ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Lavender. Lavender oil is known for its calming and relaxing properties, making it suitable for children to help with relaxation. It is gentle and safe to use, promoting a sense of calmness. Tea tree (
A) and eucalyptus (
B) oils are more commonly used for their antiseptic and respiratory benefits, not specifically for relaxation. Jasmine (
D) oil is known for its uplifting and floral scent, which may not be as soothing for relaxation compared to lavender.
Extract:
School-age child receiving cefazolin
Question 2 of 5
A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Stevens-Johnson syndrome. Cefazolin belongs to the class of antibiotics known as cephalosporins, which can rarely cause severe skin reactions like Stevens-Johnson syndrome. This syndrome presents with flu-like symptoms followed by a painful red or purplish rash that spreads and blisters. It is a serious and potentially life-threatening reaction that requires immediate medical attention. The other options are not typically associated with cefazolin. Hypotension is more commonly seen with medications like vasopressors, prolonged wound healing is not a known side effect of cefazolin, and bradypnea is not a typical adverse effect of this medication. Monitoring for Stevens-Johnson syndrome is crucial to promptly identify and manage this severe reaction.
Extract:
Toddler with manifestations of epiglottitis
Question 3 of 5
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Initiate droplet precautions. This is the first action the nurse should take because epiglottitis is a medical emergency with the potential for rapid airway compromise. By initiating droplet precautions, the nurse can help prevent the spread of infection to others while also protecting themselves. Obtaining an x-ray (choice
A) or administering antibiotics (choice
C) can be important interventions but should not take precedence over protecting the airway. Placing intubation equipment (choice
B) at the bedside may be necessary but is not the first action to prioritize in this situation.
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:
To calculate the dose of diphenhydramine for the child, first convert the weight from pounds to kg: 55 lb ÷ 2.2 = 25 kg.
Then calculate the dose: 1.25 mg/kg x 25 kg = 31.25 mg. Next, determine how many mL are needed: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Since we need to round to the nearest tenth, the correct answer is 0.6 mL (choice
B). Other choices are incorrect due to incorrect calculations or rounding errors.
Choice A is too low, C is too high, and D is also too high.
Extract:
Adolescent experiencing a vaso-occlusive crisis with painful joints, fever, and abdominal pain
Question 5 of 5
A nurse is developing a plan of care for an adolescent who is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Initiate IV fluids. During a vaso-occlusive crisis in sickle cell disease, there is a risk of dehydration due to increased red blood cell destruction and decreased blood flow to tissues. IV fluids help to maintain hydration, improve blood flow, and prevent complications. Administering antispasmodics (choice
A) is not typically indicated for vaso-occlusive crisis. Applying ice to joints (choice
B) may provide temporary relief but does not address the underlying issue of dehydration. Assessing for hyperkalemia (choice
D) is important but not the priority intervention in this case.