ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Solution: 300mg ÷ 250mg/5ml = 300 × 5/250 = 6 ml. The nurse should administer 6 mL of amoxicillin oral solution to deliver the prescribed 300 mg dose.
Question 2 of 5
A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Give your infant an oral rehydration solution.' While rehydration is important, projectile vomiting could indicate a more serious underlying issue that needs medical evaluation. 'You might want to try switching to a different formula.' Formula intolerance is less likely to cause projectile vomiting. A change in formula should not be suggested without ruling out more serious conditions first. 'Bring your infant into the clinic today to be seen.' Projectile vomiting in an infant, especially when followed by hunger, can indicate pyloric stenosis, a condition that requires prompt medical evaluation. The infant should be seen by a healthcare provider to determine the cause and initiate appropriate treatment. 'Burp your child more frequently during feedings.' Burping can help with regular gas and minor feeding issues, but it is unlikely to resolve projectile vomiting.
Question 3 of 5
A nurse is reinforcing teaching with a parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: I will keep my baby in an upright position after feeding.' Keeping the infant upright after feedings helps reduce reflux by utilizing gravity to keep the stomach contents from coming back up into the esophagus. 'I will have to feed my baby formula, rather than breast milk.' Breast milk is actually preferred for infants with reflux as it is digested more quickly than formula, which may reduce reflux episodes. 'My baby's formula can be thickened with oatmeal.' While thickening feeds can help in some cases, it's generally done with rice cereal under the guidance of a healthcare provider. Oatmeal is not typically recommended for thickening formula for young infants. 'I should move my baby into a side-lying position during sleep.' Side-lying position is not recommended for sleep due to the risk of sudden infant death syndrome (SIDS). The baby should be placed on their back to sleep.
Question 4 of 5
A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. Which of the following information should the nurse include about site selection?
Correct Answer: D
Rationale: Insulin is absorbed most rapidly when injected in the thigh. Insulin is actually absorbed most rapidly in the abdomen, not the thigh. Use cold insulin for injection to minimize site pain. Insulin should be at room temperature for injection to reduce discomfort and avoid altered absorption rates. Cold insulin can increase injection pain. Massage the site after injection to promote absorption. Massaging the injection site can cause unpredictable insulin absorption and is not recommended. Rotate the injection site to keep insulin levels consistent. Rotating the injection sites helps prevent lipodystrophy and ensures consistent insulin absorption. It helps maintain stable blood glucose levels.
Question 5 of 5
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?
Correct Answer: D
Rationale: Offer chicken broth: Chicken broth alone may not provide adequate electrolyte replacement and hydration needed for managing diarrhea-related dehydration. Keep NPO until the diarrhea subsides: NPO status is generally not necessary unless the child is unable to tolerate oral fluids. ORT is preferred to maintain hydration. Start hypertonic IV solution: Hypertonic IV solutions are not typically used for routine management of dehydration from diarrhea in children. ORT is safer and effective. Assist with initiating oral rehydration therapy: Oral rehydration therapy (ORT) is the primary intervention for managing dehydration due to diarrhea in children. It helps replace lost fluids and electrolytes and is the recommended first-line treatment.