ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A 3-month-old infant weighing 11 pounds, treated with Vancomycin for bacterial meningitis, ordered 60mg/kg/day divided every 6 hours.
Question 1 of 5
A 3-month-old infant is being treated with Vancomycin for bacterial meningitis. Order: 60mg/kg/day divided every 6 hours. The infant weighs 11 pounds. The nurse first confirms safe dose. The nurse then calculates the dosage. Which one of the following is the correct SINGLE dose order for the nurse to administer?
Correct Answer: A
Rationale: Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg.
Total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divided every 6 hours (4 doses/day): 300 mg ÷ 4 = 75 mg per dose.
Extract:
A newborn child whose mother does not wish for immunizations due to concerns about MMR vaccine causing autism.
Question 2 of 5
The mother of a newborn child does not wish for her child to receive immunizations because she has read that immunizations, especially MMR vaccine, cause autism. Which of the following statements by the nurse is the FIRST response?
Correct Answer: D
Rationale: Providing accurate, evidence-based information is the best first response. It addresses the mother's concerns directly and helps correct misinformation.
Extract:
A preschool aged child immediately following an open repair of a Ventricular Septal Defect, with no drainage from the mediastinal chest tubes in the last 2 hours.
Question 3 of 5
The nurse is caring for a preschool aged child immediately following an open repair of a Ventricular Septal Defect. There has been no drainage from the mediastinal chest tubes in the last 2 hours. Based on this finding what will be the nurse's priority intervention?
Correct Answer: C
Rationale: Lack of drainage from the chest tubes following cardiac surgery can be life-threatening, indicating possible cardiac tamponade or tube occlusion. Immediate reporting is necessary for prompt intervention.
Extract:
A 6-year-old child with Sickle Cell Anemia admitted for vaso-occlusive crisis, complaining of pain in the abdomen, right tibia, and headache, pain level 10 on FACES Pain Scale, with tender abdomen, warm and tender right tibia, and history of multiple crises.
Question 4 of 5
The nurse is planning the nursing care for this child and anticipates which of the following to be a part of the plan of care for a child in vaso-occlusive crisis? For each potential intervention, click to specify if the intervention is anticipated or contraindicated.
Correct Answer: A,B,C
Rationale: Monitor RLE pulses, administer oxycodone for pain, and continue IV fluids are anticipated to assess perfusion, manage pain, and maintain hydration. Decreasing oxygen is contraindicated as adequate oxygenation is crucial to prevent further sickling.
Extract:
Patients with 24-hour Holter monitor diaries.
Question 5 of 5
The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?
Correct Answer: B
Rationale: This entry is the most complete as it includes the time, activity (basketball practice), symptom (dizziness), absence of loss of consciousness, and relevant detail (no caffeine intake), giving a comprehensive picture of the patient's experience.