ATI RN
ATI RN Pediatrics Nursing 2023 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: A
Rationale:
To calculate the dose of ibuprofen for the child, we must first convert the weight from pounds to kilograms. 55 lb is approximately 25 kg. Next, we multiply the weight in kg by the prescribed dose of 10 mg/kg to get the total dose needed, which is 250 mg. Since the available concentration is 100 mg/5 mL, we divide the total dose by the concentration to find the volume needed, which is 12.5 mL.
Therefore, the correct answer is A: 12.5 mL. Other choices are incorrect as they do not align with the accurate calculation based on the weight, prescribed dose, and concentration of the ibuprofen solution.
Extract:
A nurse is assessing a school-age child who has heart failure and is taking furosemide.
Question 2 of 5
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. This indicates that the medication is effective in reducing fluid accumulation in the tissues, which can be a sign of improved heart function. Peripheral edema is often a symptom of heart failure or other cardiovascular conditions, so a decrease in edema suggests that the medication is helping to improve cardiac output and reduce fluid retention. Increased potassium levels (choice
A) may indicate a medication side effect or imbalance rather than effectiveness. Decrease in cardiac output (choice
C) and increase in venous pressure (choice
D) are not indicators of medication effectiveness but rather signs of worsening heart function.
Extract:
A nurse is assessing a school-age child who is receiving prednisolone.
Question 3 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Prolonged wound healing. Nurses should monitor for this adverse effect because it can indicate impaired tissue repair, which can lead to infection or delayed recovery. Hypotension (
A) is a common side effect of certain medications but is not specific to wound healing. Renal failure (
C) and Stevens-Johnson syndrome (
D) are serious adverse effects that require monitoring, but they are not directly related to wound healing. Other choices are not provided, but focusing on wound healing is crucial for patient recovery.
Extract:
Nurses' Notes: 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Medical History: 0930: Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux. Provider Prescriptions: 0945: Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter. Vital Signs: 0930: Temperature 38.4° C (101.1 F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results: 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 4 of 5
The child is at risk for developing __ and __.
Correct Answer: A,B
Rationale: The correct answer is A,B. Renal scarring and pyelonephritis are common complications of urinary tract infections (UTIs) in children. UTIs can lead to inflammation and infection of the kidneys (pyelonephritis) and if left untreated, can cause permanent damage to the kidneys resulting in renal scarring. Acute glomerulonephritis, nephrotic syndrome, and polycystic kidney disease are not typically associated with UTIs in children and are different conditions with distinct etiologies and presentations.
Therefore, choices C, D, and E are incorrect in this context.
Extract:
Question 5 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by a low neutrophil count, making the child more susceptible to infections. Raw fruits and vegetables may harbor bacteria, posing a risk of infection for the child with neutropenia.
Therefore, it is crucial to avoid these foods to reduce the risk of bacterial contamination. Administering vaccines (choice
A) may not be advisable due to the child's compromised immune system. Bathing the child every other day (choice
C) and obtaining rectal temperature once daily (choice
D) are not directly related to preventing infection in a child with neutropenia.