ATI PEDIATRICS
PROCTORED EXAM AND RN
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EXAM WITH NGN LATEST
EXAM 2024 ACTUAL EXAM
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EXAM)
A nurse is preparing to administer ibuprofen f5 mg/kg q6h PRN for temps above 38 degrees F to an infant who weights 17.6 lb. The infant has a temp of 38.4. Available is ibuprofen liquid 100 mg/5 mL. How many mL should the nurse administer to the infant per dose? Round to nearest whole number. - CORRECT ANSWER-2 mL
Lumbar puncture nursing care - CORRECT ANSWER-apply topical analgesic to the lumbar site 60 min prior to procedure
-place in prone position or flat in bed for up to 12 hours to prevent post procedural spinal headache
-encourage to drink extra fluids to replace CSF
The physician orders the patient a 10-mL/kg normal saline bolus to infuse over 2 hours. The child weighs 36
kg. Calculate the infusion rate in mL/hr. - CORRECT ANSWER-180 mL/hr
plaster casts - CORRECT ANSWER--heavy
-not water resistant
-dry in 10-72 hrs
fiberglass casts - CORRECT ANSWER--light weight
-water resistant
-dry in 15-20 min
types of traction - CORRECT ANSWER-Skin traction:
-Buck
-Bryant
-Russell
Skeletal traction
Halo traction
-cervical traction
care for traction - CORRECT ANSWER--assess pin sites
-ensure hardware is tight
-ensure bed is in correct position
-ensure weights do not touch floor
Halo: ensure wrench is readily available
surgical intervention for scoliosis - CORRECT ANSWER-realign (2 rods on either side of spine)
-internal fixation
-fusion
The child is prescribed lanoxin (Digoxin) 75 mcg PO qd. The pharmacy supplies lanoxin (Digoxin) 0.05mg scored tablets. How many tablets will the nurse administer?
Record your answer using one decimal place. - CORRECT ANSWER-1.5 tablets
What happens to the voice during epiglottitis? - CORRECT ANSWER-it becomes hoarse
hand preference - CORRECT ANSWER-all kids normally show hand preference by 1 year old
Leukotreine modifiers - CORRECT ANSWER--Blocks leukotriene receptors or synthesis of leukotrienes (Singulair)
-Side effects: headache, nausea, abdominal pain, increase infections if over age 55, depression, suicidal, aggression
-Generally well tolerated.
-Monitor for improvement in symptoms
Cromolyn (Intal) and nedocomil (Tilade) - CORRECT ANSWER--Anti-inflammatory agents that inhibit release of histamine, leukotrienes,
-Prevention or maintenance drugs
-Administered by inhalation, onset of action in 2-4 weeks
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