ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
An infant weighing 5kg, prescribed digoxin 4mcg/kg/day, safe dose 3.4 to 5.1 mcg/kg/day, label 0.25 mg/5mL.
Question 1 of 5
The nurse is preparing to administer the daily maintenance dose of digoxin to an infant: Infant's Weight: 5kg Order: Administer 4mcg/kg/day Safe Dose: 3.4 to 5.1 mcg/kg/day Label: 0.25 mg/5mL
Correct Answer: 0.4 mL
Rationale: Dose = 4 mcg/kg/day * 5 kg = 20 mcg/day = 0.02 mg/day. Using 0.25 mg/5 mL, (0.02 mg * 5 mL) / 0.25 mg = 0.4 mL.
Extract:
A school aged child with ADHD recently switched from methylphenidate to atomoxetine.
Question 2 of 5
A school aged child with ADHD was recently switched from a methylphenidate to atomoxetine. The nurse recognizes a need for further teaching when the parents make which of the following statements?
Correct Answer: B
Rationale: Atomoxetine is a non-stimulant medication for ADHD that must be taken consistently every day, not just on school days. This statement indicates a misunderstanding and a need for further teaching.
Extract:
A 5-year-old child receiving a MMR vaccine.
Question 3 of 5
The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY
Correct Answer: A,B
Rationale: Prolonged seizures and decreased level of consciousness are serious reactions to the MMR vaccine, requiring immediate medical attention.
Extract:
Antibiotic infusion via syringe pump, total volume 18 mL, to run over 90 minutes.
Question 4 of 5
The nurse must administer the following antibiotic via syringe pump. The infusion is to run over 90 minutes. The nurse calculates the infusion rate and sets the pump for the following rate
Correct Answer: 12 mL/hr
Rationale:
Total volume is 18 mL over 90 minutes (1.5 hours). Rate = 18 mL / 1.5 hours = 12 mL/hour.
Extract:
A toddler with multiple bruises and burns in various stages of healing, suspected of being abused.
Question 5 of 5
An emergency room nurse is assessing a toddler with multiple bruises and burns in various stages of healing. The nurse suspects that the toddler has been abused, however the physician disagrees. What is the nurse's priority at this time?
Correct Answer: B
Rationale: The nurse has a legal and ethical obligation to report suspicions of child abuse to the proper authorities, regardless of the physician's opinion. Reporting ensures that the child’s safety is prioritized and that an investigation can be conducted.