ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
Child with leukemia in remission for over a year, ongoing upper respiratory infection for 2 months, bruising on shoulder, thighs, and back, breath sounds clear with subcostal retractions, oxygen saturation 92% on room air, pale skin, petechiae on trunk and thighs, child states 'I feel like I can't breathe,' WBC 15,000/mm, Hgb 10 g/dL, Hct 32%
Question 1 of 5
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, low hemoglobin, clear breath sounds with distress, low oxygen saturation, retractions, and petechiae are critical findings indicating potential leukemia relapse or infection.
Extract:
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:
An 8-year-old boy with sudden onset of abdominal pain and reddish-brown urine, urinalysis shows 4+ protein, history of strep throat a little over a week ago, Temp 100.6F, RR-22, HR-105, BP=130/89
Question 3 of 5
An 8-year-old boy and his father visit the pediatrician's office with reports of a sudden onset of abdominal pain and reddish-brown urine. A urinalysis shows 4+ protein. On taking the boy's health history, the nurse learns that he had strep throat a little over a week ago. Assessment findings: Temp 100.6F, RR-22, HR-105, BP=130/89. Which condition should the nurse suspect?
Correct Answer: A
Rationale: Acute glomerulonephritis is characterized by the sudden onset of hematuria (reddish-brown urine), proteinuria (4+ protein), and a recent history of streptococcal infection, making it the most likely diagnosis.
Extract:
A 14-year-old male client with sickle cell anemia
Question 4 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.
Extract:
A child who has sepsis and a critically low platelet count
Question 5 of 5
A nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?
Correct Answer: C
Rationale: Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications.