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: First, convert the child's weight from pounds to kilograms: 55 ÷ 2.2 = 25 kg. Next, calculate the dose: 1.25 mg/kg × 25 kg = 31.25 mg.
Then, determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Round to the nearest tenth: 0.625 rounds to 0.6 mL.
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 2 of 5
Select words from the choices to fill in each blank in the following sentence. The child is at risk for developing ______ and _______.
Correct Answer: A,D
Rationale: E. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis.
Extract:
Question 3 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A. Allowing the child to sit on the parent's lap can provide comfort and support during the procedure. B. While the electrocardiogram (ECG) machine may have alarms, they are not typically related to abnormal heart rhythms during the procedure. C. ECG leads are typically placed on the chest, not the back. D. The duration of an ECG is relatively short, usually only a few minutes.
Question 4 of 5
A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: C. Increased urine output indicates improved renal function, a primary goal of treatment for nephrotic syndrome. A. Odorless urine is not specific. B. Lack of pain with voiding is not a direct indicator. D. Normal temperature is not related to treatment success.
Question 5 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: A. Lavender oil is commonly used for relaxation and calming effects. B. Eucalyptus oil is used for respiratory issues. C. Jasmine oil is aromatic but less effective for relaxation. D. Tea tree oil is antimicrobial, not relaxing.