ATI PEDIATRIC PROCTORED EXAM TEST BANK WITH NGN

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55. You are the nurse caring for a 3-year-old, 33-pound child on digoxin. The safe dose rangefor digoxin is 20-40 mcg/kg/day. The order is for digoxin to be given IV every 12 hours, what is the maximum safe single dose thee child should receive? 1) 300 mcg 2) 600 mcg 3) 660 mcg 4) 1320 mcg 56. The emergency room nurse is caring for a patient with severe burns know that the priorityimmediate intervention is which of the following? 1) Cover the burns to prevent infection 2) Provide anti-inflammatory medication 3) Stop the burning process 4) Provide anti-cyanide medication 57. A nurse is performing education for the guardians of an HIV positive teen. Which statement indicates the need for further teaching? 1) “It is important for her to have normal growth and development.” 2) “Adherence to antiretroviral therapy is needed.” 3) “We will need to inform the school about her infection.” 4) “She should get her annual flu shot at the doctor’s office.” 58. To help the adolescent deal with diabetes, the nurse must consider which development characteristic of adolescence? 1) Desire to be unique 2) Preoccupation with the future 3) Need to be perfect and similar to peers 4) Need to make peers aware of the seriousness of hypoglycemic reactions 59. Congenital heart defects are classified as all of the following? (Select all that apply) 1) Mixed defects 2) Obstruction defects 3) Decreased pulmonary blood flow 4) Acquired defects 60. Sings of digoxin toxicity include of the following (Select all that apply): 1)Vomiting 2)Poor feeding 3) Constipation 4)Bradycardia 61. A child is admitted with possible coarctation of the aorta. The admitting nurse reviews theadmitting orders for the child and should question which of the following orders? 1) Regular diet appropriate for the age 2) Blood pressure of the upper and lower extremities every 4 hours 3) Monitor intake and output 4) Monitor vital signs upon admission and then daily 62. When should children with cognitive impairments be referred for stimulation and educational programs? 1) As young as possible 2) As soon as they have the ability to demonstrate verbal communication 3) At age 3 when schools are required to provide services 4) At age 5 when school are required to provide services 63. The nurse is educating parents of sickle cell patient regarding infection prevention. Which statement best indicates the parent understand the child’s risk for infection? 1) If the child has a fever, they need to stay home from school 2) Antibiotics should be administered sparingly to prevent resistant infections in this population 3) Children with sickle cell disease are at risk for infection due to impaired splenic function 4) If the child is showing signs of crisis, a cup of hot tea can prevent the red blood cells from clumping rapidly 64. A 7-year-old obese child was diagnosed at his 6-year primary care visit with idiopathic hypertension. The family was instructed to modify his diet and begin an exercise program to control the hypertension. At this visit, it was decided the child should begin a low dose of Lisinopril (Zestril) at 0.07 mg/kg/day. The child weighs 99 pounds. What is the correct dose for this child? 1) 70 mg/day 2) 30 mg/day 3) 6 mg/day 4) 3 mg/day

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