ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
6-month-old infant
Question 1 of 5
A nurse in a pediatric intensive care unit is assessing a 6-month-old infant. Which of the following findings should the nurse identify as an indication of neurological impairment?
Correct Answer: C
Rationale: The correct answer is C. The nurse should identify a drowsy infant who responds immediately to verbal stimuli as an indication of neurological impairment. This finding suggests altered consciousness, which can be a sign of neurological dysfunction. The infant's drowsiness indicates decreased alertness, while the immediate response to verbal stimuli may point towards an abnormal neurological response. This combination of symptoms raises concern for potential neurological issues.
Choice A is incorrect because an oxygen saturation of 96% on room air is within the normal range for a 6-month-old infant.
Choice B is incorrect as self-reporting pain on a scale of 0 to 10 is not applicable to an infant.
Choice D is incorrect as the blood pressure of 100/60 mm Hg is within the normal range for a 6-month-old.
Extract:
Child weighs 55 lb
Question 2 of 5
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 12.5 mL
Rationale:
To determine the correct dose of ibuprofen for the child, we first convert the child's weight from pounds to kilograms (55 lb ÷ 2.2 = 25 kg).
Then, we calculate the dose: 10 mg/kg × 25 kg = 250 mg. Next, we convert the dose from mg to mL using the available concentration: 250 mg ÷ 100 mg/5 mL = 12.5 mL.
Therefore, the nurse should administer 12.5 mL of ibuprofen. The other choices are incorrect because they do not follow the correct calculations based on the child's weight and the concentration of the available ibuprofen solution.
Extract:
4-year-old child
Question 3 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use a tumbling E chart for the assessment. This is because a tumbling E chart is commonly used for visual acuity testing in young children who may not be able to identify letters or symbols. The E chart consists of E shapes facing in different directions, and the child is asked to point in the direction the E is facing. This allows for a more accurate assessment of visual acuity in young children compared to traditional letter charts.
Other choices are incorrect:
B: Assess both eyes together first, then each eye separately - This approach may not provide an accurate assessment of each eye's visual acuity individually.
C: Position the child 4.6 meters (15 feet) from the chart - This distance is typically used for adult visual acuity testing, not for children.
D: Test the child without glasses before testing with glasses - It is important to test the child's visual acuity with their usual correction to ensure an accurate assessment.
Extract:
Question 4 of 5
A nurse is teaching a newly licensed nurse about infant safety. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Provide an infant with a one-piece pacifier for non-nutritive sucking. This is the correct choice because using a one-piece pacifier reduces the risk of choking compared to pacifiers with separate parts. Pacifiers can also help reduce the risk of Sudden Infant Death Syndrome (SIDS) when used during sleep.
Choice B is incorrect because infants should not be placed in a high chair until they can sit up independently, usually around 6 months old.
Choice C is wrong as car seats should never be placed behind an airbag, as it can be dangerous in the event of a crash.
Choice D is incorrect because infants should be placed on a firm mattress on their back to reduce the risk of SIDS.
Extract:
Four children on a pediatric unit
Question 5 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: D
Rationale: The correct answer is D: A toddler who has seasonal influenza. Droplet precautions are used for diseases transmitted through respiratory secretions within short distances. Influenza is primarily spread through droplets, making it necessary to protect others by wearing a mask and maintaining distance. Pediculosis capitis (lice), viral conjunctivitis, and hepatitis A are not transmitted through respiratory droplets, so droplet precautions are not needed.