lOMoARcPSD|8981423
ATI Pediatric
Proctored Exam
Version-1
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, lOMoARcPSD|8981423
d. "Your child should be able to scribble spontaneously using a crayon at the age
of 15 months."
Rationale: The nurse should teach the parent that at the age of 15 months, the toddler should be
able to scribble spontaneously, and at the age of 18 months, the toddler should be able to make
strokes imitatively.
3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL
IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should
set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
Ratio and Proportion
STEP 1: What is the unit of measurement to calculate? gtt/min
STEP 2: What is the volume needed? 100 mL
STEP 3: What is the total infusion time? 4 hr
STEP 4: Should the nurse convert the units of measurement? Yes (min does not equal hr)
1 hr/60 min = 4 hr/X min
X = 240 min
STEP 5: Set up an equation and solve for X.
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, lOMoARcPSD|8981423
Volume (mL)/Time (min) = drop factor (gtt/mL) = X
100 mL/240 min x 60 gtt/mL = X gtt/min
X = 25
STEP 6: Round if necessary.
STEP 7: Reassess to determine whether the amount to administer makes sense. If the
prescription reads 100 ml of 0.9% sodium chloride IV to infuse over 4 hr, it makes
sense to administer 25 gtt/min. The nurse should set the manual IV infusion to
deliver0.9% sodium chloride IV at 25 gtt/min.
Dimensional Analysis
STEP 1: What is the unit of measurement to calculate? gtt/min
STEP 2: What is the volume needed? 100 mL
STEP 3: What is the total infusion time? 4 hr
STEP 4: Should the nurse convert the units of measurement? Yes (min does not equal hr)
STEP 5: Set up an equation and solve for X.
X = Quantity / 1 mL x Conversion (hr) / Conversion (min) x Volume (mL) / Time (hr)
X gtt/min = 60 gtt/1 mL x 1 hr/ 60 min x 100 mL/4 hr
X = 25
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, lOMoARcPSD|8981423
STEP 6: Round if necessary.
STEP 7: Reassess to determine whether the amount to administer makes sense. If the
prescription reads 100 ml of 0.9% sodium chloride IV to infuse over 4 hr, it makes
sense to administer 25 gtt/min. The nurse should set the manual IV infusion to deliver
0.9% sodium chloride IV at 25 gtt/min.
4. A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative.
Rationale: The nurse should initially minimize physical contact with the toddler, and then
progress from the least traumatic to the most traumatic procedures.
5. A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is
planning to attend college. The nurse should inform the client that he should receive which of
the following immunizations prior to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster
Rationale: The meningococcal polysaccharide immunization is used to prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection can cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain, and meningococcemia,
which affects the blood. Both of these conditions can be fatal. College freshmen, particularly
those who live in dormitories, are at an increased risk for meningococcal disease relative to
other
Downloaded by Martin Hussein
()
ATI Pediatric
Proctored Exam
Version-1
Downloaded by Martin Hussein
()
, lOMoARcPSD|8981423
d. "Your child should be able to scribble spontaneously using a crayon at the age
of 15 months."
Rationale: The nurse should teach the parent that at the age of 15 months, the toddler should be
able to scribble spontaneously, and at the age of 18 months, the toddler should be able to make
strokes imitatively.
3. A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride 100 mL
IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should
set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
Ratio and Proportion
STEP 1: What is the unit of measurement to calculate? gtt/min
STEP 2: What is the volume needed? 100 mL
STEP 3: What is the total infusion time? 4 hr
STEP 4: Should the nurse convert the units of measurement? Yes (min does not equal hr)
1 hr/60 min = 4 hr/X min
X = 240 min
STEP 5: Set up an equation and solve for X.
Downloaded by Martin Hussein
()
, lOMoARcPSD|8981423
Volume (mL)/Time (min) = drop factor (gtt/mL) = X
100 mL/240 min x 60 gtt/mL = X gtt/min
X = 25
STEP 6: Round if necessary.
STEP 7: Reassess to determine whether the amount to administer makes sense. If the
prescription reads 100 ml of 0.9% sodium chloride IV to infuse over 4 hr, it makes
sense to administer 25 gtt/min. The nurse should set the manual IV infusion to
deliver0.9% sodium chloride IV at 25 gtt/min.
Dimensional Analysis
STEP 1: What is the unit of measurement to calculate? gtt/min
STEP 2: What is the volume needed? 100 mL
STEP 3: What is the total infusion time? 4 hr
STEP 4: Should the nurse convert the units of measurement? Yes (min does not equal hr)
STEP 5: Set up an equation and solve for X.
X = Quantity / 1 mL x Conversion (hr) / Conversion (min) x Volume (mL) / Time (hr)
X gtt/min = 60 gtt/1 mL x 1 hr/ 60 min x 100 mL/4 hr
X = 25
Downloaded by Martin Hussein
()
, lOMoARcPSD|8981423
STEP 6: Round if necessary.
STEP 7: Reassess to determine whether the amount to administer makes sense. If the
prescription reads 100 ml of 0.9% sodium chloride IV to infuse over 4 hr, it makes
sense to administer 25 gtt/min. The nurse should set the manual IV infusion to deliver
0.9% sodium chloride IV at 25 gtt/min.
4. A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d. Stop the assessment if the child becomes uncooperative.
Rationale: The nurse should initially minimize physical contact with the toddler, and then
progress from the least traumatic to the most traumatic procedures.
5. A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is
planning to attend college. The nurse should inform the client that he should receive which of
the following immunizations prior to moving into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster
Rationale: The meningococcal polysaccharide immunization is used to prevent infection by
certain groups of meningococcal bacteria. Meningococcal infection can cause life-threatening
illnesses, such as meningococcal meningitis, which affects the brain, and meningococcemia,
which affects the blood. Both of these conditions can be fatal. College freshmen, particularly
those who live in dormitories, are at an increased risk for meningococcal disease relative to
other
Downloaded by Martin Hussein
()
