ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A parent calls a clinic and reports that his 2-month-old infant is hungry more than usual but is having projectile vomiting immediately after eating
Question 1 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Bringing the baby to the clinic is essential as projectile vomiting in an infant can indicate a serious condition such as pyloric stenosis that requires evaluation and intervention.
Extract:
A 12-year-old child receiving a blood transfusion after a motor vehicle crash, reports trouble breathing 15 minutes after starting, temperature 101.2°F up from 98.8°F
Question 2 of 5
The nurse is administering a blood transfusion to a 12-year-old child after a motor vehicle crash. About 15 minutes after beginning the transfusion, the child reports trouble breathing. The child's temperature is now 101.2°F (38.4°C) up from a baseline of 98.8°F (37.1°C). Which action would the nurse do next?
Correct Answer: C
Rationale: Stopping the transfusion is the critical first step in managing a suspected transfusion reaction, particularly since the child is exhibiting respiratory distress and a fever.
Extract:
School-age children with pediculosis capitis
Question 3 of 5
The nurse is reviewing management of pediculosis capitis with the parents of school-age children during a presentation. In addition to medicated shampoo or cream rinse, the treatment for head lice may also include which of the following?
Correct Answer: D
Rationale: All of the provided options are appropriate measures for managing pediculosis capitis effectively.
Extract:
A child with urticaria weighing 44 lbs (20 kg)
Question 4 of 5
The health care provider has prescribed diphenhydramine (Benadryl) 5 mg/kg/dose for a child with urticaria weighing 44 lbs. (20 kg). Assume this is a safe dose. The medication is supplied as 12.5 mg/5 ml. How many milliliters will the nurse administer to the child for one dose? Record your answer using a whole number.
Correct Answer: A
Rationale: The child weighs 20 kg; 5 mg/kg * 20 kg = 100 mg. The medication is 12.5 mg/5 mL, so 100 mg * 5 mL / 12.5 mg = 8 mL. [Note: The original document incorrectly states 40 mL, which is a calculation error.]
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 5 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.