Question

A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 4 hr. Available is erythromycin ethylsuccinate 200 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) (mL)

Answer 1

Correct Answers:

20

Rationale :

📌Identify what is ordered:

800 mg every 4 hours

📌Identify what is available:

200 mg per 5 mL

📌Set up the proportion or use formula:

(Desired dose ÷ Available dose)×Volume=mL to administer

(800÷200)×5=4×5=20 mL

📌Final Answer:

20 mL

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Answer 2

Correct Answers:

Check the child’s daily weight.

Rationale :

⚖️ Daily weight monitoring is the priority intervention for a child with acute glomerulonephritis because it provides the most accurate indication of fluid retention or loss.

⚖️ This condition often leads to edema and hypertension due to decreased glomerular filtration, making fluid balance a central concern.

⚖️ Weight changes can precede visible signs of edema, so tracking weight daily helps identify fluid overload early and guide fluid and dietary management.

⚖️ While other interventions are important, detecting and managing fluid imbalance takes precedence due to the risk of complications like pulmonary edema or hypertension.

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Answer 3

Correct Answers:

Auscultating the rate and characteristics of the child's heart sounds

Rationale :

🫀 The top priority in a child with acute rheumatic fever (ARF) is cardiac assessment, particularly auscultating for murmurs, pericardial rubs, or signs of congestive heart failure, as carditis is the most serious and potentially life-threatening complication.

🫀 ARF can cause inflammation of the heart valves (especially the mitral and aortic valves), leading to rheumatic carditis, which may manifest as tachycardia, new or changing murmurs, gallops, or muffled heart sounds.

🫀 Prompt identification of cardiac involvement allows for early intervention, including anti-inflammatory treatment, antibiotics, and sometimes diuretics or cardiac monitoring.

🫀 The nurse’s immediate role post-admission is to identify any acute decompensation or signs of cardiac involvement to prevent serious complications.

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Answer 4

Correct Answers:

Shake the inhaler for 3 to 5 seconds.

Rationale :

🔄 Shaking the metered-dose inhaler (MDI) for 3 to 5 seconds before each use is critical to ensure that the medication and propellant are evenly mixed.

🔄 Without proper shaking, the client may receive an inaccurate dose, which reduces the effectiveness of the treatment and may fail to relieve bronchospasm.

🔄 This is especially important when using MDIs that deliver suspension-based medications, such as bronchodilators or corticosteroids.

🔄 This step should be repeated before each puff, even if more than one puff is prescribed, as the medication may settle quickly between doses.

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Answer 5

Correct Answers:

83

Rationale :

💠Total volume to be infused:

1,000 mL

💠Total time for infusion:

12 hours

💠Formula to calculate IV pump rate (mL/hr):

mL/hr=Total volume (mL)/Time (hr)

mL/hr=1000/12≈83.33

💠Round to the nearest whole number:

83 mL/hr

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Answer 6

Correct Answers:

A sibling who had a sore throat 3 weeks ago

Rationale :

🦠 Rheumatic fever is a delayed autoimmune response to an untreated or inadequately treated group A beta-hemolytic streptococcal (GABHS) pharyngitis, commonly known as strep throat.

🦠 If a sibling had a sore throat 3 weeks ago, it's highly likely the infection was streptococcal in origin and either spread to the child or the child had a subclinical infection that triggered an immune-mediated inflammatory response.

🦠 The typical onset of rheumatic fever symptoms is 2 to 4 weeks after the initial streptococcal infection, aligning with the timeline given in this scenario.

🦠 Prompt treatment of strep throat with appropriate antibiotics (e.g., penicillin) prevents rheumatic fever, but if missed, it can result in carditis, arthritis, chorea, and skin manifestations in children.

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Answer 7

Correct Answers:

"We will sit the child upright and forward and apply pressure to the sides of the nose."

Rationale :

👃 This response correctly describes evidence-based first aid for epistaxis (nosebleeds) in children. Sitting the child upright and leaning slightly forward prevents blood from flowing down the throat, which can lead to gagging, coughing, or aspiration.

👃 Applying firm pressure to the soft part of the nose (the nares) for at least 10 minutes compresses the bleeding vessels (usually in Kiesselbach’s plexus) and helps stop the bleeding.

👃 This position and technique are both safe and effective, and should be taught to parents and caregivers for managing recurrent nosebleeds at home.

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Answer 8

Correct Answers:

Encourage the parents to rock the infant.

Rationale :

🍼 After cleft lip repair, the priority is to protect the surgical site while promoting comfort and emotional security. Encouraging the parents to rock the infant is a therapeutic, non-invasive way to soothe the baby without putting pressure on the mouth or face.

🍼 Rocking provides emotional bonding, helps regulate the infant’s stress response, and can reduce crying, which is important because crying increases intraoral pressure, potentially compromising suture integrity.

🍼 Postoperative care should balance pain relief, emotional support, and protection of the surgical site, and gentle, comforting measures like rocking meet all these goals without physical interference.

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Answer 9

Correct Answers:

Position the child side-lying.

Rationale :

🛡️ Prevention of aspiration is the top priority during a seizure, especially when vomiting occurs. A side-lying position helps keep the airway clear by allowing secretions or vomit to drain from the mouth instead of being aspirated into the lungs.

🛡️ Maintaining airway patency is always the highest priority in seizure management, following the ABCs (Airway, Breathing, Circulation) of emergency response.

🛡️ The side-lying position also reduces the risk of tongue obstruction, which can occur if the child is supine and loses muscle control.

🛡️ This position protects the child from choking and enhances respiratory effectiveness, ensuring oxygenation during and after seizure activity.

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Answer 10

Correct Answers:

"Test the urine for ketones."

Rationale :

🧪 Illness increases the risk of diabetic ketoacidosis (DKA) due to stress hormones that raise blood glucose and increase ketone production; testing urine for ketones helps detect this early.

🧪 The ADA (American Diabetes Association) recommends ketone testing every 3–4 hours when a child with type 1 diabetes is sick, especially if glucose levels are >240 mg/dL or if the child has symptoms like nausea, vomiting, or abdominal pain.

🧪 Early identification of ketonuria can guide the need for additional insulin or medical attention, potentially preventing severe complications like coma.

🧪 Teaching the child and family this step empowers them with self-care skills essential during sick days, enhancing safety and avoiding unnecessary ER visits.

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RN ATI Paediatrics Nur 223G Final Exam

No.

1 :
A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 4 hr. Available is erythromycin ethylsuccinate 200 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) (mL)

2 :
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse’s priority?

3 :
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

4 :
A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?

5 :
A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

6 :
A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

7 :
A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?

8 :
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

9 :
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

10 :
A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?

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RN ATI Paediatrics Nur 223G Final Exam

No.

1 : A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 4 hr. Available is erythromycin ethylsuccinate 200 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) (mL)

2 : A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse’s priority?

3 : A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

4 : A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?

5 : A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

6 : A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

7 : A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?

8 : A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

9 : A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

10 : A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?

1 :
A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 4 hr. Available is erythromycin ethylsuccinate 200 mg/5mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) (mL)

2 :
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse’s priority?

3 :
A nurse is caring for an 8-year-old child who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission?

4 :
A nurse is providing discharge teaching to a client has a new prescription for a metered dose inhaler (MDI). Which of the following instructions should the nurse include in the teaching?

5 :
A nurse is preparing to administer 5% dextrose in 0.45% sodium chloride 1,000 mL IV to infuse over 12 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

6 :
A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?

7 :
A nurse is teaching the parents of a child with frequent nosebleeds how to care for the child. Which statement by the parents indicate that the parents have understood the teaching?

8 :
A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip. Which of the following actions should the nurse take?

9 :
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting. Which of the following actions is the nurse's priority?

10 :
A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?