ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Infant weighing 22 pounds, diagnosed with congestive heart failure, prescribed digoxin 5 micrograms/kg/day in 2 divided doses.
Question 1 of 5
A nurse is providing care to an infant diagnosed with congestive heart failure. The health care provider has prescribed digoxin 5 micrograms/kg/day in 2 divided doses. The infant weighs 22 pounds. How many micrograms of digoxin should the nurse administer in each dose? Round your answer to 1 decimal place
Correct Answer: A
Rationale: Weight: 22 lb x 0.453592 = 9.979 kg.
Total dose: 9.979 kg x 5 mcg/kg = 49.895 mcg/day. Each dose: 49.895/ 2 = 24.9475 mcg, rounded to 24.9 mcg. Correct answer: A (24.9 mcg).
Extract:
Child diagnosed with medical abuse by his mother, suspected of Munchausen syndrome by proxy.
Question 2 of 5
A child has been diagnosed with medical abuse by his mother who is suspected of Munchausen syndrome by proxy. When setting goals, which is of the highest priority?
Correct Answer: C
Rationale: C: Establishing the child's safety is the priority to prevent further harm from medical abuse.
Extract:
Child with juvenile idiopathic arthritis.
Question 3 of 5
When planning the discharge of a child with juvenile idiopathic arthritis, which intervention should the nurse include in the plan of care to promote joint mobility and reduce pain?
Correct Answer: C
Rationale: C: Regular physical activity maintains joint mobility and reduces stiffness, key for managing juvenile idiopathic arthritis.
Extract:
Risks associated with the treatment of Rh Isoimmunization as in hemolytic disease of the newborn (HDN).
Question 4 of 5
What are some risks associated with the treatment of Rh Isoimmunization as in hemolytic disease of the newborn (HDN).
Correct Answer: A,B,C
Rationale: A: Intrauterine transfusions risk premature labor. B: Incomplete treatment may worsen isoimmunization. C: Invasive procedures increase infection risk.
Extract:
16-year-old adolescent collapsed after playing football on a hot day. Lab findings: Sodium 152 mEq/L, Potassium 3.6 mEq/L, Chloride 105 mEq/L, Glucose 102 mg/dL, BUN 18 mg/dL, Creatinine 0.7 mg/dL.
Question 5 of 5
A nurse in the emergency department is caring for a 16-year old adolescent who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?
Correct Answer: D
Rationale: D: Elevated sodium (152 mEq/L) indicates hypernatremia, consistent with dehydration from fluid loss in heat exposure.