ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution.
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: 12.5
Rationale:
To calculate the mL the nurse should administer, consider the prescribed dose and concentration. If the prescribed dose is 250mg and concentration is 20mg/mL, divide dose by concentration (250mg รท 20mg/mL = 12.5mL). This ensures the correct amount is administered. Other choices lack logic or are not derived from the given information. A: 10 is incorrect as it doesn't match the calculated value. B: 15 is incorrect as it exceeds the calculated value. C: 5 is incorrect as it is below the calculated value. D, E, F, and G are irrelevant as they are not derived from the given data.
Extract:
Question 2 of 5
A nurse is providing teaching to the guardian of a 2-year-old child about typical toddler behavior. Which of the following behaviors should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Frequent negative responses.
Toddlers commonly exhibit frequent negative responses as they are learning to assert their independence and autonomy. This behavior is a typical part of their development as they navigate boundaries and explore their own preferences.
B: Resistant to routines - This is incorrect as toddlers often thrive on routines and predictability, providing them with a sense of security.
C: Increased dependency -
Toddlers are typically exploring their independence and may show signs of increased independence rather than dependency.
D: Less emotionally labile -
Toddlers are known for their emotional outbursts and mood swings, so they are more emotionally labile rather than less emotionally labile.
Question 3 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. Which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: A,B,E
Rationale: The correct laboratory tests to confirm rheumatic fever are A: C-reactive protein (CRP), B: Antistreptolysin O (ASO) titer, and E: Erythrocyte sedimentation rate (ESR).
1. CRP is an acute-phase reactant that increases in response to inflammation, which is characteristic of rheumatic fever.
2. ASO titer measures antibodies against streptococcal bacteria, helping to confirm a recent streptococcal infection, a precursor to rheumatic fever.
3. ESR is a non-specific marker of inflammation and can be elevated in rheumatic fever due to the inflammatory process.
Choices C, D, F, and G are incorrect:
C: Partial thromboplastin time (PTT) is not specific for rheumatic fever.
D: Blood urea nitrogen (BUN) is not relevant to diagnosing rheumatic fever.
F and G: The other choices are not provided
Extract:
A nurse is teaching the parent of a school-age child about bicycle safety.
Question 4 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Your child should walk the bicycle through intersections. This instruction is crucial for safety as walking the bicycle through intersections reduces the risk of accidents. By walking the bicycle, the child can better navigate the intersection and avoid collisions with vehicles or pedestrians.
Choice A is incorrect because the child's feet should be able to touch the ground easily for stability.
Choice B is incorrect as children should always ride their bicycles in the same direction as traffic flow to prevent accidents.
Choice D is incorrect because keeping the bicycle at least 3 feet from the curb is not necessary and may obstruct traffic flow.
Extract:
A nurse is preparing to perform a venipuncture on a 4-year-old child.
Question 5 of 5
Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: D
Rationale: The correct answer is D: Apply a topical anesthetic cream 1 hour prior to the procedure. This action promotes atraumatic care by minimizing pain and discomfort for the child during the procedure. Applying the cream in advance allows time for the anesthetic to take effect, reducing the child's anxiety and fear. It also demonstrates the nurse's consideration for the child's well-being and comfort.
Other choices are incorrect because:
A: Asking the child's parent to leave the room may increase the child's anxiety and make the experience more traumatic.
B: Performing the procedure in the playroom may not necessarily reduce the trauma if the child is still experiencing pain.
C: Explaining the procedure in detail 3 hours prior may cause unnecessary worry and anxiety for the child, increasing trauma.
Overall, applying a topical anesthetic cream is the most effective and compassionate approach to ensuring atraumatic care for the child.