ATI RN
ATI Custom Pediatric exam 1 Questions
Extract:
An infant
Question 1 of 5
A nurse is collecting data from an infant. Which of the following sites is the most reliable location to check the infant's pulse?
Correct Answer: A
Rationale: The correct answer is A: Apical. The apical pulse, located at the apex of the heart, is the most reliable site to check an infant's pulse. It accurately reflects the heart rate and rhythm due to its proximity to the heart. The other choices are less reliable for infants: B (Dorsalis pedis) and C (Temporal) may be difficult to locate accurately on infants, D (Carotid) is not recommended for routine pulse checks in infants due to the risk of pressing too firmly on the delicate neck structures.
Extract:
A 3-month-old infant receiving oral elixir
Question 2 of 5
A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Position the syringe to the side of the infant's tongue. This is the correct action as it helps prevent choking and aspiration in infants. Placing the syringe to the side allows the infant to swallow the medication more effectively while reducing the risk of it going down the wrong pipe. It also encourages a natural swallowing reflex.
Choice A is incorrect because measuring in a medicine cup before transferring to a syringe may lead to inaccuracies in dosage.
Choice B is incorrect as placing the infant supine increases the risk of choking.
Choice D is incorrect as mixing medication with formula may interfere with the medication's effectiveness.
Extract:
A child with asthma who weighs 4.69 kg
Question 3 of 5
A child with asthma has the following medication ordered: Theophylline 4 mg/kg/dose every 6 hrs. The child weighs 4.69 kg. Calculate the appropriate dose.
Correct Answer: B
Rationale:
To calculate the appropriate dose for the child, we first need to determine the child's weight in mg: 4.69 kg x 4 mg/kg = 18.76 mg. Since the dose is rounded to the nearest tenth, the correct dose is 18.7 mg (choice
B). This calculation ensures the child receives the correct amount of medication based on their weight.
Choices A, C, and D are incorrect as they do not accurately reflect the calculated dose.
Extract:
A preschool age child undergoing endotracheal suctioning
Question 4 of 5
A charge nurse is observing a newly licensed nurse who is performing endotracheal suctioning for a preschool age child. Which of the following actions by the newly licensed nurse requires the charge nurse to intervene?
Correct Answer: B
Rationale: The correct answer is B: Introducing the catheter without suction. When performing endotracheal suctioning, it is crucial to apply suction while introducing the catheter to effectively remove secretions. Introducing the catheter without suction can result in ineffective suctioning and potential harm to the child.
A: Applying suction for 20 seconds is within the recommended time frame for suctioning.
C: Rotating the catheter while suctioning helps to ensure thorough removal of secretions.
D: Allowing the child to rest between suctioning passes is important to prevent hypoxia and maintain oxygenation.
In summary, choice B is incorrect because it goes against the fundamental principle of effective suctioning, while choices A, C, and D are all appropriate actions during endotracheal suctioning for a preschool-age child.
Extract:
A child with pneumonia who weighs 20 lb
Question 5 of 5
Primary care provider orders cefazolin (Kefrol) 30 mg/kg in two divided doses per day for a child with pneumonia. Child weighs 20 lb. If the available oral suspension is 125 mg/5ml how many mls per dose should the child receive?
Correct Answer: A
Rationale:
To calculate the dose, we first convert the child's weight to kg: 20 lb / 2.2 = 9.09 kg. Next, we calculate the total daily dose: 30 mg/kg * 9.09 kg = 272.7 mg/day. Since the dose is divided into 2, each dose is 272.7 mg / 2 = 136.35 mg.
To find the volume needed, we divide the dose by the concentration of the suspension: 136.35 mg / 125 mg/5ml = 1.09 ml. However, the dose is divided into two, so each dose is 1.09 ml * 2 = 2.18 ml. Rounded to 1 decimal, the child should receive 2.2 ml per dose, closest to option A: 5.4 ml. Other choices are incorrect as they do not align with the calculated dose.