ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Administering 30 minutes before breakfast optimizes lansoprazole absorption. Sublingual use, chewing, or four-times-daily dosing are incorrect.
Question 2 of 5
A nurse is preparing to administer cephalexin 50 mg/kg/day in divided doses every 8 hours to a child who weighs 33 lb. The amount available is cephalexin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose?
Correct Answer: A
Rationale: Convert 33 lb to 15 kg (33 ÷ 2.2).
Total daily dose: 50 mg/kg/day × 15 kg = 750 mg/day. Per dose: 750 mg ÷ 3 = 250 mg. Volume: 250 mg ÷ (250 mg/5 mL) = 5 mL.
Question 3 of 5
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hour ago. Which finding reported by the parent is the nurse's priority?
Correct Answer: C
Rationale: Eyelid and mouth swelling may indicate anaphylaxis, the priority over common post-vaccine reactions like pain, mild fever, or reduced appetite.
Question 4 of 5
A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Poor muscle tone is expected due to malnutrition in failure to thrive. Eye contact and stranger anxiety are normal, and weight is typically below the 5th percentile.
Question 5 of 5
A nurse is reinforcing teaching about bicycle safety with a school-age child. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Feet touching the ground ensures bike fit and stability. Helmets shouldn't cover ears, and riding through crosswalks or against traffic increases risks.