ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: C
Rationale: Examining the child for skin irritation at the cast edges is important to prevent complications, but it is not the priority over monitoring for circulation and potential complications. Restricting strenuous activities is important for preventing damage to the cast, but it is not the priority over monitoring for circulatory compromise. Monitoring for pallor or swelling in the child's affected hand is the priority because it indicates potential circulatory compromise, which is a critical concern following cast application. Using a hair dryer on a cool setting to relieve itching is a helpful suggestion, but it is not the priority.
Extract:
Exhibit 2 Nurses' Notes 0730: Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no cough noted. 0800: Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present.
Question 2 of 5
For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.
| Finding | Acute Laryngotracheobronchitis | pneumonia |
|---|---|---|
| Irritability | ||
| Temperature | ||
| Cough findings at 0800 | ||
| Stridor |
Correct Answer: A,B,C,D
Rationale: A. This finding is consistent with both acute laryngotracheobronchitis and pneumonia, as both conditions can cause discomfort and distress in children. B. Fever can be present in both acute laryngotracheobronchitis and pneumonia as they are both infections of the respiratory tract. C. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis is characterized by a barking, non-productive cough that worsens at night or with agitation. D. This finding is more consistent with acute laryngotracheobronchitis than pneumonia, as acute laryngotracheobronchitis causes inflammation and narrowing of the upper airway, leading to a high-pitched sound during inhalation.
Extract:
Question 3 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The nurse should weigh the child once per day, preferably in the morning and using the same scale and clothing, to monitor fluid status and response to treatment. Weight is the most accurate indicator of fluid balance in children with nephrotic syndrome. Positioning the child supine at bedtime is not specifically indicated for the acute stage of nephrotic syndrome. This can worsen edema and respiratory distress. Limiting calorie intake to 45 cal/kg/day is too low and can cause malnutrition and growth failure. Increasing fluid intake to 2 L/day is contraindicated in a child with nephrotic syndrome, as it can exacerbate edema and fluid overload.
Question 4 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding their infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Warming goat's milk before feeding does not address the issue of nutritional adequacy or the potential allergenicity of goat's milk. Soy milk may not be suitable for infants under 12 months old due to potential allergenicity and nutritional concerns. Commercially prepared infant formula is the most appropriate option for infants who are having difficulty with breastfeeding or require an alternative to breast milk. Reinitiating breastfeeding may not be feasible or appropriate if the infant is already having difficulty eating.
Question 5 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
Rationale:
To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms: 55 lb × 0.4536 kg/lb = 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams: 10 mg/kg × 24.948 kg = 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer: (249.48 mg) / (100 mg/5 mL) = 12.474 mL. Rounding to the nearest tenth, the answer is 12.5 mL.