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: First, convert the child's weight from pounds to kilograms: 55 ÷ 2.2 = 25 kg. Next, calculate the dose: 1.25 mg/kg × 25 kg = 31.25 mg.
Then, determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Round to the nearest tenth: 0.625 rounds to 0.6 mL.
Extract:
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule.
Question 2 of 5
Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,B
Rationale: A. The MMR vaccine is typically administered at 12 months of age as part of routine immunization schedules. B. The varicella vaccine is typically administered at 12 months of age as part of routine immunization schedules. C. Rotavirus vaccine is given at 2, 4, and 6 months. D. Herpes zoster vaccine is not given to infants. E. HPV vaccine starts at age 11 or 12.
Extract:
A nurse is caring for a group of clients.
Question 3 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A toddler who has a heart rate of 68/min is likely to have bradycardia, a slow heart rate that can affect oxygen delivery. Bradycardia could be caused by hypoxia, hypothermia, or cardiac problems. The nurse should report this finding to the provider immediately. B. This temperature is within the normal range. C. This blood pressure is within the normal range for an adolescent. D. The normal respiratory rate for a 3-month-old infant is 25 to 40/min.
Extract:
Cerebrospinal fluid: Pressure: 22 cm H2O (less than 20 cm H2O), Color: Cloudy (clear or colorless), Blood: None (none), Cells RBC: 0 (0), WBC: 36 cells/mcL (0 to 30 cells/mcL), Protein: 92 mg/dL (up to 70 mg/dL), Glucose: 36 mg/dL (50 to 75 mg/dL), Serum glucose: 64 mg/dL (60 to 100 mg/dL).
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A. Given the cloudy appearance of the cerebrospinal fluid (CSF) and elevated white blood cell count (WB
C) in the CSF, there may be an indication of meningitis. Ceftriaxone is a broad-spectrum antibiotic commonly used to treat bacterial meningitis. B. Vaccines prevent infections but are not immediate treatment. C. Glucose monitoring is not the priority over infection treatment. D. Neutropenic precautions are not indicated.
Extract:
A nurse is assessing a 5-month-old infant.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: B. Head lag at 5 months is abnormal and may indicate weakness or poor muscle tone, warranting further evaluation by the healthcare provider. A. Rolling over is typical at 4-6 months, not concerning yet. C. Not all infants hold bottles at 5 months. D. Grasp reflex diminishes by 3-4 months.