ATI RN
Nursing Care of Children Final ATI
1. The nurse is planning care for a hospitalized preschool-aged child. Which should the nurse plan to ensure atraumatic care?
- A. Limit explanation of procedures because the child is preschool-aged
- B. Ask that all family members leave the room when performing procedures
- C. Allow the child to choose the type of juice to drink with the administration of oral medications
- D. Explain that EMLA cream cannot be used for the morning lab draw because there is not time for it to be effective
Correct answer: C
Rationale: Allowing the child to make choices, such as selecting the type of juice, helps to maintain a sense of control and reduce anxiety, ensuring atraumatic care.
2. A parent brings their 4-year-old child for a check-up. Which finding would concern the nurse?
- A. Ectomorphic body type
- B. Resting pulse rate of 120
- C. Weight gain of 5 lb (2.27 kg) in the past year
- D. No increase in appetite compared with that in toddler years
Correct answer: B
Rationale: A resting pulse rate of 120 is elevated for a 4-year-old and may indicate an underlying issue that needs further investigation. An ectomorphic body type is a body shape and not typically a cause for concern. Weight gain within normal limits and no significant change in appetite are generally positive findings in a growing child.
3. An infant is brought to the emergency department with the following clinical manifestations: poor skin turgor, weight loss, lethargy, tachycardia, and tachypnea. This is suggestive of which situation?
- A. Water excess
- B. Sodium excess
- C. Water depletion
- D. Potassium excess
Correct answer: C
Rationale: These symptoms are indicative of dehydration or water depletion, which is common in infants and can rapidly lead to severe consequences if not addressed promptly.
4. The school nurse suspects a testicular torsion in a young adolescent student. What action should the nurse take?
- A. Place a warm moist pack on the scrotal area.
- B. Instruct the adolescent to lie down and elevate the legs.
- C. Refer the adolescent for immediate medical evaluation.
- D. Suggest that the adolescent wear a scrotum-protecting guard.
Correct answer: C
Rationale: Testicular torsion is a surgical emergency requiring immediate medical evaluation. Applying heat or elevating the legs will not alleviate the torsion, and delaying care can lead to testicular necrosis.
5. A child who weighs 10 kg is to receive Motrin 8 mg/kg po q4h prn for pain. The label reads 100 mg/5 mL. How much will you administer?
- A. 4 mL
- B. 2 mL
- C. 5 mL
- D. 3 mL
Correct answer: A
Rationale: To calculate the dosage, multiply the child's weight (10 kg) by the dosage (8 mg/kg) which equals 80 mg. Since the concentration is 100 mg/5 mL, to find out how much to administer, you need to determine how many 5 mL doses are in 80 mg. It will be 80 mg ÷ 100 mg * 5 mL = 4 mL. Therefore, the correct answer is 4 mL. Choice B, 2 mL, is incorrect because it does not account for the correct dosage calculation. Choice C, 5 mL, is incorrect as it does not consider the dosage based on the child's weight. Choice D, 3 mL, is incorrect as it does not reflect the accurate dosage calculation.
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