ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. During a seizure, it is important to ensure the safety of the individual by removing any nearby hard objects that could cause injury. Placing the child in a prone position (choice
C) is not recommended as it can lead to airway obstruction. Minimizing movement of the limbs (choice
A) is also not necessary as it may not be possible to control the child's movements during a seizure. Inserting a tongue blade between the teeth (choice
D) is dangerous and can cause harm.
Therefore, the best action to take during a seizure is to clear the area of hard objects to prevent injury.
Question 2 of 5
A charge nurse is observing a staff nurse who is caring for a child who has pertussis. Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: The correct answer is A because maintaining droplet precautions while the child is coughing and sneezing is appropriate for pertussis, which is transmitted through respiratory droplets. This includes wearing a mask within 3 feet of the child, ensuring proper hand hygiene, and using dedicated equipment. Options B, C, and D are incorrect because applying a face mask after entering the room, wearing gloves for bathroom assistance, and using an N95 respirator for airborne precautions are not specific to pertussis infection control measures. Option B is more focused on protecting the nurse rather than preventing transmission. Option C is not directly related to pertussis transmission, and option D is excessive for the mode of transmission of pertussis.
Question 3 of 5
A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct answer is C. The nurse should assess the adolescent with sickle cell anemia and slurred speech first as this can indicate a potential neurological complication such as a stroke. Neurological changes require immediate assessment and intervention to prevent further complications. Assessing and addressing the slurred speech is crucial in this situation. Option A involves a toddler with a new diagnosis of osteomyelitis, which is important but not as urgent as assessing neurological symptoms. Option B involves an adolescent in skin traction with pain, which can be managed after the urgent assessment of slurred speech. Option D involves a toddler with a burn injury, which also requires attention but is not as urgent as the potential neurological issue in option C.
Question 4 of 5
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax. Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Lavender. Lavender oil is well-known for its calming and relaxing properties, making it ideal for helping children relax. It has been shown to reduce anxiety and improve sleep quality. Lavender oil is gentle and safe for children when used properly. Eucalyptus (
B) and Tea tree (
D) oils are not recommended for children due to potential toxicity. Jasmine (
C) is not typically used for relaxation purposes in children.
Question 5 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:
To calculate the dose of diphenhydramine for the child:
Step 1: Convert weight to kg: 55 lb ÷ 2.2 = 25 kg
Step 2: Calculate the dose: 1.25 mg/kg x 25 kg = 31.25 mg
Step 3: Determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL
Step 4: Round to the nearest tenth = 0.6 mL
Therefore, the correct answer is 0.6 mL. Other choices are incorrect because they do not follow the correct calculation steps or rounding procedure.