ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: A. An elevated creatinine level may indicate kidney dysfunction, a potential adverse effect of gentamicin therapy. B, C, D. These values are within normal ranges.
Extract:
The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated, Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.
Question 2 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,D,F,G
Rationale: A. Cutting and filing the child's fingernails frequently can help prevent further damage from scratching and reduce the risk of infection. B. Using a mild detergent for the child's laundry can help minimize irritation to the skin. C. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns. D. Informing the guardian that the child will experience occasional flare-ups of the condition helps manage expectations and prepares them for potential recurrence. E. Atopic dermatitis is not typically contagious, so the statement that the child's condition is contagious when lesions are present is inaccurate. F. Applying gloves to the child's hands can prevent scratching and further damage to the skin. G. Applying emollients to the child's skin after bathing helps maintain skin hydration and barrier function, reducing the severity of atopic dermatitis symptoms.
Extract:
Question 3 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: First, convert the child's weight from pounds to kilograms: 55 ÷ 2.2 = 25 kg. Next, calculate the dose: 1.25 mg/kg × 25 kg = 31.25 mg.
Then, determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Round to the nearest tenth: 0.625 rounds to 0.6 mL.
Question 4 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: B. Head lag at 5 months is abnormal and may indicate weakness or poor muscle tone, warranting further evaluation by the healthcare provider. A. Rolling over is typical at 4-6 months, not concerning yet. C. Not all infants hold bottles at 5 months. D. Grasp reflex diminishes by 3-4 months.
Question 5 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: B. Nausea is a common adverse effect of morphine and should be monitored for, particularly in pediatric patients. A. Prolonged wound healing is not associated with morphine. C. Stevens-Johnson syndrome is not typical with morphine. D. Morphine is not commonly linked to renal failure.