ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: C. Increased urine output indicates improved renal function, a primary goal of treatment for nephrotic syndrome. A. Odorless urine is not specific. B. Lack of pain with voiding is not a direct indicator. D. Normal temperature is not related to treatment success.
Question 2 of 5
A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: D. The trigeminal nerve (cranial nerve V) innervates the muscles of mastication, and symmetrical jaw strength when biting down indicates proper functioning of this nerve. A. Balance relates to cranial nerve VIII. B. Gag reflex involves cranial nerve IX. C. Scents relate to cranial nerve I.
Question 3 of 5
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: A. A child with cystic fibrosis needs a high-calorie diet to meet their nutritional needs and prevent malnutrition. B. Sweat chloride testing is for diagnosis, not monitoring. C. Pancrelipase should be swallowed whole. D. Dornase alfa is not for wheezing and has a different dosing schedule.
Extract:
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open heart surgery.
Question 4 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: B. This is a concerning finding indicating possible inadequate renal perfusion, especially considering the postoperative status of the toddler. A. Chest tube drainage of 22 mL/hour is expected. C. Skin temperature of 36°C is slightly low but not critical. D. Pulses of 2+ are adequate.
Extract:
Question 5 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.