ATI RN
ATI Nur 270 Pediatrics GI Questions
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 1 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 3-year-old child with pyelonephritis. The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb.
Question 2 of 5
A 3-year-old child is hospitalized with a diagnosis of pyelonephritis The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb. The dose ordered is the safe dose, How many milligrams should the nurse administer in each dose? Record your answer using a whole number
Correct Answer: 300 mg
Rationale: The child weighs 33 lbs, which is 15 kg (33/2.2). The prescribed dose is 60 mg/kg/day, so 15 kg * 60 mg/kg = 900 mg/day. Divided into three doses, 900 mg / 3 = 300 mg per dose.
Extract:
A 6 year old child with vesicular rash and honey crusted plaques around the nose and mouth.
Question 3 of 5
A 6 year old child presents to the pediatric clinic with vesicular rash and honey crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?
Correct Answer: D
Rationale: Filling a prescription for antiviral ointment is inappropriate; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.
Extract:
A 4-year-old child hospitalized with vomiting and suspected dehydration. The health care provider has prescribed ondansetron 0.5 mg/kg IV as a one-time dose. The safe dose is 5 mg/kg/dose. The child weighs 44 lbs.
Question 4 of 5
A nurse is providing care to a 4-year-old child hospitalized with vomiting and suspected dehydration. The health care provider has prescribed ondansetron 0.5 mg/kg IV as a one-time dose. The safe dose is 5 mg/kg/dose. The child weighs 44 lbs. How many milligrams should the nurse administer? Round your answer to the nearest tenth if needed
Correct Answer: 10 mg
Rationale: The child weighs 44 lbs, which is 20 kg (44/2.2). The prescribed dose is 0.5 mg/kg, so 20 kg * 0.5 mg/kg = 10 mg, which is within the safe dose range of 5 mg/kg (100 mg max).
Extract:
An adolescent with sickle cell anemia, reporting pain in extremities as 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 5 of 5
A nurse is planning care for an adolescent client. Which of the following actions should the nurse plan to take? Select all that apply.
Correct Answer: B,E,F
Rationale: Bedrest, obtaining consent for a blood transfusion due to low hemoglobin, and administering IV fluids are appropriate to manage pain, treat anemia, and improve hydration in a sickle cell crisis.