ATI RN
ATI Capstone Week 13 Exam Questions
Question 1 of 5
A nurse receives a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following instructions should the nurse give to the parent?
Correct Answer: C
Rationale: The correct answer is C. This instruction is appropriate for managing a nosebleed in a child with von Willebrand disease. Having the child sit with their head tilted forward helps to prevent blood from flowing backward into the throat and potentially causing choking. Applying pressure on the nose for 10 minutes helps to stop the bleeding.
Choice A is incorrect because placing the child in a supine position can lead to blood flowing backward and potentially causing choking.
Choice B is incorrect because applying ice can constrict blood vessels, potentially worsening the bleeding in a child with a bleeding disorder.
Choice D is incorrect because tilting the head back can also lead to blood flowing backward and potentially causing choking.
Question 2 of 5
A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Use a 1.8 mm (0.5 inch) needle. For administering a vaccine into the deltoid muscle of a preschooler, a shorter needle is recommended to ensure proper intramuscular injection. Using a 1.8 mm (0.5 inch) needle is appropriate for this age group as it minimizes the risk of reaching deeper tissues or causing injury.
Choice A is incorrect as a 20-gauge needle is too thick for a preschooler's deltoid muscle.
Choice B is incorrect because inserting the needle at a 15-degree angle may not guarantee proper intramuscular injection.
Choice D is incorrect as inserting the needle just below the acromion process is not the correct site for deltoid muscle injection in preschoolers.
Question 3 of 5
A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?
Correct Answer: C
Rationale: The correct answer is C: Slight pillow props. This finding is a manifestation of cerebral palsy in infants because it indicates poor muscle tone and control, which are common symptoms of the condition. Infants with cerebral palsy may have difficulty maintaining proper posture and may exhibit abnormal muscle movements. Tracking an object with eyes (
A) and smiling when a parent appears (
B) are normal developmental milestones for an 8-month-old infant. Using a pincer grasp to pick up a toy (
D) is also a typical developmental milestone at this age and not indicative of cerebral palsy.
Question 4 of 5
A nurse is providing teaching to a parent of a child who has Hirschsprung disease and is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates an understanding that the ostomy is temporary, indicating awareness of the surgical procedure for Hirschsprung disease. This shows recognition of the need for temporary ostomy care post-surgery.
Choice B is incorrect as it relates to urinary catheter care, which is not typically associated with Hirschsprung disease.
Choice C is incorrect because normal bowel movements are not immediate after surgery for Hirschsprung disease.
Choice D is incorrect as it refers to feeding tube care, which is not typically part of the initial surgical management for Hirschsprung disease.
Question 5 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5.3
Rationale: The correct answer is 5.3 mL.
To calculate this, first convert the child's weight from pounds to kilograms: 28 lb / 2.2 = 12.73 kg.
Then, calculate the dosage: 10 mg/kg x 12.73 kg = 127.3 mg. Next, determine how many mL are needed: 127.3 mg ÷ 120 mg/5 mL = 5.3 mL.
Therefore, the nurse should administer 5.3 mL.
Choice A (3.5 mL) is incorrect because it does not match the calculated dosage of 5.3 mL.
Choice B (7.6 mL) is incorrect as it is too high based on the calculation.
Choice C (6.2 mL) is also incorrect for the same reason.
Choice D (4.8 mL) is lower than the correct answer.
Choice E, F, and G are not feasible options based on the calculation.