ATI LPN
Pediatric Gi Nclex Practice Questions Questions
Question 1 of 5
Doctor orders: Furosemide 2 mg/kg PO daily for congestive heart failure. Available is Furosemide 10 mg/ml oral solution. How many ml will you give a child weighing 10 lbs? Round to the nearest tenth.
Correct Answer: D
Rationale: Convert weight to kg: 10 lbs ÷ 2.2 lbs/kg = 4.545 kg. Calculate the dose: 2 mg/kg × 4.545 kg = 9.09 mg. Divide by concentration: 9.09 mg ÷ 10 mg/ml = 0.909 ml. Round to the nearest tenth: 0.909 ≈ 0.9 ml.
Question 2 of 5
Which tool should the nurse use to monitor pain in a toddler-aged patient?
Correct Answer: B
Rationale: The FLACC scale is designed for nonverbal children like toddlers, assessing behavior (e.g., face, legs, activity). FACES and Oucher require comprehension, and numeric is for older children.
Question 3 of 5
A nurse is developing playful ways to engage the child following an operative procedure. Which of the following postoperative interventions can the nurse use? Select one that does not apply.
Correct Answer: A
Rationale: Popsicles , pinwheels , decorating dressings , and prizes engage playfully. Ambulation depends on orders and condition.
Question 4 of 5
A 3-year-old has been brought to the emergency department. She has a 'froglike' croaking sound on inspiration, is drooling and is very anxious. She continues to sit upright. Which of the following should this nurse do first?
Correct Answer: C
Rationale: Signs of epiglottitis (croaking sound, drooling, upright posture) require immediate physician notification and tracheostomy prep (C) due to airway emergency risk. Examining the pharynx (A) risks obstruction, mist tents (B) are ineffective here, and lying down (D) worsens breathing. Document: 'Epiglottitis is always a medical emergency requiring… immediate medical evaluation.'
Question 5 of 5
Intussusception would be suspected when parents describe the child's stools as:
Correct Answer: A
Rationale: Currant jelly stools (A) indicate intussusception due to blood and mucus from intestinal telescoping. Black tarry (B) suggests upper GI bleed, green (C) is nonspecific, and greasy (D) indicates malabsorption. Document: 'Bowel movements of blood and mucus… [are] “currant jelly” stools.'