ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
An adolescent with sickle cell anemia, pain in extremities rated 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 1 of 5
Which of the following actions should the nurse plan to take? (Select all that apply.)
Correct Answer: B,E,F
Rationale: Bedrest minimizes energy expenditure, blood transfusion addresses severe anemia, and IV fluids promote hydration to reduce sickling and pain.
Extract:
A 4-year-old child with varicella and vesicular rash in various stages of healing
Question 2 of 5
A 4-year-old child presents with varicella and vesicular rash in various stages of healing. Which statement by the parent indicates understanding of the teaching?
Correct Answer: C
Rationale: Once lesions have crusted, the child is no longer contagious, indicating understanding of the contagious period.
Extract:
A toddler who has acute otitis media
Question 3 of 5
A nurse is caring for a toddler who has acute otitis media. Which of the following is the priority action for the nurse to take?
Correct Answer: B
Rationale: Administering analgesic medication addresses the child's pain and discomfort, which is a priority in acute otitis media.
Extract:
A child who has hemophilia
Question 4 of 5
A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: C
Rationale: Applying heat is not recommended for bleeding episodes as it can increase blood flow and exacerbate bleeding; ice is generally recommended.
Extract:
A 14-year-old male client with sickle cell anemia
Question 5 of 5
The nurses reviewing triggers of sickle cell crisis with a 14-year-old male client with sickle cell anemia. Which statement by the client indicates an understanding of the teaching? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Frequent handwashing, avoiding cold weather, staying hydrated, and adhering to medications help prevent sickle cell crises; restricting fluids is incorrect.