ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer cephalexin 50 mg/kg/day in divided doses every 8 hours to a child who weighs 33 lb. The amount available is cephalexin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose?
Correct Answer: A
Rationale: Convert 33 lb to 15 kg (33 ÷ 2.2).
Total daily dose: 50 mg/kg/day × 15 kg = 750 mg/day. Per dose: 750 mg ÷ 3 = 250 mg. Volume: 250 mg ÷ (250 mg/5 mL) = 5 mL.
Question 2 of 5
A nurse is contributing to the plan of care for a school-aged child who is scheduled for a biopsy. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Simple diagrams suit school-age comprehension, reducing fear. A week prior is too early, 45 minutes too long, and long-term focus may scare them.
Question 3 of 5
A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Poor muscle tone is expected due to malnutrition in failure to thrive. Eye contact and stranger anxiety are normal, and weight is typically below the 5th percentile.
Question 4 of 5
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
Correct Answer: A
Rationale: Preschoolers see death as punishment due to egocentrism, not grasping permanence, body changes, or isolation.
Question 5 of 5
A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?
Correct Answer: A
Rationale: Elevated protein indicates inflammation in bacterial meningitis. Decreased WBCs, pressure, and elevated glucose contradict the diagnosis.