ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A school-aged child undergoing a bone marrow aspiration and biopsy.
Question 1 of 5
The nurse understands that which of the following interventions is the MOST effective at relieving pain and discomfort during a bone marrow aspiration and biopsy for a school-aged child?
Correct Answer: C
Rationale: Conscious or unconscious sedation is the most effective intervention to relieve pain and discomfort during a bone marrow aspiration and biopsy, ensuring the child is adequately sedated and comfortable.
Extract:
A child suspected to have suffered child abuse.
Question 2 of 5
The nurse is assessing a child who is suspected to have suffered child abuse. Which of the following statements demonstrate therapeutic communication when interacting with the child?
Correct Answer: D
Rationale: Reassuring the child that they are not to blame is supportive and helps to build trust, encouraging the child to feel safe in sharing information.
Extract:
A 3-month-old infant weighing 11 pounds, treated with Vancomycin for bacterial meningitis, ordered 60mg/kg/day divided every 6 hours.
Question 3 of 5
A 3-month-old infant is being treated with Vancomycin for bacterial meningitis. Order: 60mg/kg/day divided every 6 hours. The infant weighs 11 pounds. The nurse first confirms safe dose. The nurse then calculates the dosage. Which one of the following is the correct SINGLE dose order for the nurse to administer?
Correct Answer: A
Rationale: Convert weight to kg: 11 lbs ÷ 2.2 = 5 kg.
Total daily dose: 60 mg/kg/day × 5 kg = 300 mg/day. Divided every 6 hours (4 doses/day): 300 mg ÷ 4 = 75 mg per dose.
Extract:
An adolescent following an intentional overdose of methylphenidate hydrochloride.
Question 4 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 child who has hemiplegic cerebral palsy.
Question 5 of 5
A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?
Correct Answer: B
Rationale: Modifying the home for safety is the priority because children with hemiplegic cerebral palsy have motor impairments that increase their risk for accidents and injuries. A safe environment is essential for the child’s well-being.