ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Saying 'This should not have happened' validates injustice but lacks comfort. Promising confidentiality is unethical due to mandatory reporting. 'It is not your fault' reassures the child, reducing guilt and shame, crucial for emotional support. Blaming the child for not reporting sooner is unsupportive.
Question 2 of 5
A nurse is collecting data from an infant. Which of the following areas should the nurse palpate to check for an inguinal hernia?
Correct Answer: A
Rationale: Palpating the groin area detects inguinal hernias, where intestines protrude through abdominal muscles. The abdomen, lower back, and upper thigh are not specific sites for this condition.
Question 3 of 5
A nurse is preparing to administer cephalexin 50 mg/kg/day in divided doses every 8 hours to a child who weighs 33 lb. The amount available is cephalexin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Convert 33 lb to 15 kg (33 ÷ 2.2).
Total daily dose: 50 mg/kg/day × 15 kg = 750 mg/day. Per dose: 750 mg ÷ 3 = 250 mg. Volume: 250 mg ÷ (250 mg/5 mL) = 5 mL.
Question 4 of 5
A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Cherry juice may mask bleeding. Coughing risks clot dislodgement. Straws increase bleeding risk. An ice collar reduces pain and swelling, aiding recovery.
Question 5 of 5
A nurse is reinforcing teaching about bicycle safety with a school-age child. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Feet touching the ground suggests an ill-fitting bike. A light-colored helmet enhances visibility and protects without covering ears. Riding through crosswalks or against traffic increases accident risk.