ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A child with urticaria weighing 44 lbs (20 kg)
Question 1 of 5
The health care provider has prescribed diphenhydramine (Benadryl) 5 mg/kg/dose for a child with urticaria weighing 44 lbs. (20 kg). Assume this is a safe dose. The medication is supplied as 12.5 mg/5 ml. How many milliliters will the nurse administer to the child for one dose? Record your answer using a whole number.
Correct Answer: A
Rationale: The child weighs 20 kg; 5 mg/kg * 20 kg = 100 mg. The medication is 12.5 mg/5 mL, so 100 mg * 5 mL / 12.5 mg = 8 mL. [Note: The original document incorrectly states 40 mL, which is a calculation error.]
Extract:
A 12-year-old child receiving a blood transfusion after a motor vehicle crash, reports trouble breathing 15 minutes after starting, temperature 101.2°F up from 98.8°F
Question 2 of 5
The nurse is administering a blood transfusion to a 12-year-old child after a motor vehicle crash. About 15 minutes after beginning the transfusion, the child reports trouble breathing. The child's temperature is now 101.2°F (38.4°C) up from a baseline of 98.8°F (37.1°C). Which action would the nurse do next?
Correct Answer: C
Rationale: Stopping the transfusion is the critical first step in managing a suspected transfusion reaction, particularly since the child is exhibiting respiratory distress and a fever.
Extract:
A 3-year-old child with pyelonephritis weighing 33 lb
Question 3 of 5
A 3-year-old child is hospitalized with a diagnosis of pyelonephritis. The health care provider has prescribed ceftriaxone 60 mg/kg/day in three divided doses. The child weighs 33 lb. The dose ordered is the safe dose. How many milligrams should the nurse administer in each dose? Record your answer using a whole number
Correct Answer: A
Rationale: The child weighs 33 lbs, or 15 kg (33/2.2). The prescribed dose is 60 mg/kg/day, so 15 kg * 60 mg/kg = 900 mg/day. Divided into three doses, 900 mg / 3 = 300 mg per dose.
Extract:
A child with hemophilia
Question 4 of 5
The parents of a child with hemophilia ask the nurse about appropriate activities and sports that they should encourage the child to participate in. What activity would be the safest for the nurse to suggest?
Correct Answer: C
Rationale: Swimming is generally considered safe for children with hemophilia as it is a non-contact activity and does not involve high risk of injury.
Extract:
A parent calls a clinic and reports that his 2-month-old infant is hungry more than usual but is having projectile vomiting immediately after eating
Question 5 of 5
Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Bringing the baby to the clinic is essential as projectile vomiting in an infant can indicate a serious condition such as pyloric stenosis that requires evaluation and intervention.