ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 1 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions is the MOST important for the nurse to include in the plan of care?
Correct Answer: C
Rationale: Holding the infant in the correct position (chin to chest and knees to abdomen) is crucial for obtaining an accurate sample of cerebrospinal fluid and ensuring the procedure is performed safely.
Extract:
A toddler with multiple bruises and burns in various stages of healing, suspected of being abused.
Question 2 of 5
An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?
Correct Answer: B
Rationale: The nurse has a legal and ethical obligation to report suspicions of child abuse to the proper authorities, regardless of the physician's opinion. Reporting ensures that the child’s safety is prioritized and that an investigation can be conducted.
Extract:
A 5-year-old child receiving a MMR vaccine.
Question 3 of 5
The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY
Correct Answer: A,B
Rationale: Prolonged seizures and decreased level of consciousness are serious reactions to the MMR vaccine, requiring immediate medical attention.
Extract:
An adolescent following an intentional overdose of methylphenidate hydrochloride.
Question 4 of 5
An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.
Correct Answer: A,B,E,F
Rationale: Hallucinations, paranoia, tachycardia, and hypertension are expected due to the stimulant effects of methylphenidate overdose, which increase central nervous system and cardiovascular activity.
Extract:
A 3-month-old infant weighing 11 pounds, treated with Vancomycin for bacterial meningitis, ordered 60mg/kg/day divided every 6 hours.
Question 5 of 5
A 3-month-old infant is being treated with Vancomycin for bacterial meningitis. Order: 60mg/kg/day divided every 6 hours. The infant weighs 11 pounds. The nurse first confirms safe dose. The nurse then calculates the dosage. Which one of the following is the correct SINGLE dose order for the nurse to administer?
Correct Answer: A
Rationale: Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg.
Total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divided every 6 hours (4 doses/day): 300 mg ÷ 4 = 75 mg per dose.