ATI Practice Assessment

A nurse is preparing to administer acetaminophen 10mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120mg/ 5mL. How many mL should the nurse administer? (Round the answer to the nearest tenth).

5.3 mL

A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/ 5 mL. How many mL should the nurse administer? (Round to the nearest whole number).

7

A nurse is caring for a 4 year old who has croup and wet the bed overnight. When the parents visit the next day, the nurse explains the situation and one of the parents says, "She never wet the bed at home." I am so embarrassed. "Which of the following responses should the nurse make? a. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." b. I know this can be embarrassing. It have kids myself, so I understand, and it doesn't bother me." c. "Your child did not seem upset, so I wouldn't worry about it if I were you." d. "Why does it bother you that your child has wet the bed?"

A

A nurse is caring for a child who is admitted with suspected acute appendicitis. Which of the following manifestations should indicate to the nurse that the child's appendix is perforated? a. sudden decrease in abdominal pain b. absent Rovsing's sign c. flaccid abdomen d. low-grade fever

A

A nurse is caring for a newborn who mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother? a. placing your child on her back when sleeping will decrease the risk of SIDs b. SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines c. SIDS rates have been rising over the last 10 years d. Sleep apnea is the main cause of SIDS

A

A nurse is instructing the caregiver of a toddler who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment. Which of the following instructions should the nurse provide? a. apply the ointment in a thin line into the conjunctival sac b. ask the child to look down before applying the ointment c. always wipe from the outer to the inner canthus when wiping away secretions d. use a sterile glove and applicator to apply the antibiotic ointment

A

A nurse is providing teaching to a parent of a child who has Hirshsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching? a. I'm glad that my child's ostomy is only temporary b. I'm glad my child will have normal bowel movements now c. I want to learn how to use my child's feeding tube as soon as possible d. I want to learn how to empty my child's urinary catheter bag

A

A nurse at a pediatrician's office is contacted by a parent whose child just ingested half of a bottle of vitamins with added ferrous sulfate. Which of the following instructions should the nurse provide to the parent? a. provide high carbohydrate meal b. give the child syrup of ipecac c. contact poison control center d. bring the child to the office for rapid infusion of deferoxamine

C

A nurse is obtaining vital signs from 2 month old infant. The infant's heart rate is 190/min and his temperature is 40C (104F). The father asks why the infant's heart is beating so fast. Which of the following responses by the nurse is appropriate? a. "This is within the expected range for the baby." b. "the fever is causing an increase in your baby's heart rate." c. "as your baby begins to fall asleep, his heart rate will decrease" d. "your baby's heart is beating fast in an attempt to cool down his body."

B

A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes. Which of the following statements by the parents indicates an understanding of the teaching? a. the onset of low blood glucose usually occurs slowly b. my son might complain of feeling shaky when he has a low blood glucose level c. sweating can occur with hyperglycemia d. my son might have nausea and vomiting with hypoglycemia

B

A nurse is providing teaching to an adolescent who has type 1 diabetes. Which of the following should the nurse include in the teaching? a. administer glucagon for hyperglycemia b. obtain influenza vaccine annually c. inject insulin into the deltoid muscle d. take glyburide with breakfast

B

A nurse is teaching a parent of an infant who has HF about meeting the infant's nutritional needs. Which of the following statements indicates understanding of teaching? a. "I will feed my baby on a schedule every 4 hrs" b. "I will add Polycose to each of my baby's bottles" c. "I will allow my baby to take as much time as needed to finish bottle" d. "I will limit my babies crying to 15 mins prior to each feeding:

B

A nurse is teaching a school-age child who has type diabetes and his parents about illness management, Which of the following instructions should the nurse include? a. withhold insulin dose if feeling nauseous b. notify the provider if blood glucose levels are over 350 mg/dL c. test the urine for ketones d. limit fluid intake during meal time

C

A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect? a. dry stick mucus membranes b. polyuria c. negative Chvstek's sign d. muscle tremors

D

A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect? a. weight loss b. increased urine output c. bradycardia d. orthopnea

D

A nurse is teaching an assistive personnel to measure a newborn's respiratory rate. Which of the following statements indicates an understanding of why the respiratory rate should be counted for a complete minute? a. Newborns are abdominal breathers b. Newborns do not expand their lungs fully with each respiration c. Activity will increase the respiratory rate. d. The rate and rhythm of breath are irregular in newborns

D

The nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence.

Trust vs. Mistrust Autonomy vs. shame and doubt Initiative vs. guilt Industry vs. inferiority Identity vs. role confusion

A nurse is admitting a 6 month who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid balance? a. 0.5 ml/kg/hr b. 2 ml/kg/hr c. 7.5 ml/kg/hr d. 15 ml/kg/hr

b

A nurse teaching the parents of a 10 month old infant about home safety. Which of the following information should the nurse include in the teaching? (SATA) serve food in small, non circular shapes tie plastic bags in knots before discarding them install accordion style gates set the water heater to 65.6 C (150F) fit the mattress so that is snug against the sides of the crib

serve food in small, non circular shapes tie plastic bags in knots before discarding them install accordion style gates fit the mattress so that is snug against the sides of the crib

the nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? SATA the reason why the child is taking the medication written information about the medication stop taking the medication when the child feels better the adverse effects of the medication using a kitchen spoon to administer the medication

the reason why the child is taking the medication written information about the medication the adverse effects of the medication