ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: The correct answer is B: WBC count 15,000/mm3 (5,000 to 10,000/mm3). In acute lymphoblastic leukemia, the goal of treatment is to reduce the abnormal white blood cell count. A decrease in the WBC count indicates a therapeutic effect. Platelet count (choice
A) may vary due to treatment but is not a direct indicator of therapeutic effect. RBC count (choice
C) and hemoglobin (choice
D) are indicators of anemia common in leukemia but not specific to treatment effectiveness.
Question 2 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Infants should receive the first dose of varicella (chickenpox) vaccine at 12 months of age to provide protection against the varicella virus, which can cause a highly contagious and potentially severe illness. Varicella vaccine is recommended by the CDC for children at this age to prevent complications such as pneumonia, encephalitis, and skin infections. The vaccine is given in two doses, with the second dose typically administered between ages 4-6 years.
Incorrect choices:
A: Inactivated polio virus - The first dose of inactivated polio virus vaccine is usually given at 2 months of age.
B: Hepatitis B - The first dose of hepatitis B vaccine is typically administered shortly after birth.
C: Human papillomavirus - HPV vaccine is not usually given until adolescence.
E, F, G: No information provided.
Extract:
A nurse is caring for a group of toddlers receiving digoxin therapy.
Question 3 of 5
For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: D
Rationale: The correct answer is D: A toddler who has vomited 2 times in the last hour. Vomiting in a toddler can lead to dehydration and electrolyte imbalances, which can be potentially life-threatening. The nurse should revise the plan of care to address the vomiting and ensure hydration.
Choice A: A toddler with a digoxin level of 1.2 ng/mL falls within the therapeutic range, so the plan of care does not need revision based on this alone.
Choice B: An apical pulse of 100/min may be within the normal range for a toddler, so it does not necessarily warrant a revision of the plan of care.
Choice C: A potassium level of 4.0 mEq/L is within the normal range, so the plan of care does not need revision based on this parameter.
In summary, the nurse should revise the plan of care for the toddler who has vomited multiple times in the last hour to prevent dehydration and electrolyte imbalances
Extract:
Question 4 of 5
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. 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:
To calculate the dose of ibuprofen for the child, we must first convert the weight from pounds to kilograms. 55 lb is approximately 25 kg. Next, we multiply the weight in kg by the prescribed dose of 10 mg/kg to get the total dose needed, which is 250 mg. Since the available concentration is 100 mg/5 mL, we divide the total dose by the concentration to find the volume needed, which is 12.5 mL.
Therefore, the correct answer is A: 12.5 mL. Other choices are incorrect as they do not align with the accurate calculation based on the weight, prescribed dose, and concentration of the ibuprofen solution.
Question 5 of 5
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority?
Correct Answer: C
Rationale: The correct answer is C: The child swallows frequently. This is the priority because frequent swallowing can indicate bleeding after a tonsillectomy, which is a medical emergency requiring immediate intervention to prevent complications like airway obstruction and hemorrhage. Refusing clear liquids (
A) may be due to discomfort but is not as urgent. Crying often (
B) is common post-surgery and not necessarily indicative of a critical issue. Throat pain increasing (
D) is expected after a tonsillectomy and can be managed with pain medication.