
Extract:
An adolescent with sickle cell anemia, pain in extremities rated 9/10, swelling at hand joints, hemoglobin 5 g/dL, hematocrit 30%, RBC count 3.3, WBC count 12,000/mm3, platelets 148,000/mm3, temperature 38.8°C, pulse 110/min, respiratory rate 20/min, BP 100/80 mm Hg, oxygen saturation 96%
Question 4 of 5
Which of the following actions should the nurse plan to take? (Select all that apply.)
Correct Answer: B,E,F
Rationale: Bedrest minimizes energy expenditure, blood transfusion addresses severe anemia, and IV fluids promote hydration to reduce sickling and pain.
Extract:
An infant who has a 2-day history of vomiting and an elevated temperature
Question 5 of 5
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
Correct Answer: D
Rationale: Body weight is the most reliable indicator of fluid loss, as it reflects changes in fluid status directly and provides a clear measure for assessing hydration.