ATI RN
ATI RN Pediatric Assessment 2022 Questions
Extract:
A child with mumps who has been lethargic and vomiting
Question 1 of 5
The parent of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction would the nurse give to the parent?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because lethargy and vomiting in a child with mumps could indicate dehydration or complications. Bringing the child to the clinic allows the pediatrician to assess and provide necessary treatment promptly.
Choice A is incorrect as lethargy and vomiting are concerning symptoms.
Choice B is not ideal as immediate evaluation by a healthcare professional is needed.
Choice D is incorrect as fever is not the only concerning sign with mumps.
Extract:
A child who is experiencing a seizure
Question 2 of 5
A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Position the child laterally. This is because placing the child in a lateral position helps prevent aspiration and maintains an open airway during a seizure. Placing a padded tongue blade (
A) could cause injury and obstruct the airway. Restraint of the child's arms (
C) could lead to injury and exacerbate the seizure. Attempting to stop the seizure (
D) is not within the nurse's control and could be dangerous.
Extract:
A 12-month-old toddler who is hospitalized and confined to a room with contact precautions
Question 3 of 5
A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in order to meet the developmental needs of the client?
Correct Answer: C
Rationale: The correct answer is C: Hanging crib toys. At 12 months, toddlers are exploring with their senses and developing fine motor skills. Hanging crib toys promote visual tracking, reaching, and grasping, supporting the child's cognitive and physical development. Crayons and coloring books (choice
A) may not be appropriate due to the risk of ingestion. Modeling clay (choice
B) poses a choking hazard. Large building blocks (choice
D) may be too advanced for a 12-month-old's motor skills. Other choices are not provided, but hanging crib toys align best with the developmental needs of a 12-month-old.
Extract:
A child who weighs 28 lb
Question 4 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?
Correct Answer: 5.3 mL
Rationale:
To calculate the dose, first convert the weight from lb to kg (28 lb ÷ 2.2 = 12.73 kg).
Then, multiply the weight by the dose (10 mg/kg) to get the total dose needed (12.73 kg x 10 mg/kg = 127.3 mg). Next, calculate how many mL are needed using the available concentration (120 mg/5 mL). Divide the total dose needed by the concentration (127.3 mg ÷ 120 mg/5 mL = 5.3 mL).
Therefore, the correct answer is 5.3 mL. Other choices are incorrect because they do not follow the correct conversion and calculation steps, leading to inaccurate results.
Extract:
A 12-month-old infant with mild diarrhea
Question 5 of 5
The nurse is providing home-care instructions to a mother of a 12-month-old infant with mild diarrhea. Which would the nurse instruct the mother to do?
Correct Answer: C
Rationale: The correct answer is C: Provide an increased intake of water. Diarrhea can lead to dehydration, especially in infants. Increasing water intake helps prevent dehydration.
Choice A is incorrect because fruit juice can worsen diarrhea.
Choice B is incorrect because breast milk provides essential nutrients and hydration.
Choice D is incorrect because avoiding solid foods can lead to nutrient deficiencies.