ATI RN
ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions
Extract:
A toddler who weighs 20 kg receiving amoxicillin 100 mg PO every 8 hr
Question 1 of 5
A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?
Correct Answer: B
Rationale: The prescribed 300 mg/day (100 mg x 3) is below the recommended 400-500 mg/day for a 20 kg toddler, indicating the dose is insufficient.
Extract:
A 1-year-old toddler with a large abdominal mass and pink-tinged urine
Question 2 of 5
A nurse is assessing a 1-year-old toddler notices a large abdominal mass and pink-tinged urine on the diaper. Which of the following disorders should the nurse suspect?
Correct Answer: A
Rationale: Wilms’ tumor is indicated by an abdominal mass and hematuria. Intussusception involves bloody stools, nephritic syndrome hypertension, and pyloric stenosis vomiting.
Extract:
A child who has nephrotic syndrome
Question 3 of 5
A nurse is assessing a child who has nephrotic syndrome. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Facial edema is a hallmark of nephrotic syndrome due to proteinuria and hypoalbuminemia. Hypertension is not consistent, smokey brown urine suggests other conditions, and oliguria, not polyuria, is typical.
Extract:
A 6-year-old child who has bacterial meningitis
Question 4 of 5
A nurse is planning care for a 6-year-old child who has bacterial meningitis. Which of the following nursing interventions is unnecessary in the client's plan of care?
Correct Answer: B
Rationale: Measuring head circumference is unnecessary as closed sutures in a 6-year-old prevent circumference changes from increased intracranial pressure.
Extract:
A preschooler receiving a vaccine into the deltoid muscle
Question 5 of 5
A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A 1.8 mm needle is appropriate for pediatric deltoid injections to avoid deep penetration. A 15° angle is for intradermal injections, the needle should be inserted 2-3 finger widths below the acromion, and a smaller gauge (22-23) is preferred to reduce discomfort.