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 calculate the correct dose, first convert the child's weight from lb to kg: 55 lb/2.2 = 25 kg. Next, calculate the dose: 10 mg/kg x 25 kg = 250 mg.
Then, determine how many mL of the solution to administer: 100 mg/5 mL = 250 mg/x mL. Cross multiply: 100x = 1250. Divide by 100 to find x = 12.5 mL.
Therefore, the nurse should administer 12.5 mL.
Choice A: Incorrect. This choice does not provide a calculated answer.
Choice B-G: Irrelevant as they do not offer a numerical answer or any calculation rationale.
Extract:
History and Physical: School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamins A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Question 2 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: A,C,E
Rationale: The correct answer is A, C, and E.
A - Pancreatic lipase is commonly used to aid digestion in children with pancreatic insufficiency.
C - Water-soluble vitamins may be prescribed for children who have certain nutritional deficiencies or malabsorption issues.
E - Dornase alfa is used to help treat cystic fibrosis by reducing the thickness of mucus in the lungs.
B - Acetaminophen is a common over-the-counter pain reliever and fever reducer, not typically prescribed or reconciled in a child's medical record.
D - Meperidine is a narcotic analgesic with potential side effects and risks, not commonly prescribed for children.
Extract:
Question 3 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: The correct answer is B: Prolonged wound healing. Prednisolone is a corticosteroid that can delay wound healing by suppressing the immune response and reducing inflammation. The nurse should monitor for signs of delayed wound healing, such as increased redness, swelling, or drainage at the wound site. Stevens-Johnson syndrome (
A) is a severe allergic reaction, not typically associated with prednisolone. Hypotension (
C) is more commonly seen with other medications like antihypertensives. Renal failure (
D) is not a common adverse effect of prednisolone.
Question 4 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. Furosemide is a loop diuretic that works by increasing urine output, reducing fluid retention, and decreasing edema in patients with heart failure.
Therefore, if the medication is effective, the nurse should expect to see a reduction in peripheral edema as a result of the decreased fluid volume in the body.
Choices A, C, and D are incorrect because an increase in potassium levels, a decrease in cardiac output, and an increase in venous pressure are not expected outcomes of furosemide therapy and would actually indicate an ineffective treatment or potential complications.
Question 5 of 5
A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Facial twitching. Facial twitching may indicate a neurological complication like a stroke in a child with sickle cell anemia, which requires immediate medical attention to prevent further complications. Kyphosis (
A) is a spinal curvature that is common in sickle cell anemia but does not require immediate attention. Constipation (
B) and enuresis (
C) are common issues in children with sickle cell anemia but do not pose immediate risks.
Therefore, they can be addressed by the nurse without the need for urgent reporting to the provider.