ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
Solumedrol 1.5mg/kg is ordered for a child weighing 74.8 pounds. Solumedrol is available as 125mg/2ml. How many ml must the nurse administer?
Correct Answer: C
Rationale:
To calculate the dose of Solumedrol, first convert the child's weight to kg: 74.8 lbs / 2.2 = 34 kg.
Then, calculate the dose: 1.5 mg/kg * 34 kg = 51 mg. Next, determine how many ml is needed: 51 mg / 125 mg/ml = 0.408 ml, which is rounded up to 0.82 ml.
Choice A is incorrect because it is too low.
Choice B is incorrect as it is much lower than the calculated dose.
Choice D is incorrect as it is also too low.
Question 2 of 5
The nurse is caring for a school-age boy with Kawasaki's Disease. She knows the medication the child will receive includes:
Correct Answer: A
Rationale:
Rationale: Kawasaki's Disease is treated with Immunoglobulin G to reduce inflammation and aspirin to prevent blood clots and coronary artery abnormalities. Immunoglobulin E is not used in this condition, and heparin and ibuprofen are not part of the standard treatment. ACE inhibitors are not indicated in Kawasaki's Disease. So, choice A is correct due to its adherence to the standard treatment guidelines.
Question 3 of 5
Ringworm, frequently found in school children, is caused by which of the following?
Correct Answer: B
Rationale: Ringworm is caused by a fungus, specifically dermatophytes that infect the skin, hair, or nails. Fungi thrive in warm, moist environments, making schools a common place for transmission. Viruses, allergic reactions, and bacterial infections do not cause ringworm. Ringworm is a fungal infection, not a result of an allergic reaction or bacterial infection.
Question 4 of 5
Anorexia nervosa may best be described as:
Correct Answer: D
Rationale: Anorexia nervosa is characterized by severe weight loss due to restrictive eating behaviors and distorted body image.
Choice D is correct as it accurately describes the hallmark symptom of anorexia.
Choices A and B are incorrect because anorexia nervosa is more common in adolescent females and does not discriminate based on socioeconomic status.
Choice C is incorrect as anorexia nervosa is primarily a psychological disorder, not a pituitary disorder.
Question 5 of 5
A mother brings her child into the pediatrician's office for a follow up appointment and voices concern that her child has started urinating more frequently and is constantly hungry and thirsty. The nurse suspects:
Correct Answer: C
Rationale: The correct answer is C: Diabetes mellitus. The symptoms of increased urination, hunger, and thirst are classic signs of diabetes mellitus. In diabetes, the body cannot properly regulate blood sugar levels, leading to excessive urination (as the body tries to get rid of excess sugar), increased hunger (as cells are not getting enough glucose for energy), and increased thirst (due to dehydration from frequent urination). Hypoglycemia (choice
A) would present with low blood sugar symptoms, not high blood sugar symptoms. Huntington disease (choice
B) is a genetic disorder affecting the brain, not related to the symptoms described. Phenylketonuria (choice
D) is a metabolic disorder related to the inability to break down phenylalanine, not associated with the symptoms described.