ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Child is admitted with a suspected diagnosis of Wilms tumor.
Question 1 of 5
The nurse should place a sign with which of the following warnings over the child's bed?
Correct Answer: A
Rationale: Palpating the abdomen risks rupturing the Wilms tumor, spreading cancerous cells.
Extract:
Nurses Notes (0700 hrs): Client presents to the ED with guardian. Client reports that they began having pain around their “belly button†the previous evening around 2100. Reports that pain is now in right lower quadrant and became worse earlier this morning. Reports nausea. Abdomen soft with tenderness to palpation in right lower quadrant. Bowel sounds positive in all four quadrants. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Notified provider of client's arrival and assessment data. Prescriptions received. Vital Signs (0700 hrs): Temperature: 37.7°C (99.9°F), Pulse rate: 98/min, Respiratory rate: 22/min, Blood pressure: 124/64 mm Hg, Oxygen saturation: 99% on room air. Diagnostic Results (0700 hrs): CBC and C-Reactive Protein drawn and sent to lab. Nurses Notes (0800 hrs): Client continues to report right lower quadrant pain, now rated as 7 on a 0 to 10 pain scale. Reports increased nausea and has vomited once. Abdomen remains soft with increased tenderness in the right lower quadrant. Bowel sounds remain positive in all four quadrants. Client appears more uncomfortable and is guarding the right lower quadrant. Notified provider of client's status and updated assessment data. Vital Signs (0800 hrs): Temperature: 38.1°C (100.6°F), Pulse rate: 102/min, Respiratory rate: 24/min, Blood pressure: 126/68 mm Hg, Oxygen saturation: 98% on room air. Diagnostic Results (0800 hrs): WBC count: 22,000/mm³, RBC count: 4.5 million/mm³, Hgb: 14 g/dL, Hct: 44%, Platelets: 350,000/mm³, C-Reactive Protein: 11.8 mg/dL.
Question 2 of 5
The nurse has notified the provider of the client's 0800 assessment data and lab results. Which of the following prescriptions should the nurse anticipate?
Correct Answer: B,D,E,F
Rationale:
Choice A: Promethazine is an antiemetic but does not address appendicitis.
Choice B: Consent for surgery is needed for appendectomy.
Choice C: Acetaminophen does not treat the cause.
Choice D: IV antibiotics prevent infection.
Choice E: NPO status prepares for surgery.
Choice F: Ultrasound confirms appendicitis.
Choice G: Enemas could worsen the condition.
Extract:
Client who has an acute asthma exacerbation.
Question 3 of 5
A nurse in a clinic sees a client who has an acute asthma exacerbation. Which of the following medications should reduce the symptoms?
Correct Answer: C
Rationale: Albuterol provides rapid bronchodilation for acute asthma exacerbations.
Extract:
Adolescent who has type 1 diabetes mellitus.
Question 4 of 5
A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?
Correct Answer: A
Rationale: Annual influenza vaccine reduces infection risks in diabetes.
Extract:
Child who has a suspected diagnosis of cystic fibrosis.
Question 5 of 5
A nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. Which of the following diagnostic tests will confirm the diagnosis?
Correct Answer: D
Rationale: Sweat chloride test is the gold standard for cystic fibrosis diagnosis.