ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
An infant requiring vital signs measurement.
Question 1 of 5
A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess a heart rate?
Correct Answer: A
Rationale: The brachial artery is commonly used to assess the heart rate in infants due to its accessibility and the ease of palpation in smaller limbs.
Extract:
A 15-month-old toddler.
Question 2 of 5
A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: By 15 months, a toddler should be able to stand upright without support. Failure to do so could indicate a delay in motor development.
Extract:
A school-aged child receiving a transfusion of packed red blood cells, begins to experience itchy skin.
Question 3 of 5
While receiving a transfusion of packed red blood cells, a school-aged child begins to experience itchy skin, hiver a tonsillectomy. What should the nurse do first for this child?
Correct Answer: B
Rationale: Stopping the transfusion is the first step in managing a transfusion reaction to prevent further exposure to the allergen or irritant causing the symptoms.
Extract:
A school-age child who weighs 66 lb.
Question 4 of 5
A nurse is preparing to administer digoxin 12 mcg/kg/day PO to divide equally every 12 hr to a school-age child who weighs 66 lb. Available is digoxin elixir 0.05 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: The child weighs 66 lb (30 kg). The dose is 12 mcg/kg/day = 360 mcg/day, or 180 mcg every 12 hours. Digoxin elixir is 0.05 mg/mL (50 mcg/mL). Thus, 180 mcg ÷ 50 mcg/mL = 3.6 mL per dose.
Extract:
A 2-month-old infant who is postoperative following surgical repair of a cleft lip.
Question 5 of 5
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Encouraging the parents to rock the infant provides comfort and soothes the baby without risking harm to the surgical site. Parental involvement also helps with bonding and emotional support during recovery.