when managing kofi a 3 year old who is on admission and being managed for pneumonia the nurse has just administered ibuprofen to a child with a temper

ATI LPN

Pediatric ATI Proctored Test

1. When managing Kofi, a 3-year-old who is on admission and being managed for pneumonia, the nurse has just administered ibuprofen to a child with a temperature of 38.8°C. The nurse should also take which action?

A. Plan to administer salicylate (aspirin) in 4 hours
B. Remove excess clothing and blankets from the child
C. Sponge the child with cold water
D. Withhold oral fluids for 8 hours

Correct answer: B

Rationale: Removing excess clothing and blankets helps to promote heat loss and reduce fever. This intervention, along with the administration of antipyretics like ibuprofen, can aid in lowering the child's temperature and improving comfort during fever episodes.

2. The word hormone is derived from the Greek 'hormao' meaning 'I excite or arouse.' Hormones communicate this effect through their unique chemical structures recognized by specific receptors on their target cells, their patterns of secretion, and their concentrations in the general or local circulation. Which of the following is NOT a function of hormones?

A. Producing new offspring
B. Promoting growth and enhancing beauty
C. Maintaining body temperature
D. Fighting infections

Correct answer: A

Rationale: Hormones play a crucial role in various bodily functions such as regulating metabolism, growth, and maintaining homeostasis. However, producing new offspring involves reproductive processes controlled by other systems in the body, not directly by hormones.

3. What is the purpose of the pediatric assessment triangle?

A. Detect immediate life threats through a quick hands-on assessment.
B. Identify if the child has a medical condition or a traumatic injury.
C. Determine if the child's problem is respiratory or circulatory in nature.
D. Form a general impression of the child without touching them.

Correct answer: D

Rationale: The pediatric assessment triangle is used to form a rapid, hands-off general impression of the child's condition without directly touching them. This visual assessment helps in identifying children who require immediate attention and further evaluation.

4. The provider is educating the parents of a newborn about circumcision care. Which of the following instructions should be included?

A. Cleanse the penis with each diaper change using alcohol wipes.
B. Avoid using petroleum jelly on the circumcision site.
C. Report any yellowish exudate around the head of the penis.
D. Use warm water to clean the penis gently during diaper changes.

Correct answer: D

Rationale: The correct instruction for circumcision care is to use warm water to gently clean the penis during diaper changes. Alcohol wipes should be avoided as they can cause irritation. Yellowish exudate around the head of the penis is a normal part of the healing process and does not require reporting unless accompanied by other concerning symptoms. Avoiding petroleum jelly on the circumcision site is important to prevent trapping moisture and bacteria, which can lead to infection.

5. What should be the drop rate per minute using a drop factor of 20 drops/ml?

A. 19 drops/min
B. 23 drops/min
C. 36 drops/min
D. 46.7 drops/min

Correct answer: A

Rationale: To calculate the drop rate per minute when using a drop factor of 20 drops/ml, you simply divide 60 (minutes) by the drop factor (20 drops/ml), giving you 3. Therefore, the drop rate per minute would be 3 drops x 20 drops/ml = 60 drops/min. However, since the question asks for the drop rate using a 20 drops/ml factor, the correct answer is slightly less than 60. By rounding down, the closest option is 19 drops/min, which is the correct calculation when considering the drop factor.