ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
10-month-old infant having difficulty eating, fed goat milk
Question 1 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: B
Rationale:
Correct
Answer: B - Offer commercially prepared formula.
Rationale: Commercially prepared formula is specifically formulated to meet the nutritional needs of infants. Goat milk lacks essential nutrients such as folate and vitamin B12, which are crucial for infant growth and development. Switching to soy milk (choice
A) is not recommended as it may also lack essential nutrients and can cause allergies. Warming goat milk (choice
C) does not address the nutritional deficiencies. Reinitiating breastfeeding (choice
D) may not be feasible if the mother is unable to do so. Commercially prepared formula is the best option to ensure the infant receives proper nutrition.
Extract:
7-year-old child with diabetes mellitus
Question 2 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Shakiness. Hypoglycemia occurs when blood sugar levels drop too low in individuals with diabetes mellitus. Shakiness is a common symptom due to the body's response to low glucose levels, triggering an increase in adrenaline. Decreased appetite and thirst are more indicative of hyperglycemia, where blood sugar levels are high. Increased capillary refill is not a typical manifestation of hypoglycemia but may indicate poor circulation or dehydration.
Extract:
Adolescent following scoliosis repair with spinal instrumentation
Question 3 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent injury to the surgical site. Logrolling helps maintain proper alignment of the spine and reduces stress on the incision site. Two nurses are needed to ensure proper technique and to prevent strain on one nurse.
Choice B, maintaining the head of the bed at a 30° angle, is incorrect because it is not a priority action post-surgery and may not directly impact the surgical site.
Choice C, assisting the adolescent to ambulate 12 hr following surgery, is incorrect because early ambulation is beneficial but may not be appropriate immediately post-surgery.
Choice D, offering sips of water 4 hr following surgery, is incorrect because oral intake is typically restricted immediately after surgery to prevent complications.
Extract:
Child weighs 55 lb
Question 4 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 mL
Rationale:
To determine the correct dose of ibuprofen for the child, we first convert the child's weight from pounds to kilograms (55 lb ÷ 2.2 = 25 kg).
Then, we calculate the dose: 10 mg/kg × 25 kg = 250 mg. Next, we convert the dose from mg to mL using the available concentration: 250 mg ÷ 100 mg/5 mL = 12.5 mL.
Therefore, the nurse should administer 12.5 mL of ibuprofen. The other choices are incorrect because they do not follow the correct calculations based on the child's weight and the concentration of the available ibuprofen solution.
Extract:
School-age child receiving morphine
Question 5 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: The correct answer is D: Bradypnea. Morphine is an opioid that can depress the respiratory system, leading to decreased respiratory rate known as bradypnea. The nurse should monitor the child for signs of respiratory depression such as shallow breathing, decreased oxygen saturation, and altered mental status. Hypertension (choice
A) is not a common adverse effect of morphine; Stevens-Johnson syndrome (choice
B) is a severe skin reaction typically caused by medications like antibiotics, not opioids like morphine; Prolonged wound healing (choice
C) is not directly associated with morphine use.