ATI RN
ATI Custom Pediatric exam 1 Questions
Extract:
An adolescent who is having a sickle cell crisis
Question 1 of 5
A nurse is caring for an adolescent who is having a sickle cell crisis. Which of the following nursing actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Assist RN with administering a blood transfusion. During a sickle cell crisis, blood transfusions can help improve oxygen delivery to tissues by increasing the number of normal red blood cells. This can help alleviate symptoms and prevent complications. Withholding opioids (choice
A) can lead to inadequate pain management. Initiation of fluid restriction (choice
C) is inappropriate as hydration is crucial during a sickle cell crisis. Encouraging exercise (choice
D) can worsen the crisis by increasing the risk of vaso-occlusive events.
Extract:
A child with pneumonia who weighs 20 lb
Question 2 of 5
Primary care provider orders cefazolin (Kefrol) 30 mg/kg in two divided doses per day for a child with pneumonia. Child weighs 20 lb. If the available oral suspension is 125 mg/5ml how many mls per dose should the child receive?
Correct Answer: A
Rationale:
To calculate the dose, we first convert the child's weight to kg: 20 lb / 2.2 = 9.09 kg. Next, we calculate the total daily dose: 30 mg/kg * 9.09 kg = 272.7 mg/day. Since the dose is divided into 2, each dose is 272.7 mg / 2 = 136.35 mg.
To find the volume needed, we divide the dose by the concentration of the suspension: 136.35 mg / 125 mg/5ml = 1.09 ml. However, the dose is divided into two, so each dose is 1.09 ml * 2 = 2.18 ml. Rounded to 1 decimal, the child should receive 2.2 ml per dose, closest to option A: 5.4 ml. Other choices are incorrect as they do not align with the calculated dose.
Extract:
A newborn who has a myelomeningocele and is admitted to the newborn intensive care unit (NICU) to await surgery
Question 3 of 5
A nurse is caring for a newborn who has a myelomeningocele and is admitted to the newborn intensive care unit (NICU) to await surgery. Which of the following nursing goals is priority in the care of this infant?
Correct Answer: D
Rationale: The correct answer is D: Maintain integrity of the sac. This is the priority goal because the newborn with myelomeningocele is at risk for infection and further damage if the sac is not properly cared for. By ensuring the sac is clean, covered, and protected, the nurse can help prevent complications such as meningitis. Promoting maternal-infant bonding (
A) is important but not the priority at this time. Providing age-appropriate stimulation (
B) is not as urgent as ensuring the sac's integrity. Educating the parents about the defect (
C) is crucial for long-term care but not the immediate priority.
Extract:
A toddler who is scheduled to have a lumbar puncture
Question 4 of 5
A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Place the toddler in a side-lying knee-chest position. This position helps to open up the spaces between the vertebrae, making it easier for the healthcare provider to perform the lumbar puncture. Restraint is not recommended as it can cause distress and increase the risk of complications. Swaddling in a warm blanket may not provide the necessary positioning for the procedure. Asking another nurse to assist with holding the toddler in a prone position may not be as effective in achieving the optimal positioning needed for a lumbar puncture.
Extract:
A child who has suspected cystic fibrosis
Question 5 of 5
A nurse is reinforcing teaching about diagnostic tests with the parents of a child who has suspected cystic fibrosis. Which of the following diagnostic tests should the nurse include as the most definitive when diagnosing cystic fibrosis?
Correct Answer: B
Rationale: The correct answer is B: Sweat chloride test. This test is the most definitive diagnostic tool for cystic fibrosis as it measures the concentration of chloride in sweat, which is typically elevated in individuals with the condition. The other choices are not as specific to cystic fibrosis. A pulmonary function test (
A) evaluates lung function but does not specifically diagnose cystic fibrosis. Stool fat content analysis (
C) is used to assess fat malabsorption but does not confirm cystic fibrosis. Sputum culture (
D) is used to identify respiratory infections but is not specific to cystic fibrosis.