ATI PEDIATRIC PRACTICE B REVISED QUESTIONS AND ANSWERS GRADED A +

13. A nurse is reviewing the laboratory values of a school-age child who has iron deficiency anemia. Which of the following findings should the nurse expect? a) Hgb 9.0 g/dL (The nurse should expect a child who has iron deficiency anemia to have an Hgb level below the expected reference range of 9.5 to 15.5 g/dL. An Hgb of 9.0 g/dL is below the expected reference range.) b) Hct 37% c) Iron 100 mcg/dL d) Total iron binding capacity 325 mcg/dL 14. A nurse is reinforcing teaching about vital signs with the guardian of a 1-year-old toddler. Which of the following statements by the guardian indicates an understanding of the teaching? a) "My child's pulse could increase to 150 beats a minute with activity.” (A pulse rate of 150/min is within the expected reference range for a toddler during physical activity.) b) "My child's temperature should be 96.8 degrees Fahrenheit." c) "My child should take 40 breaths a minute." d) "My child's pulse could get as low as 60 beats a minute while asleep." 15. A nurse is caring for an adolescent who has acne and anew prescription for isotretinoin. For which of the following adverse effects should the nurse monitor? a) Hypersalivation b) Depression (Clients taking isotretinoin can experience mental status changes, such as suicidal thoughts, aggression, emotional lability, and depression. The nurse should monitor the adolescent's mental status while taking isotretinoin.) c) Bradycardia d) Hyperreflexia 16. A nurse is reinforcing teaching about interventions for mild hypoglycemia with the parent of a child who has diabetes mellitus. Which of the following statements by the parent indicates that the teaching has been effective? a) "I should administer a glucagon injection to my child." b) "I should give my child 5 grams of a simple carbohydrate." c) "I should give my child 4 ounces of orange juice followed by cheese and crackers." (The parent should treat mild hypoglycemia with 10 to 15 g of a simple carbohydrate, such as 4 oz. of orange juice, and follow it with a starch-protein snack.) d) "I should give my child a snack that is 10 percent of his daily caloric intake." 17. A nurse is collecting data from a 10-month-old infant. Which of the following findings should the nurse report to the provider? a) Pulls self to standing position b) Moves by creeping on hands and knees c) Takes intentional steps when standing d) Sits with support by leaning on hands (The nurse should identify that sitting with support can indicate a developmental delay, because an infant should be able to sit unsupported by 8 months of age. Therefore, the nurse should report this finding to the provider.) 18. A nurse is preparing to administer phenobarbital to a toddler who has a seizure disorder and weights 10 kg (22 lb). The prescription reads phenobarbital sodium 2.5 mg/kg PO BID. Available is phenobarbital 20 mg/5 mL. How many mL should the nurse administer with each dose? (Round to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero Ratio and Proportion 6.26 mL Step 1: What is the unit of measurement the nurse should calculate? mL Step 2: What is the dose the nurse should administer? Dose to administer = Desired 2.5 mg/kg = 2.5 x 10 = 25 mg Step 3: What is the dose available? Dose available = Have 20 mg Step 4: Should the nurse convert the units of measurement? No Step 5: What is the quantity of the dose available? 5 mL Step 6: Set up an equation and solve for X. Have/Quantity = Desired/X 20 mg/5 mL = 25 mg/X mL X = 6.25