ATI RN
ATINur2708 Pediatrics Final Exam Questions
Extract:
Child in skeletal traction.
Question 1 of 5
Which of the following actions should the nurse take when caring for a child in skeletal traction?
Correct Answer: E,F,G
Rationale: E: Neurovascular assessments detect complications like compartment syndrome. F: Monitoring for infection is critical at the traction site. G: Pain medication ensures comfort, supporting recovery.
Extract:
Child with systemic lupus erythematosus (SLE).
Question 2 of 5
Which of the following interventions is appropriate for a child with systemic lupus erythematosus (SLE)?
Correct Answer: B
Rationale: B: Regular physical activity supports joint function and overall health in SLE, while avoiding overexertion.
Extract:
5-year-old child with meningitis.
Question 3 of 5
A nurse is caring for a 5 year old child with meningitis. Which of the following signs or symptoms may indicate increased intracranial pressure in this child?
Correct Answer: C
Rationale: C: Headache and vomiting are classic signs of increased intracranial pressure in a 5-year-old with meningitis.
Extract:
Infant being treated for hydrocephalus with a ventriculoperitoneal (VP) shunt.
Question 4 of 5
The nurse provides education to the parent of an infant being treated for hydrocephalus with a ventriculoperitoneal (VP) shunt. Which statement by the parent indicates the need for further instruction?
Correct Answer: B
Rationale: B: Stating the shunt is the only surgery needed is incorrect, as revisions or replacements may be required, indicating a need for further teaching.
Extract:
Infant weighing 22 pounds, diagnosed with congestive heart failure, prescribed digoxin 5 micrograms/kg/day in 2 divided doses.
Question 5 of 5
A nurse is providing care to an infant diagnosed with congestive heart failure. The health care provider has prescribed digoxin 5 micrograms/kg/day in 2 divided doses. The infant weighs 22 pounds. How many micrograms of digoxin should the nurse administer in each dose? Round your answer to 1 decimal place
Correct Answer: A
Rationale: Weight: 22 lb x 0.453592 = 9.979 kg.
Total dose: 9.979 kg x 5 mcg/kg = 49.895 mcg/day. Each dose: 49.895/ 2 = 24.9475 mcg, rounded to 24.9 mcg. Correct answer: A (24.9 mcg).