ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child who weighs 55 lb
Question 1 of 5
A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL. How many mL should the nurse administer?
Correct Answer: B
Rationale:
Correct Answer: B. 55 lb = 25 kg; 1.25 mg/kg x 25 kg = 31.25 mg; 31.25 mg / 50 mg/mL = 0.625 mL, rounded to 0.6 mL.
Extract:
Toddler with a short leg cast
Question 2 of 5
A nurse is caring for a toddler who has a short leg cast. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale:
Correct Answer: C. Pallor suggests compromised circulation, requiring reporting. A. Warmth is normal. B. Pulse is a good sign. D. Mobility indicates nerve function.
Extract:
12-month-old infant up-to-date with current immunization schedule
Question 3 of 5
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,C
Rationale:
Correct Answer: A,C. A. Varicella first dose is given at 12-15 months. C. MMR first dose is given at 12-15 months. B. HPV starts at 11-12 years. D. Rotavirus series ends by 8 months. E. Herpes zoster is for older adults.
Extract:
4-year-old child
Question 4 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: D
Rationale:
Topical anesthetic reduces pain, promoting atraumatic care. A. Parent presence comforts the child. B. Detailed explanations 3 hours prior increase anxiety. C. Playroom procedures create negative associations.
Extract:
Adolescent experiencing a vaso-occlusive crisis with painful joints, fever, and abdominal pain
Question 5 of 5
A nurse is developing a plan of care for an adolescent who is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale:
Correct Answer: C. IV fluids reduce blood viscosity and sickling in vaso-occlusive crisis. A. Antispasmodics aren’t indicated. B. Ice worsens vasoconstriction. D. Hyperkalemia isn’t a primary concern.