ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Adolescent with blunt trauma to the abdomen.
Question 1 of 5
A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?
Correct Answer: A
Rationale: A: Low blood pressure (89/50 mm Hg) suggests hypovolemic shock, a critical priority requiring immediate intervention.
Extract:
12-month-old child.
Question 2 of 5
Which finding will cause the nurse to refer a 12-month-old child for further neuromuscular testing?
Correct Answer: C
Rationale: C: A 12-month-old should sit independently; needing support suggests a neuromuscular delay, warranting further testing.
Extract:
Child diagnosed with medical abuse by his mother, suspected of Munchausen syndrome by proxy.
Question 3 of 5
A child has been diagnosed with medical abuse by his mother who is suspected of Munchausen syndrome by proxy. When setting goals, which is of the highest priority?
Correct Answer: C
Rationale: C: Establishing the child's safety is the priority to prevent further harm from medical abuse.
Extract:
Child weighing 44 pounds, prescribed acetaminophen 10 mg/kg/dose, available as 120 mg/5 mL.
Question 4 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 44 pounds. The amount available is acetaminophen 120 mg/5 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: A
Rationale: Child's weight: 44 lb/ 2.2 = 20 kg. Dose: 20 kg x 10 mg/kg = 200 mg. Volume: 200 mg/ (120 mg/5 mL) = 8.33 mL, rounded to 8.3 mL. Correct answer: A (8.3 mL).
Extract:
1-year-old child with Down syndrome, parent concerned about delayed walking.
Question 5 of 5
The clinic nurse talks with the parent of a child with Down syndrome. The parent states, 'I thought my 1-year-old would be walking by now. I am concerned.' What response by the nurse is best?
Correct Answer: A
Rationale: A: Explaining that developmental delays are common in Down syndrome addresses the parent's concern directly and reassuringly.