ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A 4-year-old boy who has cerebral palsy, whose parents have taken his name off the list for baseball next season.
Question 1 of 5
A nurse is speaking with the parents of a 4-year-old boy who has a cerebral palsy. The parents tell the nurse they have taken their son's name off the list for baseball next season. Which of the following is the BEST response for the nurse to make?
Correct Answer: C
Rationale: Asking to discuss their decision and explore alternatives is the best response as it opens a dialogue, provides support, and helps the parents consider other options for their child's participation in activities.
Extract:
A child who has hemiplegic cerebral palsy.
Question 2 of 5
A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?
Correct Answer: B
Rationale: Modifying the home for safety is the priority because children with hemiplegic cerebral palsy have motor impairments that increase their risk for accidents and injuries. A safe environment is essential for the child’s well-being.
Extract:
A 3-month-old infant weighing 11 pounds, treated with Vancomycin for bacterial meningitis, ordered 60mg/kg/day divided every 6 hours.
Question 3 of 5
A 3-month-old infant is being treated with Vancomycin for bacterial meningitis. Order: 60mg/kg/day divided every 6 hours. The infant weighs 11 pounds. The nurse first confirms safe dose. The nurse then calculates the dosage. Which one of the following is the correct SINGLE dose order for the nurse to administer?
Correct Answer: A
Rationale: Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg.
Total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divided every 6 hours (4 doses/day): 300 mg ÷ 4 = 75 mg per dose.
Extract:
A toddler with multiple bruises and burns in various stages of healing, suspected of being abused.
Question 4 of 5
An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?
Correct Answer: B
Rationale: The nurse has a legal and ethical obligation to report suspicions of child abuse to the proper authorities, regardless of the physician's opinion. Reporting ensures that the child’s safety is prioritized and that an investigation can be conducted.
Extract:
A newborn infant, with parents receiving anticipatory guidance to reduce child abuse.
Question 5 of 5
The nurse is providing anticipatory guidance teaching to the parents of a newborn infant geared toward reducing child abuse. Which of the following would be the priority topic of discussion to meet this goal?
Correct Answer: C
Rationale: Recognizing that increased crying is normal during the first month and ensuring parents have emotional support can significantly reduce the risk of frustration that may lead to child abuse.