ATI RN
ATI Capstone Week 13 Exam Questions
Question 1 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 2 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.
Question 3 of 5
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
Correct Answer: C
Rationale: The correct answer is C: Body weight. Body weight is the most reliable indicator of fluid loss in an infant as it directly reflects changes in hydration status. A decrease in body weight indicates fluid loss, which can be a critical sign in assessing dehydration. Blood pressure (
A) may be affected in severe cases of dehydration, but it is not as reliable in infants. Respiratory rate (
B) can increase due to various reasons and is not specific to fluid loss. Skin turgor (
D) is a helpful indicator in adults but may not be as reliable in infants.
Question 4 of 5
A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?
Correct Answer: D
Rationale:
Correct
Answer: D. Placing your child on her back when sleeping will decrease the risk of SIDS.
Rationale: Placing infants on their backs to sleep is a key recommendation to reduce the risk of SIDS according to the American Academy of Pediatrics. This position helps prevent airway obstruction and overheating, which are potential contributors to SIDS. It also promotes safer sleep environments.
Choice A is incorrect because SIDS rates have actually been decreasing due to public health efforts.
Choice B is incorrect as there is no direct correlation between vaccines and SIDS.
Choice C is incorrect as sleep apnea is not the main cause of SIDS.
Question 5 of 5
A nurse is caring for a 1-month-old infant who weighs 3500 g and is prescribed a dose of cephazolin 50 mg/kg by intermittent IV bolus three times daily. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 175
Rationale:
Rationale:
1. Calculate the infant's weight in kg: 3500 g ÷ 1000 = 3.5 kg.
2. Multiply the weight by the prescribed dose: 3.5 kg x 50 mg/kg = 175 mg.
3.
Therefore, the nurse should administer 175 mg per dose to the infant.
Summary of other choices:
- A, B, C, D, E, F, G: These choices are incorrect as they do not align with the correct calculation based on the infant's weight and the prescribed dose.