ATI RN
ATI Custom Pediatric exam 1 Questions
Extract:
A school-age child who has respiratory failure due to pneumonia
Question 1 of 5
A nurse is assisting with the care of a school-age child who has respiratory failure due to pneumonia. Which of the following positions should the nurse encourage to allow maximal lung expansion?
Correct Answer: A
Rationale: The upright position allows for better lung expansion and improved ventilation-perfusion matching by aiding diaphragmatic movement, which is critical for a child with respiratory failure due to pneumonia.
Extract:
A child with pneumonia who weighs 20 lb
Question 2 of 5
Primary care provider orders cefazolin (Kefrol) 30 mg/kg in two divided doses per day for a child with pneumonia. Child weighs 20 lb. If the available oral suspension is 125 mg/5ml how many mls per dose should the child receive?
Correct Answer: A
Rationale: Weight = 20 lb / 2.20462 = 9.07 kg.
Total dose = 30 mg/kg x 9.07 kg / 2 = 136.05 mg/dose. Volume = 136.05 mg / (125 mg/5 mL) = 5.44 mL = 5.4 mL.
Extract:
An 8-year-old child who has sickle cell anemia and is recovering from a vaso-occlusive crisis
Question 3 of 5
A nurse is caring for an 8-year-old child who has sickle cell anemia and is recovering from a vaso-occlusive crisis. Which of the following precautions should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Adequate hydration (e.g., drinking eight glasses of fluid daily) is crucial to prevent sickling of red blood cells and reduce the risk of vaso-occlusive crises in sickle cell anemia.
Extract:
An 8-month-old infant who will be admitted for surgery
Question 4 of 5
A nurse is reinforcing teaching with the parents of an 8-month-old infant who will be admitted for surgery. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B,C
Rationale: Bringing a favorite blanket provides comfort, and reading a story about hospitalization prepares the infant, reducing anxiety and normalizing the experience.
Extract:
A 9-year-old child who has acute rheumatic fever
Question 5 of 5
A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the parent which of the following questions?
Correct Answer: A
Rationale: Asking about a recent sore throat is relevant, as acute rheumatic fever often follows untreated streptococcal throat infections, a key predisposing factor.