ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr.
Question 1 of 5
A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr?
Correct Answer: 83
Rationale: Calculation: 1,000 mL / 12 hr = 83.33 mL/hr, rounded to 83 mL/hr.
Extract:
4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection.
Question 2 of 5
A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize as therapeutic in helping the child deal with the injection?
Correct Answer: D
Rationale: Needleless syringe and doll allow therapeutic play to cope with injections.
Extract:
Infant's vital signs.
Question 3 of 5
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?
Correct Answer: A
Rationale: The apex of the heart provides the most accurate heart rate measurement in infants.
Extract:
Erikson's stages of psychosocial development.
Question 4 of 5
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Organize Erikson's stages of psychosocial development in order from birth to adolescence.
Correct Answer: A,B,C,D,E
Rationale: Correct order: Trust vs. mistrust (birth-18 months), Autonomy vs. shame and doubt (18 months-3 years), Initiative vs. guilt (3-5 years), Industry vs. inferiority (6-11 years), Identity vs. role confusion (12-18 years).
Extract:
Client who has heart failure and a history of asthma.
Question 5 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: B
Rationale: Carvedilol, a beta-blocker, can exacerbate asthma by causing bronchoconstriction.