ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A 3 year old child with upper respiratory infection and low-grade fever being treated with Acetaminophen.
Question 1 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 toddler with acute otitis media.
Question 2 of 5
The nurse discusses management with the caregiver of a toddler with acute otitis media. Which statement indicates that the caregiver needs additional teaching?
Correct Answer: D
Rationale: Baby aspirin is contraindicated in children due to the risk of Reye’s syndrome, indicating that the caregiver needs further teaching regarding safe medication administration for pain.
Extract:
A 4-month-old infant who is one day postoperative following surgical repair of a cleft lip.
Question 3 of 5
A nurse is caring for a 4-month-old infant who is one day postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take? Select all that apply
Correct Answer: A,D,E
Rationale: Positioning in Semi-Fowler's, applying elbow restraints, and maintaining IV therapy are appropriate to prevent aspiration, protect the surgical site, and ensure nutrition until oral feeds are safe.
Extract:
A child with a brain tumor has a decreased respiratory rate and is less responsive to verbal commands than he was when the nurses assessed the client the previous hour.
Question 4 of 5
What should the nurse do next?
Correct Answer: B
Rationale: Notifying the healthcare provider is critical as the child’s decreased responsiveness and respiratory rate indicate a potential deterioration in condition that requires prompt medical evaluation.
Extract:
A 4-year-old child hospitalized with vomiting and suspected dehydration. The health care provider has prescribed ondansetron 0.5 mg/kg IV as a one-time dose. The safe dose is 5 mg/kg/dose. The child weighs 44 lbs.
Question 5 of 5
A nurse is providing care to a 4-year-old child hospitalized with vomiting and suspected dehydration. The health care provider has prescribed ondansetron 0.5 mg/kg IV as a one-time dose. The safe dose is 5 mg/kg/dose. The child weighs 44 lbs. How many milligrams should the nurse administer? Round your answer to the nearest tenth if needed
Correct Answer: 10 mg
Rationale: The child weighs 44 lbs, which is 20 kg (44/2.2). The prescribed dose is 0.5 mg/kg, so 20 kg * 0.5 mg/kg = 10 mg, which is within the safe dose range of 5 mg/kg (100 mg max).