ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: D. Asking how the client prefers to learn new information demonstrates respect for the adolescent's autonomy and preferences, facilitating effective communication and understanding. A, B, C. These do not prioritize the adolescent's involvement or preferences.
Question 2 of 5
A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: DIC is characterized by widespread activation of coagulation, leading to consumption of platelets and decreased platelet count, which can result in bleeding tendencies. A. Decreased prothrombin time is incorrect as DIC typically causes prolonged clotting times. B. Increased Hgb level is incorrect as DIC may lead to anemia due to blood loss. C. Increased RBC is incorrect as DIC can cause anemia.
Question 3 of 5
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: A. Applying bactericidal ointment to lesions helps treat impetigo by killing the bacteria causing the infection. B. Acyclovir is for viral infections. C, D. These are not necessary for impetigo treatment.
Question 4 of 5
A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL. 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: 0.6
Rationale: First, convert the child's weight from pounds to kilograms: 55 ÷ 2.2 = 25 kg. Next, calculate the dose: 1.25 mg/kg × 25 kg = 31.25 mg.
Then, determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Round to the nearest tenth: 0.625 rounds to 0.6 mL.
Question 5 of 5
A nurse is caring for a 6-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: B. A sunken anterior fontanel is a significant sign of dehydration in infants and suggests severe dehydration. A. Capillary refill of 3 seconds is borderline normal. C. 5% weight loss is moderate dehydration. D. Tears indicate adequate hydration.