ATI RN
ATI Nur209 Pediatrics Final Assessment 2025 Questions
Extract:
A child with a heart defect, weighing 19 pounds
Question 1 of 5
A child with a heart defect has been prescribed a maintenance dose of Lanoxin elixir at 0.07 mg/kg/day, divided into two doses. The child weighs 19 pounds. What is the maximum dose of medication the nurse should administer in each dose?
Correct Answer: 0.30 mg/dose
Rationale: Convert 19 pounds to 8.64 kg.
Total daily dose: 0.07 mg/kg/day * 8.64 kg = 0.6048 mg/day. Per dose: 0.6048 mg / 2 = 0.3024 mg, rounded to 0.30 mg.
Extract:
A newborn
Question 2 of 5
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, the nurse should take which of the following actions?
Correct Answer: A
Rationale: The Moro reflex is triggered by a sudden noise like a sharp clap, causing the infant to extend arms and fingers.
Extract:
An infant with a tracheoesophageal fistula
Question 3 of 5
The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle. Which statement by the mother indicates an understanding of the most important reason for this position?
Correct Answer: A
Rationale: Elevating the head reduces the risk of aspiration, the most serious complication of tracheoesophageal fistula, by preventing gastric contents from entering the lungs.
Extract:
A newborn born at 30 weeks' gestation
Question 4 of 5
The nurse is caring for a newborn born at 30 weeks' gestation. Which assessment finding should the nurse anticipate?
Correct Answer: A
Rationale: Lanugo (fine hair) covers most of the body in preterm infants, aiding heat regulation, while term infants have more flexion, plantar creases, and subcutaneous fat.
Extract:
An antenatal client at 32 weeks' gestation with premature rupture of membranes
Question 5 of 5
An antenatal client at 32 weeks' gestation has been admitted to the hospital with premature rupture of membranes. She is not exhibiting any signs of labor. What is the priority nursing intervention for this client?
Correct Answer: B
Rationale: Antibiotics are given prophylactically to prevent infection after premature rupture of membranes, prioritizing fetal and maternal safety over immediate delivery or frequent exams.