Pediatric ATI Practice Questions

Pediatric ATI Practice Questions Related

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A child is being treated for dehydration with intravenous fluids. The child currently weighs 13 kg and is estimated to have lost 7% of his normal body weight. The nurse is double-checking the IV rate the healthcare provider prescribed. The formula the healthcare provider used was for maintenance fluids: 1000 mL for 10 kg of body weight plus 50 mL for every kilogram over 10 for 24 hours. Replacement fluid is the percentage of lost body weight × 10 per kg of body weight. According to the calculation for maintenance plus replacement fluid, which hourly IV rate will the nurse implement for 24 hours?

  • A. 88 mL/hr
  • B. 86 mL/hr
  • C. 81 mL/hr
  • D. 83 mL/hr
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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A 5-year-old child, recently diagnosed with ileocecal Burkitt lymphoma; lab investigations reveal: serum uric acid 12 mg/dl, serum sodium, 145 meq/dl; serum potassium, 4.5 meq/dl; serum phosphate 4.4 meq/dl; serum calcium, 8.9 mg/dl; blood urea, 22 mg/dl; serum creatinine, 0.8 mg/dl. Of the following, the MOST effective treatment is

  • A. excessive hydration
  • B. sodium bicarbonate
  • C. xanthine oxidase inhibitor
  • D. recombinant urate oxidase
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

During a well-child visit, a nurse is assessing a three-year-old toddler. Which of the following manifestations should the nurse report to the provider?

  • A. Blood pressure 90/50
  • B. Respiratory rate 45/min
  • C. Weight 14.5 kg or 32 lb
  • D. Heart rate 110/min
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The healthcare provider is planning care for a patient receiving morphine sulfate via a patient-controlled analgesia pump. Which intervention may be required due to a potential adverse effect of this drug?

  • A. Administering a cough suppressant
  • B. Inserting a Foley catheter
  • C. Administering an anti-diarrheal
  • D. Monitoring urinary output
Correct Answer: B

Rationale: Morphine can lead to urinary retention and urinary hesitancy. If a patient shows signs of bladder distention or inability to void, the healthcare provider should be notified, and urinary catheterization may be necessary. Administering a cough suppressant or an anti-diarrheal is not typically required to address adverse effects of morphine. Liver function tests (LFTs) are not directly related to the potential adverse effects of morphine on the urinary system.

A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is

  • A. refer her to an obstetrician
  • B. explain the way of milk expression
  • C. apply Edinburgh postnatal depression scale
  • D. advise her on milk engorgement
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A four-year-old patient, whose family follows a strict vegetarian diet, undergoes a prekindergarten physical examination. The pediatric nurse is alert to the patient's potential deficiency of:

  • A. niacin.
  • B. thiamin.
  • C. vitamin B6.
  • D. vitamin B12.
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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