ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
2-month-old infant with developmental dysplasia of the hips, placed in a Pavlik harness.
Question 1 of 5
A nurse is reviewing care for a 2 month old infant with developmental dysplasia of the hips who is placed in a Pavlik harness. Which statement by the caregiver indicates a need for further teaching?
Correct Answer: D
Rationale: D: Caregivers should not adjust Pavlik harness straps; this is done by providers, indicating a need for further teaching.
Extract:
Child weighing 44 pounds, prescribed acetaminophen 10 mg/kg/dose, available as 120 mg/5 mL.
Question 2 of 5
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 44 pounds. The amount available is acetaminophen 120 mg/5 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: A
Rationale: Child's weight: 44 lb/ 2.2 = 20 kg. Dose: 20 kg x 10 mg/kg = 200 mg. Volume: 200 mg/ (120 mg/5 mL) = 8.33 mL, rounded to 8.3 mL. Correct answer: A (8.3 mL).
Extract:
12-month-old child.
Question 3 of 5
Which finding will cause the nurse to refer a 12-month-old child for further neuromuscular testing?
Correct Answer: C
Rationale: C: A 12-month-old should sit independently; needing support suggests a neuromuscular delay, warranting further testing.
Extract:
5-year-old child with meningitis.
Question 4 of 5
A nurse is caring for a 5 year old child with meningitis. Which of the following signs or symptoms may indicate increased intracranial pressure in this child?
Correct Answer: C
Rationale: C: Headache and vomiting are classic signs of increased intracranial pressure in a 5-year-old with meningitis.
Extract:
10-month-old infant in a cast for developmental dysplasia of the hip (DDH).
Question 5 of 5
A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant's growth and development?
Correct Answer: B
Rationale: B: A small electronic toy promotes cognitive and sensory development, suitable for a casted infant.