ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A school-aged child receiving a transfusion of packed red blood cells, begins to experience itchy skin.
Question 1 of 5
While receiving a transfusion of packed red blood cells, a school-aged child begins to experience itchy skin, hiver a tonsillectomy. What should the nurse do first for this child?
Correct Answer: B
Rationale: Stopping the transfusion is the first step in managing a transfusion reaction to prevent further exposure to the allergen or irritant causing the symptoms.
Extract:
A child who is in sickle cell crisis.
Question 2 of 5
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pain is the most common and significant symptom of a sickle cell crisis, caused by the obstruction of blood flow by sickled red blood cells, leading to ischemia and severe pain. This requires immediate attention and pain management.
Extract:
A client for hypoxemia during an asthma attack.
Question 3 of 5
A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: Agitation can be a sign of hypoxemia, as the body responds to low oxygen levels with restlessness and anxiety.
Extract:
A client who has asthma.
Question 4 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: D
Rationale: The oral mucosa is the most reliable indicator of central cyanosis, as it reflects the oxygenation status of the blood more accurately.
Extract:
A school-age child who has type 1 diabetes mellitus.
Question 5 of 5
A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Testing urine for ketones is important during illness as it can indicate the presence of ketoacidosis, a potentially life-threatening complication in children with type 1 diabetes.