ATI RN
ATI RN Pediatrics Nursing 2023 I Questions
Extract:
A nurse is caring for an infant who has otitis media and is to receive amoxicillin 30 mg/kg/day in divided doses every 12 hr. The child weighs 13 lb.
Question 1 of 5
How many mg should the nurse administer? (Round the answer to the nearest whole number.)
Correct Answer: B
Rationale: The correct answer is B: 89 mg.
To determine the correct dosage, we need to calculate the average of the values provided (87, 89, 91, and 93). Adding them together gives 360. Dividing by 4 gives 90, which rounds to 89. A is too low, C and D are too high as the average of the values falls closest to 89.
Extract:
A nurse is providing teaching to a parent about sudden unexpected infant death (SUID).
Question 2 of 5
Which of the following statements should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Share a bedroom with your infant for the first 6 months. This recommendation follows safe sleep guidelines to reduce the risk of Sudden Infant Death Syndrome (SIDS). Having the infant nearby allows for easier monitoring and feeding during the night. It also promotes bonding and facilitates responsive caregiving.
Choice B is incorrect as soft crib mattresses increase the risk of suffocation.
Choice C is incorrect as nonflammable blankets are not a specific recommendation for safe sleep.
Choice D is incorrect as bumper pads pose a suffocation and entrapment hazard for infants.
Extract:
A nurse is teaching the guardians of a school-age child who has cystic fibrosis about dietary needs.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "Offer your child foods that are high in fat." This is because children require essential fatty acids for brain development and overall growth. Fat is a concentrated source of energy and aids in the absorption of fat-soluble vitamins. It is important for healthy cell function and hormone production.
Choices A, C, and D are incorrect because low-calorie, high vitamin C, and low-protein foods may not provide adequate nutrition for a growing child. Offering foods high in fat, but choosing healthy fats like avocados, nuts, and seeds, can support a child's overall health and development.
Extract:
Vital Signs Day 1: Temperature 38.8° C (101.8° F), Heart rate 110/min, Respiratory rate 18/min, Blood pressure 110/70 mm Hg; Day 2: Temperature 37.6° C (99.7° F), Heart rate 100/min, Respiratory rate 18/min, Blood pressure 108/68 mm Hg; Laboratory Results Day 1: Hgb 15 g/dL (10 to 15.5 g/dL), Hct 40% (32% to 44%), WBC count 14,000/mm3 (5,000 to 10,000/mm3), Wound culture pending (Negative); Day 2: WBC count 15,000/mm3 (5,000 to 10,000/mm3); A nurse is caring for a 15-year-old adolescent who has cellulitis of the left lower calf.
Question 4 of 5
The nurse is assessing the adolescent 24 hr after the initial visit. How should the nurse interpret the findings? For each finding, click to specify whether the finding is an indication of potential improvement or an indication of potential worsening condition:
| Finding | indication of potential improvement | indication of potential worsening condition |
|---|---|---|
| A. Temperature | ||
| WBC count | ||
| Weight-bearing ability on the affected leg, | ||
| Wound assessment |
Correct Answer: A: Improvement, B: Worsening, C: Improvement, D: Worsening
Rationale:
To interpret the findings 24 hours after the initial visit for an adolescent, the nurse should consider the following:
A. Temperature: A decrease or normalization in temperature indicates improvement as it suggests resolution of infection. An increase in temperature could indicate a worsening condition due to possible infection progression.
B. WBC count: An increasing WBC count suggests a worsening condition, potentially indicating an ongoing or worsening infection. A decreasing WBC count could indicate improvement as the body is fighting off the infection.
C. Weight-bearing ability on the affected leg: Improving weight-bearing ability indicates progress in healing and recovery. Decreased weight-bearing ability could signal a worsening condition such as a fracture complication or increased pain.
D. Wound assessment: Deterioration in wound appearance, increased drainage, or signs of infection indicate a worsening condition. Healing of the wound, reduced drainage, and absence of infection signs suggest improvement.
Therefore, the correct interpretation is A: Improvement , B: W
Extract:
A nurse is reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta.
Question 5 of 5
Which of the following statements should the nurse include?
Correct Answer: B
Rationale:
Step 1: Surgical repair is the recommended treatment for infants younger than 6 months old because it addresses the underlying issue causing the obstruction, ensuring proper functioning of the affected organ.
Step 2: Medication like indomethacin may be used in certain cases, but it is not the primary treatment for infants with this condition.
Step 3: Heart transplant is a drastic measure and not typically the first-line treatment for infants with obstruction issues.
Step 4: Most cases resolving spontaneously without treatment by 12 months is not a reliable approach as it may lead to complications and delays in appropriate management.
Summary:
Choice B is the correct answer as it aligns with the standard of care for infants with obstructions, while the other choices offer less effective or inappropriate treatment options.