ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A school-age child who weighs 66 lb.
Question 1 of 5
A nurse is preparing to administer digoxin 12 mcg/kg/day PO to divide equally every 12 hr to a school-age child who weighs 66 lb. Available is digoxin elixir 0.05 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The child weighs 66 lb (30 kg). The dose is 12 mcg/kg/day = 360 mcg/day, or 180 mcg every 12 hours. Digoxin elixir is 0.05 mg/mL (50 mcg/mL). Thus, 180 mcg ÷ 50 mcg/mL = 3.6 mL per dose.
Extract:
A 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 is therapeutic in helping the child deal with the injection?
Correct Answer: D
Rationale: Allowing the child to play with a needleless syringe and a doll is therapeutic as it gives the child a sense of control and understanding of the injection process, helping to reduce fear and anxiety.
Extract:
New parents of an infant.
Question 3 of 5
A nurse is providing anticipatory guidance to new parents of an infant. Which information would be most important to stress with the parents to promote the infant's development of trust?
Correct Answer: B
Rationale: Consistently responding to the baby's needs is critical for developing trust and a secure attachment, as it helps the baby feel safe and cared for.
Extract:
A child with type I diabetes mellitus receiving a combination of short acting and long acting insulin.
Question 4 of 5
The nurse is teaching a child with type I diabetes mellitus to administer insulin. The child is receiving a combination of short acting and long acting insulin. The nurse knows that the child has appropriately learned the technique when the child:
Correct Answer: A
Rationale: When mixing insulins, the short-acting insulin should be drawn into the syringe first to avoid contamination of the short-acting insulin with the long-acting insulin.
Extract:
A school-age child with bilateral pneumonia and cystic fibrosis. Caregiver reports increased coughing, fatigue, and poor appetite. Wheezing and rhonchi auscultated bilaterally. Frequent cough productive with thick, yellow blood-streaked sputum. Dyspnea noted with activity. Child reports chest discomfort as 4 on a scale of 0 to 10. Consumes approximately 50% of meals. Passed three large, frothy, foul-smelling stools. Vital Signs: Day 1: Oral temperature 39.1° C, Heart rate 116/min, Respiratory rate 32/min, Blood pressure 102/60 mm Hg, Oxygen saturation 95%. Day 3: Oral temperature 38.1° C, Heart rate 128/min, Respiratory rate 32/min, Blood pressure 88/48 mm Hg, Oxygen saturation 88%.
Question 5 of 5
A nurse is caring for a school-age child. Which of the following assessment findings should the nurse report to the provider?
Correct Answer: B,D,E
Rationale: