ATI LPN
ATI PN Pediatrics nursing 2023 III 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? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
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 preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?
Correct Answer: D
Rationale: Bacterial meningitis increases CSF pressure, WBCs, and protein while decreasing glucose. Elevated protein supports the diagnosis.
Question 3 of 5
A nurse is reinforcing teaching with the guardian of a school-age child who has asthma. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Sports are safe with management. Peak flow requires exhalation. Pneumococcal vaccine reduces infection risk. Salmeterol is for maintenance, not acute.
Question 4 of 5
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Cushing's causes hypertension, weight gain, and moon face due to cortisol excess. Rounded facial features are expected.
Question 5 of 5
A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Saying 'This should not have happened' validates injustice but lacks comfort. Promising confidentiality is unethical due to mandatory reporting. 'It is not your fault' reassures the child, reducing guilt and shame, crucial for emotional support. Blaming the child for not reporting sooner is unsupportive.