ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
Correct Answer: C
Rationale: Preschoolers see death as punishment due to egocentrism, not grasping permanence or isolation.
Question 2 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 3 of 5
A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Flavored yogurt has lactose. Calcium-fortified juice is safe. Increasing lactose risks symptoms. Rice milk is lactose-free.
Question 4 of 5
A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Waiting longer ensures dry skin. Amount varies by area. Sunscreen prevents photosensitivity, critical with tretinoin. Night application is standard.
Question 5 of 5
A nurse is preparing to administer medications to a 5-month-old infant. Tympanic temperature 39.2°C (102.6°F). Heart rate 84/min. Respiratory rate 30/min. Blood pressure 80/30 mmHg. Oxygen saturation 96% on 0.5 L oxygen via nasal cannula. Weight 7.2 kg (15.9 lb). The nurse should clarify the prescription for which medication?
Correct Answer: A
Rationale: Ibuprofen should be clarified before administration to a 5-month-old infant as it is not recommended for infants younger than 6 months due to risks of nephrotoxicity and gastrointestinal irritation. Acetaminophen is safe for infants to reduce fever. Heart rate and temperature are vital signs, not medications, and do not require clarification as prescriptions.