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: 55 lb = 25 kg; 10 mg/kg x 25 kg = 250 mg; 250 mg / (100 mg/5 mL) = 12.5 mL. B is correct
Extract:
Preschool-age child with heart failure
Question 2 of 5
A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Rest prevents overexertion in heart failure. B. Oxygen should be per prescription, not adjusted freely. C. Digoxin is withheld for low, not high, pulse. D. Daily weights monitor fluid status, not monthly.
Extract:
Child with heart failure
Question 3 of 5
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: C
Rationale:
Correct Answer: C. Tachypnea compensates for poor oxygenation in heart failure. A. Tachycardia, not bradycardia, is typical. B. Appetite decreases due to fatigue. D. Tremors aren’t related.
Extract:
Diagnostic Results Cerebrospinal fluid Pressure: 22 cm H2O (less than 20 cm H2O) Color: Cloudy (clear or colorless) Blood: None (none) Cells RBC: 0 (0) WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL (50 to 75 mg/dL) Serum glucose: 64 mg/dL (60 to 100 mg/dL)
Question 4 of 5
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct Answer: A. CSF results suggest bacterial meningitis (elevated pressure, cloudy, high WBC, high protein, low glucose), requiring immediate antibiotics like ceftriaxone. B. Low CSF glucose relates to infection, not requiring hourly testing. C. Vaccination is preventive, not treatment. D. Neutropenic precautions are for low neutrophils, not indicated here.
Extract:
Question 5 of 5
A nurse is teaching the guardian of a toddler about discipline. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct Answer: A. Reasoning and explaining are effective for toddlers to learn appropriate behavior. B. Ignoring tantrums may confuse the child. C. One warning may not suffice for understanding. D. Past misbehavior focus isn’t effective due to short attention spans.