ATI RN
ATI RN Pediatric Nursing 2023 II 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: C
Rationale: A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness. A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia. A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body. Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.
Question 2 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Offering a prize for not crying may inadvertently reinforce crying as an expectation. This statement is not accurate because the medicine might not fix the problem or make the child feel better immediately. Assuring the child that they will only feel a little stick is not honest because the injection might hurt more than a little stick, and lying to the child can damage the trust between the nurse and the child. Allowing the child to choose the injection site allows the child to have some control and autonomy over the situation, which can reduce anxiety and fear.
Question 3 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: 12.5
Rationale:
To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms: 55 lb × 0.4536 kg/lb = 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams: 10 mg/kg × 24.948 kg = 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer: (249.48 mg) / (100 mg/5 mL) = 12.474 mL. Rounding to the nearest tenth, the answer is 12.5 mL.
Question 4 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes. The nurse should position the child 3 meters (10 feet) from the chart. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.
Question 5 of 5
A nurse is obtaining informed consent for an adolescent who is scheduled for a cardiac catheterization. The adolescent's guardian states, 'I don't understand why they need to do this procedure.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Requesting assistance from the anesthesiologist may not be necessary at this point and does not address the guardian's lack of understanding. Explaining the procedure to the adolescent and their guardian is the appropriate action to address the guardian's concerns and ensure they fully understand the procedure and its necessity. Witnessing the adolescent's signature on the informed consent form is appropriate after the procedure has been explained and the guardian's questions have been addressed. Notifying the provider may be necessary but does not ensure informed consent.