Questions 49

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ATI RN Test Bank

ATI Nur 270 Pediatrics GI Questions

Extract:

A 2 month old child with a fever of 101.76, appears toxic with poor color.


Question 1 of 5

The nurse is caring for a 2 month old child with a fever of 101.76.sampling for a complete blood count is necessary for diagnosing infection but is not as urgent as administering antibiotics in a toxic-appearing child.

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:

A child who has sickle cell anemia after an acute crisis episode.


Question 2 of 5

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

Correct Answer: D

Rationale: Offering fluids frequently helps prevent dehydration, which can trigger a sickle cell crisis, making it an essential part of discharge teaching.

Extract:

A 3-day-old newborn infant who presented with abdominal distension and failure to pass meconium, diagnosed with congenital aganglionic megacolon (Hirschsprung's disease).


Question 3 of 5

The nurse is discussing the treatment of congenital aganglionic megacolon (Hirschsprungs disease) with the caregivers of a 3-day-old newborn infant who presented with abdominal distension and failure to pass meconium. Which statement is the best explanation of the treatment for this diagnosis?

Correct Answer: A

Rationale: The primary treatment for Hirschsprung's disease is surgical intervention to remove the affected bowel segment, allowing normal bowel function.

Extract:

A client who is HIV positive and is one day postoperative following an appendectomy.


Question 4 of 5

A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?

Correct Answer: D

Rationale: Completing a dressing change involves potential exposure to bodily fluids, so wearing a gown is appropriate for infection control.

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 5 of 5

What should the nurse do next?

Correct Answer: B

Rationale: Notifying the healthcare provider is critical as the child’s decreased responsiveness and respiratory rate indicate a potential deterioration in condition that requires prompt medical evaluation.

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