Questions 76

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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: Convert 55 lb to 24.948 kg. Calculate dose: 24.948 kg × 10 mg/kg = 249.48 mg. Convert to volume: (249.48 mg ÷ 100 mg) × 5 mL = 12.474 mL, rounded to 12.5 mL.

Extract:

A nurse is preparing a child for a lumbar puncture.


Question 2 of 5

In which of the following positions should the child be placed for the procedure?

Correct Answer: B

Rationale: Semi-Fowler's and supine don't allow spinal flexion. Prone restricts lumbar access. Lateral positioning aligns the spine for safe puncture.

Extract:

A nurse is caring for a 1-week-old newborn who has hyperbilirubinemia and is being treated with phototherapy.


Question 3 of 5

Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Eye checks aren't needed routinely during phototherapy. Mittens are unrelated. Temperature monitoring every 2 hours prevents hypothermia from light exposure. Lotion can block light, reducing treatment efficacy.

Extract:

A nurse is planning care for a child who has varicella.


Question 4 of 5

Which of the following interventions should the nurse plan to include?

Correct Answer: D

Rationale: Koplik spots are for measles, not varicella. Aspirin risks Reye's syndrome. A blanket aids comfort but isn't specific. Airborne precautions prevent varicella's spread via droplets.

Extract:

A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation.


Question 5 of 5

Which of the following actions should the nurse include in the plan of care?

Correct Answer: B

Rationale: Ambulating at 12 hours is too soon. Logrolling every 2 hours maintains spinal alignment, preventing complications. A 30° angle risks strain. Early sips risk aspiration; patients are typically NPO longer.

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