Questions 47

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ATI RN Pediatric Assessment 2022 Questions

Extract:

A 2-week-old infant


Question 1 of 5

A parent brings a 2-week-old infant to a clinic for a phenylketonuria rescreening blood test. The test indicates a serum phenylalanine level of 1 mg/dL (60.5 mcmol/L). The nurse reviews this result and makes which interpretation?

Correct Answer: B

Rationale: A phenylalanine level of 1 mg/dL is normal, indicating a negative result for PKU. A, C, and D are incorrect interpretations.

Extract:

An infant


Question 2 of 5

A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?

Correct Answer: C

Rationale: Infants typically double their birth weight by 5-6 months, making C the correct choice. A, B, and D are incorrect timelines.

Extract:

A child who weighs 28 lb


Question 3 of 5

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer?

Correct Answer: 5.3 mL

Rationale: Child's weight: 28 lb ÷ 2.2 = 12.73 kg. Dose: 12.73 kg × 10 mg/kg = 127.3 mg. Volume: 127.3 mg ÷ (120 mg/5 mL) = 5.3 mL.

Extract:

A preschooler with a history of cleft palate repair


Question 4 of 5

A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question would the nurse ask the parent?

Correct Answer: A

Rationale: Difficulty swallowing is a potential long-term effect of cleft palate repair. B, C, and D are unrelated to cleft palate outcomes.

Extract:

A child with suspected epiglottitis


Question 5 of 5

A child arrives in the emergency department with a high fever, drooling, muffled voice, inspiratory stridor, and sternal retractions. The nurse suspects epiglottitis. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Epiglottitis is often bacterial, requiring droplet precautions to prevent spread. A, B, and C are secondary to infection control.

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