ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
A 4-year-old, 44-pound Autistic patient is admitted to the ED with concerns of dehydration. He has been ordered to receive a 20ml/kg fluid bolus of normal saline over 30 minutes. At what rate would you set the IV pump?
Correct Answer: A
Rationale: The correct answer is A: 880 ml/hour.
To calculate the IV pump rate, first, determine the total volume to be infused: 20 ml/kg x 44 lbs = 880 ml. Next, divide the total volume by the total time in hours: 880 ml / 1 hour = 880 ml/hour. This rate ensures the patient receives the prescribed fluid bolus over 30 minutes.
Choice B is incorrect as it does not account for the specific weight of the patient.
Choices C and D are incorrect as they do not follow the correct calculation based on the patient's weight.
Question 2 of 5
When assessing the child with atopic dermatitis, the nurse should ask the parents about a history of:
Correct Answer: A
Rationale: The correct answer is A: Asthma. Atopic dermatitis is commonly associated with other allergic conditions, such as asthma. Asking about a history of asthma can help identify potential triggers and comorbidities. Nephrosis, otitis media, and neurotoxicity are not typically associated with atopic dermatitis, making choices B, C, and D incorrect. Always focus on relevant factors to provide effective care.
Question 3 of 5
An 18-month-old patient with Down's Syndrome has a history of mild pulmonary hypertension which requires a daily dose of Furosemide (Lasix). The mother is questioning if the new dose is correct after an adjustment at the child's last Cardiology visit. The child weighs 22 pounds and the dosing for furosemide (Lasix) for this child 2mg/kg/dose. What is the appropriate dose of Furosemide Lasix for this child?
Correct Answer: C
Rationale: The correct dose of Furosemide (Lasix) for this child is 20 mg/dose.
To calculate the appropriate dose, we first convert the child's weight from pounds to kilograms (22 lbs ÷ 2.2 = 10 kg).
Then, we multiply the weight by the recommended dose of 2 mg/kg (10 kg x 2 mg/kg = 20 mg/dose). This calculation ensures proper dosing based on the child's weight.
Choices A, B, and D are incorrect because they do not reflect the correct dosage calculation based on the child's weight.
Question 4 of 5
Which explanation regarding cardiac catheterization is appropriate for a preschool child?
Correct Answer: D
Rationale: The correct answer is D because preschool children may not fully understand the importance of keeping still after cardiac catheterization. Keeping the leg straight helps prevent bleeding at the insertion site.
Choice A is incorrect as postural drainage is not related to cardiac catheterization.
Choice B is incorrect as sedation, not complete sleep, is usually used.
Choice C is incorrect as the procedure can take longer than an hour.
Question 5 of 5
A 36 pound almost 3-year-old arrives to the ED with dehydration. The provider orders an IV fluid bolus, 15 ml/kg over 30 minutes. How many ml will the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: 246 ml.
To calculate the IV fluid bolus amount, first, we need to determine the child's weight in kilograms: 36 lbs ÷ 2.2 = 16.36 kg. Next, multiply the weight in kg by the ordered dose of 15 ml/kg: 16.36 kg x 15 ml/kg = 245.4 ml. Since it is recommended to round up in pediatric dosing, the nurse will administer 246 ml.
Choice A is incorrect as it underestimates the dose.
Choices C and D are incorrect as they overestimate the dose.