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:
A nurse is planning care for a preschooler who has neutropenia.
Question 2 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: The correct answer is C: Avoid raw fruits and vegetables in the child's diet. This is because raw fruits and vegetables may contain harmful bacteria that can cause foodborne illnesses, especially in children with weakened immune systems. Administering vaccines, obtaining rectal temperature, and bathing frequency are not directly related to preventing foodborne illnesses.
Therefore, they are not the priority interventions in this scenario.
Extract:
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B.
Question 3 of 5
Which of the following actions should the nurse take? Select all that apply.
Correct Answer: C,D,E
Rationale: The correct actions for the nurse to take are C, D, and E. Beginning droplet precautions is essential to prevent the spread of respiratory infections. Monitoring oxygen saturation is crucial to assess respiratory function. Initiating IV access ensures access for emergency medication administration. Obtaining a throat culture (
A) is not necessary without signs of infection. Inspecting the epiglottis (
B) is not within the nurse's scope of practice.
Extract:
A nurse is caring for a newly admitted child.
Question 4 of 5
Which members of the interprofessional team should the nurse initiate a referral to?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. The nurse should initiate a referral to a dietitian to address nutrition-related issues. Dietitians are experts in assessing and providing dietary recommendations for patients. They play a crucial role in promoting optimal health outcomes through personalized nutrition plans. Referring to a dietitian ensures comprehensive care for the patient's nutritional needs. Other options such as B: Occupational therapist, C: Physical therapist, and D: Speech-language pathologist are important members of the interprofessional team but may not be the primary referral for addressing nutrition concerns.
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.
Question 5 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Reposition the client using a turning sheet. This action is essential to prevent pressure ulcers and maintain skin integrity in clients with a halo device. Repositioning helps redistribute pressure, improve circulation, and reduce the risk of skin breakdown. Encouraging neck flexion and extension (
A) can be harmful with a halo device. Assessing pin sites (
B) and tightening screws (
C) should be done by qualified healthcare providers to prevent complications.