ATI RN Pediatric Nursing 2023 | Nurselytic

Questions 54

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ATI RN Pediatric Nursing 2023 Questions

Extract:

A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube.


Question 1 of 5

Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: A. Checking the pH of the gastric secretions is the priority action to confirm the correct placement of the NG tube in the stomach before administering the enteral feeding. B, C, D. These actions follow confirmation of tube placement.

Extract:

A nurse is assessing a 6-month-old infant who has respiratory syncytial virus.


Question 2 of 5

The nurse should immediately report which of the following findings to the provider?

Correct Answer: D

Rationale: D. Tachypnea (rapid breathing) in an infant with RSV is a concerning sign that may indicate respiratory distress and requires immediate reporting to the provider to prevent worsening respiratory failure. A. Rhinorrhea (runny nose) is a common symptom of RSV and not immediately alarming unless accompanied by other severe symptoms. B. Pharyngitis (sore throat) is less specific in infants with RSV and not typically a priority for reporting. C. Coughing is expected with RSV and does not warrant immediate reporting unless it severely impacts breathing.

Extract:

A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb. Available is diphenhydramine 50 mg/mL.


Question 3 of 5

How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 0.6

Rationale: First, convert the child's weight from pounds to kilograms: 55 ÷ 2.2 = 25 kg. Next, calculate the dose: 1.25 mg/kg × 25 kg = 31.25 mg.
Then, determine the volume: 31.25 mg ÷ 50 mg/mL = 0.625 mL. Round to the nearest tenth: 0.625 rounds to 0.6 mL.

Extract:

A nurse is providing teaching to the parents of a child who has impetigo.


Question 4 of 5

Which of the following instructions should the nurse include in the teaching?

Correct Answer: A

Rationale: A. Applying bactericidal ointment to lesions helps treat impetigo by killing the bacteria causing the infection. B. Acyclovir is for viral infections. C, D. These are not necessary for impetigo treatment.

Extract:

A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin.


Question 5 of 5

Which of the following laboratory values should the nurse report to the provider?

Correct Answer: A

Rationale: A. An elevated creatinine level may indicate kidney dysfunction, a potential adverse effect of gentamicin therapy. B, C, D. These values are within normal ranges.

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