ATI RN
ATI Pediatrics Exam 4 Questions
Extract:
Archie who weighs 44 lb has been given an order for amoxicillin 500 mg bid to take before a dentist appointment based on his history of infective endocarditis. The drug test shows that the daily dose of amoxicillin is 50 mg/kg/day in two divided doses.
Question 1 of 5
What dose in milligrams is safest for this child?
Correct Answer: A
Rationale: Archie's weight (44 lb = 19.96 kg) at 50 mg/kg/day yields 998 mg/day, or 499 mg per dose. The prescribed 500 mg is safe and closest to the calculated dose. B, C, and D deviate significantly.
Extract:
An 8-year-old patient presents to his clinic, complaining of dizziness, headaches, and epistaxis. The nurse took the patient's vital signs and noticed that he had high blood pressure in his arms and bounding upper extremity pulses; however, when she proceeded to check his lower extremity pulses, they were weak, and his legs were pale and cool to touch.
Question 2 of 5
What does this patient present signs of?
Correct Answer: B
Rationale: Coarctation of the aorta causes narrowing of the aorta, leading to high blood pressure in the arms and weak pulses in the legs, with symptoms like dizziness, headaches, and epistaxis. A, C, and D do not typically present with this specific combination of findings.
Extract:
Clay diagnosed with heart failure
Question 3 of 5
Which of the following would Nurse Tony supposed to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?
Correct Answer: D
Rationale: Extreme bradycardia is a hallmark of digoxin toxicity due to its effect on the heart's electrical conduction. A, B, and C are less specific or secondary symptoms.
Extract:
A 4-month-old with a history of ventricular septal defect admitted for failure to thrive
Question 4 of 5
The nurse is caring for a 4-month-old with a history of ventricular septal defect. The infant is admitted for failure to thrive. What supportive measure would the nurse anticipate in an infant with congestive heart failure?
Correct Answer: A
Rationale: Increased caloric density of formula addresses the high caloric needs due to heart failure, supporting growth. B, C, and D are not primary interventions for failure to thrive.
Extract:
A pediatric patient with supraventricular tachycardia (SVT)
Question 5 of 5
Which of the following interventions is not recommended for a pediatric patient with supraventricular tachycardia (SVT)?
Correct Answer: A
Rationale: Cardioversion is not first-line for pediatric SVT, reserved for unstable cases. Vagal maneuvers, adenosine, and monitoring are standard interventions.