Questions 66

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ATI RN Pediatrics Nursing 2023 I Questions

Extract:

A nurse is reviewing the laboratory results of a school-age child who has glomerulonephritis.


Question 1 of 5

Which of the following laboratory findings should the nurse expect?

Correct Answer: A

Rationale: Mild hematuria is a hallmark of glomerulonephritis due to glomerular damage.

Extract:

A nurse is assessing a school-age child prior to administering digoxin.


Question 2 of 5

For which of the following findings should the nurse withhold the medication?

Correct Answer: C

Rationale: Heart rate of 64/min is below the threshold (70 bpm for children) for digoxin administration due to risk of bradycardia. Other findings are not contraindications.

Extract:

A nurse is caring for an infant who has otitis media and is to receive amoxicillin 30 mg/kg/day in divided doses every 12 hr. The child weighs 13 lb.


Question 3 of 5

How many mg should the nurse administer? (Round the answer to the nearest whole number.)

Correct Answer: B

Rationale: Weight 13 lb ÷ 2.2 = 5.91 kg; 30 mg/kg/day × 5.91 = 177.3 mg/day; 177.3 ÷ 2 = 88.65 mg/dose, rounded to 89 mg.

Extract:

Provider Prescriptions: Pancrelipase 8,000 units PO with each meal and snack, Chest physiotherapy three times daily; Diagnostic Results: HbA1c 8.5% (4% to 5.9%), Hgb 13.5 mg/dL (10 to 15.5 g/dL), Hct 39% (32% to 44%), WBC count 9,600/mm3 (5,000 to 10,000/mm3)


Question 4 of 5

A nurse is reviewing the medical record of a school-age child who has cystic fibrosis. Which of the following findings should the nurse report to the provider?

Correct Answer: B

Rationale: HbA1c of 8.5% is elevated, indicating poor glycemic control and possible cystic fibrosis-related diabetes, requiring provider attention. Heart rate and oxygen saturation data are absent, and WBC count is normal.

Extract:

A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus about managing diabetes during illness.


Question 5 of 5

Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer: B

Rationale: Increasing fluids prevents dehydration during illness, showing understanding.

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