ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A child with laryngotracheobronchitis (Croup).
Question 1 of 5
Which measure would be most effective in aiding bronchodilation in a child with laryngotracheobronchitis (Croup)?
Correct Answer: A
Rationale: Racemic epinephrine nebulizer therapy is effective in reducing airway inflammation and aiding bronchodilation in croup.
Extract:
A 13-year-old client with right lower quadrant abdominal pain, nausea, and fever. Client reports pain around belly button the previous evening, now in right lower quadrant. Abdomen soft with tenderness to palpation in right lower quadrant. Verbalizes increase in pain when right hip is flexed and rotated internally. Rates pain as 6 on a 0 to 10 pain scale. Client reports increase in right lower quadrant pain, rating pain as 9 on a 0 to 10 pain scale. Vomits 50 ml gastric contents into basin. WBC count 22,000/mm3, C-Reactive Protein 1.8 mg/dL.
Question 2 of 5
A nurse in the emergency department (ED) is caring for a 13-year-old client who presented with right lower quadrant abdominal pain, nausea, and fever. The nurse has notified the provider of the client's 0700 assessment data and lab results. Which of the following prescriptions should the nurse anticipate? (Select all that apply.)
Correct Answer: A,B,E,F
Rationale: Given the client's symptoms and elevated WBC count indicating a possible infection, IV antibiotics are anticipated. Maintaining NPO status is necessary for potential surgery. Informed consent is required for surgical procedures like appendectomy. An abdominal ultrasound helps confirm appendicitis.
Extract:
Parents of school-age boys.
Question 3 of 5
A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
Correct Answer: A
Rationale: Puberty might be considered delayed if there are no scrotal changes by the age of 11 years, as testicular enlargement is one of the earliest signs of puberty in boys.
Extract:
A child who has mumps.
Question 4 of 5
A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?
Correct Answer: C
Rationale: Mumps is spread via respiratory droplets, so droplet precautions are necessary to prevent transmission.
Extract:
Conditions associated with tetralogy of Fallot.
Question 5 of 5
Which of the following conditions is commonly associated with tetralogy of Fallot?
Correct Answer: C
Rationale: Tetralogy of Fallot is associated with polycythemia due to chronic hypoxemia. The body produces more red blood cells in response to low oxygen levels, leading to an increased hematocrit.