ATI LPN
ATI PN Pediatrics Nursing Exam 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer liquid ibuprofen to a school-age child. The prescription reads 200 mg every 8 hr. The amount available is 100 mg/5 mL. How many mL of ibuprofen should the nurse administer over a 24-hr period? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale:
To calculate: 200 mg every 8 hr means 3 doses in 24 hr (200 mg x 3 = 600 mg). Available is 100 mg/5 mL, so (600 mg / 100 mg) x 5 mL = 30 mL.
Question 2 of 5
A nurse is reinforcing teaching with the parents of a 2-month-old infant who has gastroesophageal reflux. The parents are feeding the infant formula. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Feeding before bedtime can worsen reflux. B. A 30° angle post-feeding uses gravity to reduce reflux. C. Soy formula isn't indicated unless allergies are present. D. Limiting to every 6 hr is too infrequent for a 2-month-old's nutritional needs.
Question 3 of 5
A nurse is assisting with the care of a 15-year-old adolescent who has Streptococcus pneumonia. The nurse is collecting data on the adolescent 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the admitting diagnosis, an indication of potential improvement, or an indication of potential worsening condition.
| Options | Unrelated to Diagnosis | Indication of Potential Improvement | Indication of Potential Worsening condition |
|---|---|---|---|
| WBC count 17,000/mm3 | |||
| Steatorrhea | |||
| Oxygen saturation 95% on 1 L oxygen via nasal cannula | |||
| Barrel chest | |||
| Hemoptysis 300 mL | |||
| Respiratory rate 32/min |
Correct Answer: A,B,C,D.E,F
Rationale: A: Improvement, B: Unrelated, C: Improvement, D: Unrelated, E: Worsening, F: Improvement. A. WBC drop from 22,000 to 17,000/mm3 shows improvement. B. Steatorrhea is unrelated, linked to cystic fibrosis, not pneumonia. C. 95% on less oxygen indicates improvement. D. Barrel chest is chronic, unrelated to acute pneumonia. E. Hemoptysis of 300 mL suggests worsening. F. Respiratory rate drop suggests improvement.
Question 4 of 5
A nurse is collecting data from an adolescent who has hypocalcemia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Tinnitus is unrelated to hypocalcemia. B. BP isn't typically elevated in hypocalcemia. C. Constipation isn't common; neuromuscular issues are. D. Muscle tremors occur due to increased excitability from low calcium.
Question 5 of 5
The nurse identifies the parent is having difficulty discussing the metastasis of the cancer with their adolescent. The nurse should
Correct Answer: C,E
Rationale: A child life specialist can help navigate this discussion. E. Teaching about emotional responses prepares the parent. Others are incorrect: withholding results or emotions hinders trust, and hospice isn't indicated yet.