ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: C
Rationale: The correct answer is C. Vomiting can lead to decreased absorption of digoxin, potentially causing subtherapeutic levels and reducing the medication's effectiveness. A consistent therapeutic level of digoxin is vital for its intended therapeutic effects, such as improving cardiac output and reducing heart rate. Monitoring for signs of toxicity is crucial, but in this case, the nurse should prioritize addressing the vomiting episode to ensure proper drug absorption and efficacy.
Choices A, B, and D do not warrant a revision of the care plan as the apical pulse, potassium level, and digoxin level are within acceptable ranges.
Extract:
A nurse is providing education to a client.
Question 2 of 5
Which of the following nonverbal techniques should the nurse use to enhance the importance of the education?
Correct Answer: C
Rationale: The correct answer is C: Smile, nod, touch the client's hand. This nonverbal technique enhances the importance of education by showing empathy, engagement, and support. Smiling conveys warmth and friendliness, nodding indicates understanding and attentiveness, and touching the client's hand can create a sense of connection and trust. These nonverbal cues help to build rapport and encourage the client to be more receptive to the information being shared.
Choice A is incorrect because checking messages on the cell phone is distracting and shows lack of interest.
Choice B is incorrect as crossing arms and avoiding eye contact can signal defensiveness or disinterest.
Choice D is incorrect as leaning over the chair may come across as too casual and unprofessional.
Extract:
Question 3 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D because holding urine for about 15 minutes before going to the bathroom is an indication of improved bladder control, which is the goal of conditioning therapy for enuresis. This demonstrates that the child is developing the ability to delay urination, a key aspect of the treatment.
Choice A is incorrect because going to the bathroom immediately when the alarm goes off does not show improved bladder control.
Choice B is incorrect as drinking less may not necessarily indicate treatment effectiveness.
Choice C is incorrect as Kegel exercises are not typically part of conditioning therapy for enuresis.
Extract:
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.
Question 4 of 5
Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: The correct answer is C: Monitor for pallor or swelling in the child's affected hand. This is the priority because it indicates potential complications like impaired circulation or infection, which can be serious. Restricting activities (
A) is important but not as critical as monitoring for complications. Using a hair dryer (
B) can cause burns or damage to the cast. Examining for skin irritation (
D) is important but not as urgent as monitoring for circulation issues.
Extract:
Question 5 of 5
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. 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: A
Rationale:
To calculate the dose of ibuprofen for the child, we must first convert the weight from pounds to kilograms. 55 lb is approximately 25 kg. Next, we multiply the weight in kg by the prescribed dose of 10 mg/kg to get the total dose needed, which is 250 mg. Since the available concentration is 100 mg/5 mL, we divide the total dose by the concentration to find the volume needed, which is 12.5 mL.
Therefore, the correct answer is A: 12.5 mL. Other choices are incorrect as they do not align with the accurate calculation based on the weight, prescribed dose, and concentration of the ibuprofen solution.