ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A child with sickle cell anemia admitted for the treatment of vaso-occlusive crisis.
Question 1 of 5
The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlosive crisis which prescription documented in the child's chart should the nurse question?
Correct Answer: B
Rationale: Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.
Extract:
A child with pediatric enuresis.
Question 2 of 5
Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.
Correct Answer: B,F
Rationale: Urinary tract infections and diabetes mellitus can cause enuresis and should be evaluated and treated before investigating psychological causes.
Extract:
A year old child who has had watery diarrhea for the past 3 days.
Question 3 of 5
A nurse is caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Initiating oral rehydration therapy is critical for managing dehydration due to diarrhea and is the best approach for a child in this situation.
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 child experiencing an acute exacerbation of Crohn disease, prescribed prednisone.
Question 5 of 5
A child is experiencing an acute exacerbation of Crohn disease for which she is prescribed prednisone. The nurse teaches the parents and child about this medication. Which statement by the parents indicates that the teaching was successful?
Correct Answer: C
Rationale: This statement indicates a clear understanding of the need for gradual tapering of prednisone to prevent withdrawal symptoms and rebound exacerbation.