ATI RN
ATI Custom Pediatric exam 1 Questions
Extract:
A child who has hemophilia
Question 1 of 5
A nurse is reinforcing teaching about controlling a bleeding episode with a parent of a child who has hemophilia. Which of the following statements by the parent indicates a need for further teaching?
Correct Answer: B
Rationale: Applying warm compresses increases blood flow, potentially worsening bleeding in hemophilia. Cold compresses are recommended to constrict vessels and reduce bleeding.
Extract:
A child who has spina bifida occulta
Question 2 of 5
A nurse is collecting data from a child who has spina bifida occulta. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: A dimple in the sacral area is a common, subtle finding in spina bifida occulta, resulting from incomplete vertebral closure without significant symptoms.
Extract:
An infant who has developmental dysplasia of the hip (DDH)
Question 3 of 5
A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?
Correct Answer: A,D
Rationale: Inwardly turned foot and asymmetric thigh folds are characteristic of DDH, reflecting hip instability and femoral head displacement.
Extract:
A child who is postoperative following the insertion of a ventriculoperitoneal shunt
Question 4 of 5
A nurse is caring for a child who is postoperative following the insertion of a ventriculoperitoneal shunt. The nurse should place the child in which of the following positions?
Correct Answer: D
Rationale: The supine position promotes proper cerebrospinal fluid drainage through the shunt without pressure on the surgical site, facilitating monitoring and reducing complications post-ventriculoperitoneal shunt insertion.
Extract:
A child with pneumonia who weighs 20 lb
Question 5 of 5
Primary care provider orders cefazolin (Kefrol) 30 mg/kg in two divided doses per day for a child with pneumonia. Child weighs 20 lb. If the available oral suspension is 125 mg/5ml how many mls per dose should the child receive?
Correct Answer: A
Rationale: Weight = 20 lb / 2.20462 = 9.07 kg.
Total dose = 30 mg/kg x 9.07 kg / 2 = 136.05 mg/dose. Volume = 136.05 mg / (125 mg/5 mL) = 5.44 mL = 5.4 mL.