ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 12.5
Rationale:
To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms: 55 lb × 0.4536 kg/lb = 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams: 10 mg/kg × 24.948 kg = 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer: (249.48 mg) / (100 mg/5 mL) = 12.474 mL. Rounding to the nearest tenth, the answer is 12.5 mL.
Question 2 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: A
Rationale: Oral electrolyte solution helps prevent dehydration and replaces lost electrolytes in infants with acute diarrhea, making it the most appropriate choice. Applesauce may worsen diarrhea due to its high sugar content. White grape juice is also high in sugar and may worsen diarrhea. Chicken soup is not recommended as it may be too heavy and rich for an infant with acute diarrhea.
Question 3 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: C
Rationale: A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness. A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia. A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body. Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.
Question 4 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: Stevens-Johnson syndrome is a severe allergic reaction that can occur with various medications, but it is not a common adverse effect of prednisolone. Prolonged wound healing is a potential adverse effect of corticosteroids like prednisolone due to their immunosuppressive effects. Hypotension is not a common adverse effect of prednisolone; rather, it can cause fluid retention and hypertension. Renal failure is a rare adverse effect of prednisolone and is not typically monitored for in school-age children unless there are preexisting renal issues.
Question 5 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The nurse should not encourage flexion and extension of the neck, as this could cause further injury or damage to the spinal cord. The nurse should reposition the client using a turning sheet to prevent skin breakdown and maintain alignment of the spine. The nurse should assess the pin sites for infection at least once a day, not every other day. The nurse should not tighten the screws on the halo device, as this could cause pressure ulcers or nerve damage.