ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
10-year-old child receiving chemotherapy
Question 1 of 5
A nurse is caring for a 10-year-old child who is receiving chemotherapy. The child's guardian asks about managing adverse effects. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Soft toothbrush prevents bleeding with low platelets. B. Favorite foods help but aren't specific. C. Saline, not chlorhexidine, is preferred for stomatitis. D. Antiemetics are as needed, not fixed.
Extract:
Nurses' Notes 0700: 7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor.
Question 2 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
Correct Answer: A: Anticipated, B: Contraindicated, C: Anticipated, D: Contraindicated, E: Contraindicated
Rationale: A. Anticipated: Effective antibiotic for UTIs. B. Contraindicated: Salicylic acid risks Reye’s syndrome in children. C. Anticipated: Hygiene prevents recurrent UTIs. D. Contraindicated: Sunscreen isn’t UTI-related. E. Contraindicated: Fluid restriction worsens UTIs; hydration is key.
Extract:
School-age child
Question 3 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Walking through intersections reduces collision risk, enhancing safety. B. 3 feet from the curb is safe but not the primary instruction here. C. Feet should touch the ground for control, not be 3-6 inches off. D. Riding against traffic increases collision risk.
Extract:
School-age child who weighs 55 lb
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?
Correct Answer: B
Rationale:
Correct Answer: B. 55 lb = 25 kg; 1.25 mg/kg x 25 kg = 31.25 mg; 31.25 mg / 50 mg/mL = 0.625 mL, rounded to 0.6 mL.
Extract:
5-year-old male 18 kg (39.7 lb) admitted following a motor-vehicle crash. Surgical procedure: L leg open reduction and fixation, L arm closed reduction and fixation. Vital Signs: Pulse rate 68/min, Respiratory rate 12/min, Blood pressure 80/42 mm Hg, Temperature 38.6° C (101.5° F), Oxygen saturation 91%. Medications: 0.9% sodium chloride IV at 100 mL/hr, Morphine 0.5 mg/hr IV, Acetaminophen 200 mg PO every 4 hr PRN for temperature >38° C
Question 5 of 5
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Comparing pedal pulses assesses circulation post-orthopedic surgery, the priority to detect complications like compartment syndrome. B. Sedation is secondary. C. Pain assessment follows circulation check. D. Temperature is less urgent.