ATI RN
ATI RN Pediatric Nursing 2023 II 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: A
Rationale: Vomiting is a sign of potential digoxin toxicity, and the nurse should revise the plan of care for this toddler. This digoxin level is within the therapeutic range. An apical pulse of 100/min could be normal for a toddler, but it should be monitored closely in the context of digoxin therapy. This potassium level is within the normal range.
Question 2 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: Placing the child in a prone position can obstruct the airway and increase the risk of aspiration. Clearing the area of hard objects helps prevent injury during a seizure. Inserting a tongue blade between the teeth can cause oral trauma and should be avoided. Minimizing movement of the limbs is not necessary during a seizure; the focus should be on ensuring safety and preventing injury.
Question 3 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The nurse should not encourage flexion and extension of the neck, as this could cause further injury or damage to the spinal cord. The nurse should reposition the client using a turning sheet to prevent skin breakdown and maintain alignment of the spine. The nurse should assess the pin sites for infection at least once a day, not every other day. The nurse should not tighten the screws on the halo device, as this could cause pressure ulcers or nerve damage.
Question 4 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: 12.5
Rationale:
To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms: 55 lb × 0.4536 kg/lb = 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams: 10 mg/kg × 24.948 kg = 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer: (249.48 mg) / (100 mg/5 mL) = 12.474 mL. Rounding to the nearest tenth, the answer is 12.5 mL.
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: D
Rationale: Stevens-Johnson syndrome is a severe, rare, and potentially life-threatening reaction that can occur as a hypersensitivity reaction to certain medications. However, it is not typically associated with morphine use. Morphine is more commonly associated with hypotension rather than hypertension. Morphine use is not typically associated with prolonged wound healing. Morphine is a potent opioid analgesic that can cause respiratory depression, leading to bradypnea (slow breathing) or even respiratory arrest.