ATI RN
ATI Nurs 150 Pediatric Final Exam 0924 Cohort Questions
Extract:
A 5-year-old child who has sickle cell anemia with joint pain, low-grade fever, recent upper respiratory infection, chest pain, nasal flaring, retractions, and wheezes
Question 1 of 5
Which of the following assessment findings require additional action by the nurse?
Correct Answer: A,B,C
Rationale: Chest pain, respiratory distress (nasal flaring, retractions), and wheezes suggest complications like acute chest syndrome, requiring immediate action.
Extract:
A toddler who weighs 20 kg receiving amoxicillin 100 mg PO every 8 hr
Question 2 of 5
A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?
Correct Answer: B
Rationale: The prescribed 300 mg/day (100 mg x 3) is below the recommended 400-500 mg/day for a 20 kg toddler, indicating the dose is insufficient.
Extract:
A 10-month-old infant
Question 3 of 5
Autism is a complex developmental disorder. The diagnostic criteria for autism include delayed or abnormal developmental function. Which of the following behaviors would be a concerning sign in 10-month-old infant?
Correct Answer: B
Rationale: Inability to maintain eye contact is concerning for autism, as it indicates social interaction difficulties. Pulling to stand is normal, parallel play is expected later, and low growth percentile is not specific to autism.
Extract:
A child who has otitis media
Question 4 of 5
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?
Correct Answer: C
Rationale: Erythema and edema are typical signs of otitis media inflammation. Tugging and pain are symptoms, and clear drainage suggests another condition.
Extract:
A preschooler receiving a vaccine into the deltoid muscle
Question 5 of 5
A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A 1.8 mm needle is appropriate for pediatric deltoid injections to avoid deep penetration. A 15° angle is for intradermal injections, the needle should be inserted 2-3 finger widths below the acromion, and a smaller gauge (22-23) is preferred to reduce discomfort.