ATI LPN
ATI LPN Pediatrics Nursing Exam 4 Questions
Question 1 of 5
A nurse is preparing to administer 0.9% 1L to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/ml. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 31
Rationale: Flow rate (gtt/min) =
Total volume / Time × Drop factor (gtt/mL).
Total volume = 1000 mL, Time = 8 hours × 60 minutes = 480 minutes, Drop factor = 15 gtt/mL. Flow rate = 1000 / 480 × 15 = 31.25, rounded to 31 gtt/min.
Question 2 of 5
A 5-year-old child is admitted to the hospital with acute glomerulonephritis. In taking the child's history, what does the nurse recognize as the probable cause?
Correct Answer: C
Rationale: Acute glomerulonephritis often follows a streptococcal infection, such as strep throat, typically within 1-3 weeks. German measles, dysuria, and allergies are not causative factors.
Extract:
Nurses notes:
Vital Signs
1800:
Guardians report child has a 2-day history of nausea, vomiting, and diarrhea. Child reports an intermittent "belly ache" and states, "I don't feel good." Guardians state the child has been having frequent emesis and "can't keep anything down."
Child irritable and frequently requesting a drink. Lips and mucus membranes dry. Capillary refill 3 seconds. Sluggish skin recoil noted.
1830: Child vomited small amount of clear-colored mucoid fluid. Voided a small amount of dark concentrated urine. Passed a moderate amount of liquid brown stool. No blood noted in stool. Urine and blood specimens collected.
Question 3 of 5
A nurse is assisting in the care of a preschool aged child in the emergency department. The nurse should anticipate a provider prescription for an [Dropdown Group 1] and [Dropdown Group 2].
| antiemetic |
| antibiotic |
| IV fluid bolus |
| electrolyte replacement |
| analgesic |
| antipyretic |
Correct Answer: C, D
Rationale: The child shows signs of dehydration (dry mucous membranes, sluggish skin recoil, dark urine) requiring an IV fluid bolus. Hypokalemia (K = 3.2 mEq/L) indicates the need for electrolyte replacement.
Extract:
Question 4 of 5
A nurse is reinforcing teaching with the parents of a child who has a urinary tract infection (UTI). Which of the following should the nurse include? Select all that apply.
Correct Answer: A, B, C
Rationale: Urinary frequency indicates possible recurrent UTI. Bubble baths can irritate the urethra, increasing UTI risk. Complete bladder emptying prevents bacterial growth. Wiping front to back, not back to front, avoids contamination. Cotton, not nylon, underpants reduce moisture and bacterial growth.
Question 5 of 5
A nurse is reinforcing teaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung's disease. Which of the following statements should indicate to the nurse that the parent understands the goal of the surgery.
Correct Answer: D
Rationale: Hirschsprung's disease involves a lack of nerve cells in the colon. The initial surgery often creates a temporary ostomy to divert stool, allowing the colon to heal, which the parent correctly understands.