ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding is concerning because by 5 months, infants should have minimal head lag when pulled to a sitting position, indicating poor head control, which could be a sign of developmental delay or neurological issue. A: Unable to roll from back to abdomen is a milestone achieved around 5-6 months and not a cause for concern at this age. C: Unable to hold a bottle is typically seen around 6-7 months and is not a critical concern at 5 months. D: Absent grasp reflex is normal at this age as the grasp reflex typically disappears by 3-4 months.
Question 2 of 5
A nurse is assessing a 5-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding is concerning because by 5 months, infants should have minimal head lag when pulled to a sitting position, indicating poor head control, which could be a sign of developmental delay or neurological issue. A: Unable to roll from back to abdomen is a milestone achieved around 5-6 months and not a cause for concern at this age. C: Unable to hold a bottle is typically seen around 6-7 months and is not a critical concern at 5 months. D: Absent grasp reflex is normal at this age as the grasp reflex typically disappears by 3-4 months.
Question 3 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Place intubation equipment at the bedside. In epiglottitis, airway management is the priority due to the risk of airway obstruction. Placing intubation equipment ensures immediate access in case the toddler's airway becomes compromised. Obtaining an x-ray (
A) may delay crucial intervention. Administering antibiotics (
B) is important but not the initial priority. Initiating precautions (
C) is too general and doesn't address the immediate need.
Question 4 of 5
A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL. 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: 0.6
Rationale:
To calculate the dose of diphenhydramine for the child:
Step 1: Convert weight to kg: 55 lb ÷ 2.2 = 25 kg
Step 2: Calculate the dose: 1.25 mg/kg x 25 kg = 31.25 mg
Step 3: Determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL
Step 4: Round to the nearest tenth = 0.6 mL
Therefore, the correct answer is 0.6 mL. Other choices are incorrect because they do not follow the correct calculation steps or rounding procedure.
Question 5 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important because loose buttons can pose a choking hazard to toddlers. By checking and securing clothing items, parents can prevent accidental ingestion.
Choice B is incorrect as the recommended water heater temperature for safety is 49°C (120°F), not 54°C.
Choice C is relevant for preventing falls but not directly related to injury prevention from choking hazards.
Choice D is incorrect because balloons are a choking hazard for young children.