ATI RN
ATI Nur 307 Pediatrics Final Exam Questions
Extract:
A child admitted with cystic fibrosis has sodium 128 mg/dL, blood glucose 268 g/dL, potassium 4.2 mq/L, oxygen saturation 88% on 2 L/min.
Question 1 of 5
Which of the following statements by the nurse is accurate about how these values relate to cystic fibrosis?
Correct Answer: D
Rationale: Cystic fibrosis causes sodium and water imbalances, leading to hyponatremia due to thickened mucus and electrolyte loss.
Extract:
Question 2 of 5
Which behaviors by the nurse indicate a therapeutic relationship with children and families? Select all that apply.
Correct Answer: B,C,E
Rationale: Engaging families, clarifying information, and respecting religious preferences foster therapeutic relationships.
Extract:
A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb.
Question 3 of 5
How many mL should the nurse administer? (Acetaminophen 120 mg/5 mL)
Correct Answer: 5.3
Rationale: For a 12.7 kg child, 127 mg is needed; (127 mg / 120 mg) * 5 mL = 5.3 mL.
Extract:
Child with Acute Lymphoblastic Leukemia, no bowel movement for 5 days, temperature 38.8°C, central line site erythematous with purulent drainage.
Question 4 of 5
Highlight findings in the medical record that require follow-up.
Correct Answer: A,B,C
Rationale: Constipation, fever, and central line infection signs require urgent follow-up.
Extract:
Infant with Tetralogy of Fallot, pale, tachypneic during feeding, cyanosis during blood draw, nasal flaring.
Question 5 of 5
Which of the following actions should the nurse plan to take? Select 3 actions.
Correct Answer: A,C,G
Rationale: Morphine reduces agitation, knee-chest position improves oxygenation, and oxygen maximizes available oxygen during a hypercyanotic spell.