RN ATI PEDIATRIC ASSESSMENT EXAM 2023 NGN Latest
Version
1.Vaso-occlusive crisis plan of care interventions 5/year old child (flower)/ Possibly
mistyped the Question?? 15 year old adolescent
A. Monitor Oxygen, Bed Rest, Oral Hydroxyurea,
A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis.
Exhibit 1
History and Physical
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that
the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports
having right- sided and low back pain. They also report hands and right knee are painful and
swollen. The client reports pain as 8 on a scale of 0 to 10.
Exhibit 2
Vital Signs
Temperature 37.8° C (100° F) Heart rate 100/min
Blood pressure 110/72 mm Hg Respiratory rate 20/min Oxygen saturation 95% on room air
Exhibit 3
Assessment
Awake, alert, and oriented x 3
Yellow sclera of eyes noted bilaterally
Right upper quadrant tender to palpation Hands painful to touch and swollen bilaterally
Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to
10.
Exhibit 4
Client is tearful and grimacing during the examination.
, The nurse is planning care for the adolescent. Select the 5 interventions the nurse should
include.
A. Instruct the parent to ensure the pneumococcal vaccine is current.
B. Administer folic acid as prescribed.**
C. Monitor oxygen saturation continuously.**
D. Place the client on strict bed rest.
E. Apply cold compresses to the affected joints.**
F. Administer meperidine IV for pain.**
G. Restrict oral intake.
H. Give oral hydroxyurea.**
ANS: B C E F H
Version
1.Vaso-occlusive crisis plan of care interventions 5/year old child (flower)/ Possibly
mistyped the Question?? 15 year old adolescent
A. Monitor Oxygen, Bed Rest, Oral Hydroxyurea,
A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis.
Exhibit 1
History and Physical
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that
the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports
having right- sided and low back pain. They also report hands and right knee are painful and
swollen. The client reports pain as 8 on a scale of 0 to 10.
Exhibit 2
Vital Signs
Temperature 37.8° C (100° F) Heart rate 100/min
Blood pressure 110/72 mm Hg Respiratory rate 20/min Oxygen saturation 95% on room air
Exhibit 3
Assessment
Awake, alert, and oriented x 3
Yellow sclera of eyes noted bilaterally
Right upper quadrant tender to palpation Hands painful to touch and swollen bilaterally
Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to
10.
Exhibit 4
Client is tearful and grimacing during the examination.
, The nurse is planning care for the adolescent. Select the 5 interventions the nurse should
include.
A. Instruct the parent to ensure the pneumococcal vaccine is current.
B. Administer folic acid as prescribed.**
C. Monitor oxygen saturation continuously.**
D. Place the client on strict bed rest.
E. Apply cold compresses to the affected joints.**
F. Administer meperidine IV for pain.**
G. Restrict oral intake.
H. Give oral hydroxyurea.**
ANS: B C E F H
