ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
Patients with 24-hour Holter monitor diaries.
Question 1 of 5
The nurse is reviewing 24-hour Holter monitor diaries of various patients. Which of the following entries is the MOST complete?
Correct Answer: B
Rationale: This entry is the most complete as it includes the time, activity (basketball practice), symptom (dizziness), absence of loss of consciousness, and relevant detail (no caffeine intake), giving a comprehensive picture of the patient's experience.
Extract:
A school aged child with ADHD, prescribed dexamethylphenidate 10mg before breakfast and lunch.
Question 2 of 5
The nurse is assessing a school aged child with ADHD. The child is prescribed dexamethylphenidate 10mg before breakfast and lunch. Which of the following findings is of MOST concern to the nurse?
Correct Answer: C
Rationale: A blood pressure reading of 140/90 is concerning as it indicates hypertension, which can be a side effect of stimulant medications like dexamethylphenidate.
Extract:
An adolescent following an intentional overdose of methylphenidate hydrochloride.
Question 3 of 5
An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.
Correct Answer: A,B,E,F
Rationale: Hallucinations, paranoia, tachycardia, and hypertension are expected due to the stimulant effects of methylphenidate overdose, which increase central nervous system and cardiovascular activity.
Extract:
A preschool aged child immediately following an open repair of a Ventricular Septal Defect, with no drainage from the mediastinal chest tubes in the last 2 hours.
Question 4 of 5
The nurse is caring for a preschool aged child immediately following an open repair of a Ventricular Septal Defect. There has been no drainage from the mediastinal chest tubes in the last 2 hours. Based on this finding what will be the nurse's priority intervention?
Correct Answer: C
Rationale: Lack of drainage from the chest tubes following cardiac surgery can be life-threatening, indicating possible cardiac tamponade or tube occlusion. Immediate reporting is necessary for prompt intervention.
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 5 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.