ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL.
Question 1 of 5
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: 0.6
Rationale:
Rationale:
To determine how many ml the nurse should administer, we need to follow the rounding rules provided. The answer is 0.6 because when rounding to the nearest tenth, 0.55 rounds down to 0.5, and then when rounded to the nearest whole number, 0.5 rounds down to 0. Thus, the correct answer is 0.6 ml.
Summary:
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Choice A: Incorrect as it does not align with the rounding rules.
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Choices B to G: Incorrect as they do not follow the correct rounding procedure to determine the nearest tenth.
Extract:
Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. Notified provider of parent reports and child's fever. New prescriptions received. Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 2 of 5
The child is at risk for developing________ and ______.
Correct Answer: B,E
Rationale: The correct answer is B,E. The child is at risk for renal scarring (
B) due to repeated episodes of pyelonephritis (E). Pyelonephritis is a bacterial infection in the kidneys that, if left untreated or recurrent, can lead to scarring of the renal tissue. Renal scarring can impair kidney function and increase the risk of long-term complications. Nephrotic syndrome (
A) is a kidney disorder characterized by heavy proteinuria and edema, not directly related to the risk factors mentioned. Polycystic kidney disease (
C) is a genetic disorder leading to the formation of cysts in the kidneys, not typically associated with the child's risk factors. Acute glomerulonephritis (
D) is an inflammation of the kidney's filtering units, usually caused by infections, autoimmune diseases, or medications, not directly related to the child's risk factors.
Extract:
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus.
Question 3 of 5
The nurse should immediately report which of the following findings to the provider?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. Tachypnea signifies rapid breathing, which could indicate respiratory distress or an underlying issue. This finding requires prompt attention from the provider to assess and manage the patient's respiratory status. Rhinorrhea, pharyngitis, and coughing are common symptoms that may not necessarily warrant immediate reporting unless they are severe or accompanied by other concerning symptoms. Tachypnea is the priority due to its potential to indicate a serious condition requiring urgent intervention.
Extract:
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul-smelling stools. The child has deficient levels of vitamin A, D, E, and K. Barrel-shaped chest, Clubbing of the fingers bilaterally, Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough. Vital Signs: Temperature 38.4° C (101.1° F), Heart rate 100/min, Respiratory rate 40/min, Blood pressure 100/57 mm Hg. Laboratory Results: Sputum culture positive for Pseudomonas aeruginosa, Stool analysis positive for presence of fat and enzymes, Chest x-ray indicates obstructive emphysema, WBC count 20,000/mm3 (5,000 to 10,000/mm3).
Question 4 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list? Select all that apply.
Correct Answer: A,C,E
Rationale: The correct answer is A, C, and E. A nurse should expect the provider to prescribe or reconcile water-soluble vitamins (
A) for children who may need additional supplementation. Dornase alfa (
C) is used to help improve lung function in children with cystic fibrosis. Pancreatic lipase (E) is prescribed for children with pancreatic insufficiency to aid in digestion. Meperidine (
D) is not commonly used in children due to safety concerns. Acetaminophen (
B) is a common medication for children, but its use should be confirmed with the provider to ensure appropriate dosing.
Extract:
A 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that the adolescent has a low-grade fever and has vomited for 3 days. The adolescent reports having right-sided and low back pain. They also report hands and right knee are painful and swollen. The client reports pain as 8 on a scale of 0 to 10. Vital Signs: Temperature 37.8° C (100° F), Heart rate 100/min, Blood pressure 110/72 mm Hg, Respiratory rate 20/min, Oxygen saturation 95% on room air. Assessment: Awake, alert, and oriented x 3, Yellow sclera of eyes noted bilaterally, Right upper quadrant tender to palpation, Hands painful to touch and swollen bilaterally, Right knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10, Client is tearful and grimacing during the examination.
Question 5 of 5
The nurse is planning care for the adolescent. Select the 5 interventions the nurse should include.
Correct Answer: A,B,C,F
Rationale: The correct interventions are A, B, C, and F. A is important for preventive care, B is for medication adherence, C for monitoring, and F for pain management. A ensures protection against infection, B follows medical orders, C ensures respiratory status is stable, and F addresses pain effectively. D is incorrect as bed rest can lead to complications like muscle weakness. E is not necessary for adolescent care unless specifically indicated. G is incorrect as oral intake should not be restricted unless medically indicated. In summary, A, B, C, and F are crucial for optimal care while D, E, and G are not necessary or potentially harmful interventions.