ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Your child can rest on your lap during the procedure. This statement is correct because allowing the child to rest on the parent's lap can provide comfort and security during the procedure, reducing anxiety and promoting cooperation. Placing the child on the parent's lap can also help keep the child still, ensuring accurate results.
Choice A is incorrect because leads for an electrocardiogram are typically placed on the chest, not the back.
Choice B is incorrect because the duration of an electrocardiogram can vary but is usually shorter than 30 minutes for a toddler.
Choice D is incorrect because alarms are not typically used during the procedure unless there is a medical emergency.
Extract:
Child receiving peritoneal dialysis with minimal dialysate outflow
Question 2 of 5
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C. Instruct the child to change position.
Rationale: Changing the child's position can help redistribute the dialysate within the peritoneal cavity, promoting better outflow. This can help overcome any potential blockages or obstructions that may be impeding the flow of dialysate. Additionally, changing position can help prevent the dialysate from becoming stagnant in one area, improving the effectiveness of peritoneal dialysis.
Incorrect
Choices:
A: Increasing oral fluid intake may help with hydration but will not directly address the issue of minimal dialysate outflow.
B: Increasing the dwell time during the next dialysis infusion may lead to increased absorption of waste products but will not address the current issue of minimal outflow.
D: Assessing for a bruit at the site of the peritoneal catheter is important for monitoring catheter function but will not directly address the current issue of minimal outflow.
Extract:
5-year-old child up-to-date with current immunization schedule
Question 3 of 5
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Varicella. The child is up-to-date with the current immunization schedule, which includes the varicella vaccine at around 12-15 months of age. Varicella vaccine provides protection against chickenpox, a highly contagious viral infection. Administering the varicella vaccine to the 5-year-old child will ensure continued immunity and prevent the child from contracting chickenpox.
Choice A (Hepatitis
B) is usually given at birth and in subsequent doses, not typically at 5 years old.
Choice B (Haemophilus influenzae type b) is usually given in infancy and not at 5 years old.
Choice D (Rotavirus) is given to infants and not usually administered at 5 years old.
Therefore, the correct choice for the nurse to administer is the Varicella vaccine.
Extract:
School-age child who weighs 55 lb
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?
Correct Answer: B
Rationale:
To calculate the dose of diphenhydramine for the child, first convert the weight from pounds to kg: 55 lb ÷ 2.2 = 25 kg.
Then calculate the dose: 1.25 mg/kg x 25 kg = 31.25 mg. Next, determine how many mL are needed: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Since we need to round to the nearest tenth, the correct answer is 0.6 mL (choice
B). Other choices are incorrect due to incorrect calculations or rounding errors.
Choice A is too low, C is too high, and D is also too high.
Extract:
Question 5 of 5
A nurse is assessing a child for scabies. Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: A
Rationale: The correct answer is A: Maculopapular skin burrows on the hand. Scabies is caused by the Sarcoptes scabiei mite burrowing into the skin, resulting in characteristic burrows typically found in webs of fingers, wrists, and elbows. Scaly lesions (
B) and a rash with red macular lesions (
D) are not specific to scabies. A bull's eye edematous area (
C) is more indicative of Lyme disease.