ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
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? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6
Rationale:
To calculate the dose of diphenhydramine for the child:
Step 1: Convert weight to kg: 55 lb ÷ 2.2 = 25 kg
Step 2: Calculate the dose: 1.25 mg/kg x 25 kg = 31.25 mg
Step 3: Determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL
Step 4: Round to the nearest tenth = 0.6 mL
Therefore, the correct answer is 0.6 mL. Other choices are incorrect because they do not follow the correct calculation steps or rounding procedure.
Question 2 of 5
A nurse is caring for a 6-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. Severe dehydration in infants can lead to sunken fontanelles due to decreased fluid volume. Capillary refill time of 3 seconds (choice
A) is within normal limits. Weight loss of 5% (choice
C) is significant but not specific to severe dehydration. Producing tears when crying (choice
D) indicates some hydration.
Question 3 of 5
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D because asking how the client prefers to learn new information is important when educating adolescents. This approach promotes autonomy and engagement in their own healthcare. By understanding the client's preferred learning style, the nurse can tailor the teaching to be more effective and ensure better understanding and adherence to medication instructions.
Choice A is incorrect because the nurse should be the primary source of information for the adolescent regarding their medication, not the pharmacy.
Choice B is inappropriate as adolescents have the right to privacy and should be involved in their own healthcare decisions.
Choice C is not ideal as it undermines the adolescent's autonomy and may not be effective in promoting learning.
Question 4 of 5
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Ataxia. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as ataxia, which is the loss of full control of bodily movements. Pinpoint pupils (choice
A) are more indicative of opioid overdose. Hyperactive reflexes (choice
C) are not typically associated with gasoline inhalation. Hypothermia (choice
D) is more commonly seen with exposure to cold environments or in cases of severe shock. Ataxia is the most likely neurological manifestation of gasoline inhalation due to its effects on the central nervous system.
Question 5 of 5
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A: Obtain written consent from the client. This is appropriate because the adolescent has the right to make their own healthcare decisions regarding STI testing. Written consent ensures the client understands the procedure and gives informed permission. Verbal consent (choice
B) may not be sufficient for such a sensitive test. Contacting the client's parents (choice
C) may violate the adolescent's confidentiality and autonomy. Postponing the testing (choice
D) could lead to potential harm if the adolescent needs immediate medical attention.