ATI Pediatrics Exam 6 2024

A nurse is converting an infant's weight in lb and oz to kg. The infant weighs 9 lb 4 oz. What is the infant's weight in kg? (Round to the nearest tenth.) - 4.2 kg Rationale: 1. 9 lb 4 oz = 9 + (4/16) lb = 9.25 lb 2. 9.25/2.2 = x 3. x = 4.204545 kg 4. x = 4.2 kg (rounded) A nurse is preparing to administer immunizations to a preschooler. Which of the following actions should the nurse take? A. Request the preschooler's parent leave the room during the injections. B. Tell the preschooler that the injections are not going to hurt. C. Tell the preschooler to remain quiet during the injections. D. Have the preschooler blow bubbles during the injections. - D. Have the preschooler blow bubbles during the injections. Rationale: A. The nurse should allow the preschooler's parents to stay with the preschooler during injections to decrease the child's anxiety and pain. The parent should reassure the preschooler by speaking softly and remaining close. B. The nurse should not tell the preschooler that the injections will not hurt. The nurse should tell the preschooler what the injections might feel like using non-pain descriptors, such as hot or sharp. C. The nurse should encourage the preschooler to verbalize pain during the injections. The nurse should tell the child to concentrate on yelling at a volume that corresponds with the level of pain they are feeling. D. The nurse should use distraction as a nonpharmacological pain management technique for a preschooler. The nurse should have the preschooler blow bubbles during the injections. A nurse is preparing to administer 0.9% sodium chloride (0.9% NaCl) 15 mL/kg IV to infuse over 8 hours to a school-age kid who weighs 22 kg. The nurse should set the IV pump to deliver how many mL/hour? (Round to the nearest whole number.) - 41 mL/hour Rationale: 1. (15 mL/kg) x (22 kg) = 330 mL 2. 330 mL/8 hours = x 3. x = 41.25 mL/hour 4. x = 41 mL/hour (rounded) A charge nurse is reviewing techniques for the safe administration of medications to children with a newly licensed nurse. Which of the following statements should the nurse make? A. "Confirm chemotherapy medication dosages using a body surface area nomogram." B. "Ask preschoolers their name to confirm their identity prior to administering medication." C. "Calculate medication dosages based on a child's age, not their weight." D. "Use paper cups to administer liquid dosages of medications." - A. "Confirm chemotherapy medication dosages using a body surface area nomogram." Rationale: A. The nurse should use a nomogram to calculate a child's body surface area prior to administering high risk medications, such as chemotherapy, to ensure safe administration of medication. B. The nurse should ask the parent or guardian of a preschooler to confirm the child's identity prior to administering medications. A preschooler might inadvertently provide the wrong name when asked. C. The nurse should calculate medication dosages based on a child's weight, not their age, due to differences in size of children of the same age. D. The nurse should use plastic cups to administer medications to children. Paper cups should not be used for administering liquid medications, because they are not sturdy and can collapse. A nurse is converting a preschool-age child's weight in lb to kg. The preschool-age child weighs 44 lb. How many kg does the child weigh? - 20 kg Rationale: 1. 44/2.2 = x 2. x = 20 kg A nurse is preparing to administer D5W 7 mL/kg to infuse over 6 hours to a toddler who weighs 11 kg. The nurse should set the IV pump to deliver how many mL/hour? (Round to the nearest whole number.) - 13 mL/hour Rationale: 1. (7 mL/kg) x (11 kg) = 77 mL 2. 77 mL/6 hours = x 3. x = 12.833333 mL/hour 4. x = 13 mL/hour (rounded)