ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A 3-year-old child with pyelonephritis. The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb.
Question 1 of 5
A 3-year-old child is hospitalized with a diagnosis of pyelonephritis The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb. The dose ordered is the safe dose, How many milligrams should the nurse administer in each dose? Record your answer using a whole number
Correct Answer: 300 mg
Rationale: The child weighs 33 lbs, which is 15 kg (33/2.2). The prescribed dose is 60 mg/kg/day, so 15 kg * 60 mg/kg = 900 mg/day. Divided into three doses, 900 mg / 3 = 300 mg per dose.
Extract:
A child who is in sickle cell crisis.
Question 2 of 5
A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.
Extract:
A 3 year old child with upper respiratory infection and low-grade fever being treated with Acetaminophen.
Question 3 of 5
A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?
Correct Answer: B
Rationale: The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.
Extract:
A 17-year-old female client who has severe acne.
Question 4 of 5
A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin. Which of the following adverse effects should the nurse instruct the client is the priority to report immediately to the provider?
Correct Answer: D
Rationale: Feelings of isolation and depression are serious side effects associated with isotretinoin and should be reported immediately due to the risk of self-harm or suicidal thoughts.
Extract:
A year old child who has had watery diarrhea for the past 3 days.
Question 5 of 5
A nurse is caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?
Correct Answer: B
Rationale: Initiating oral rehydration therapy is critical for managing dehydration due to diarrhea and is the best approach for a child in this situation.