ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child weighs 55 lb
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 mL
Rationale:
To determine the correct dose of ibuprofen for the child, we first convert the child's weight from pounds to kilograms (55 lb ÷ 2.2 = 25 kg).
Then, we calculate the dose: 10 mg/kg × 25 kg = 250 mg. Next, we convert the dose from mg to mL using the available concentration: 250 mg ÷ 100 mg/5 mL = 12.5 mL.
Therefore, the nurse should administer 12.5 mL of ibuprofen. The other choices are incorrect because they do not follow the correct calculations based on the child's weight and the concentration of the available ibuprofen solution.
Extract:
Preschooler with autism spectrum disorder
Question 2 of 5
A nurse is planning care for a preschooler who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Establish a reward system. This intervention is appropriate for a preschooler with autism spectrum disorder as it can help reinforce desired behaviors through positive reinforcement. Rewards can motivate the child to engage in activities and improve social interactions. Holding the child during assessments (
B) may not be suitable as it can cause sensory overload. Maintaining extended eye contact (
C) can be challenging for children with autism and may cause discomfort. Engaging in cooperative play (
D) may also be difficult for a child with autism due to social communication challenges.
Extract:
3-year-old child
Question 3 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "You will only feel a little stick." This statement is appropriate for a 3-year-old child as it is reassuring, concise, and prepares the child for the sensation of the injection without causing unnecessary fear. It uses simple language that a young child can understand and minimizes anxiety.
Choice B is incorrect because it incentivizes the child not to cry, which may create unnecessary pressure and stress for the child.
Choice C is incorrect because it oversimplifies the purpose of the medication and may lead to misconceptions about its effects.
Choice D is incorrect as it gives the child too much control over the situation, which may not be appropriate for a medical procedure.
In summary, choice A is the most appropriate as it is clear, reassuring, and provides necessary information without causing distress.
Extract:
7-year-old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs 0715: Temperature 38° C (100.4° F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4° C (101.1° F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescriptions: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever
Question 4 of 5
For each the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated | Contraindicated |
|---|---|---|
| Educate the child about proper perineal hygiene. | ||
| Advise child's guardian about the use of sunscreen. | ||
| Administer salicylic acid for pain and fever. | ||
| Administer sulfamethoxazole and trimethoprim. | ||
| Ensure the child receives a maximum of 1,200 mL/day of fluid. |
Correct Answer: A: Anticipated, B: Contraindicated, C: Contraindicated, D: Anticipated, E: Contraindicated
Rationale: [1, 0, 0, 1, 0]
For choice A, educating the child about proper perineal hygiene is anticipated as it promotes health.
Choice B, advising about sunscreen, is contraindicated as it may not be relevant to the client's condition.
Choice C, administering salicylic acid, is contraindicated as it can be harmful due to potential side effects.
Choice D, administering sulfamethoxazole and trimethoprim, is anticipated for treating infections.
Choice E, limiting fluid intake, is contraindicated as it can lead to dehydration.
Extract:
History and Physical A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10.
Question 5 of 5
Select the 5 interventions the nurse should include.
Correct Answer: A,B,E,H
Rationale: The correct choices are A, B, E, and H. A is correct as folic acid is essential for pregnant women to prevent neural tube defects. B is correct to monitor oxygen saturation in a patient with respiratory issues. E is crucial to ensure vaccination for prevention. H should also be included as it is important to maintain proper hydration.
Choices C, D, F, and G are incorrect. C is unnecessary for this situation. D should not be chosen unless specifically indicated. F is not recommended for all cases, and G is not the appropriate pain management for this scenario.