NR328 Pediatric Nursing - ATI
Learning System RN 3.0 Quiz
Answer KEY.
,1. A nurse in the emergency department is caring for a 2-year-old child who was found by his parents
crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is
drooling. Which of the following is the priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting framework when answering this item. This
framework emphasizes the basic core of human functioning: having an open airway, being able to breathe
in adequate amounts of oxygen, and circulating oxygen to the body's organs via the blood. An alteration in
any of these can indicate a threat to life, and is therefore the nurse’s priority concern. When applying the
ABC priority setting framework, airway is always the highest priority because the airway must be clear and
open for oxygen exchange to occur. Breathing is the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential in order for oxygen exchange to occur.
Circulation is the third highest priority in the ABC priority setting framework because delivery of oxygen to
critical organs only occurs if the heart and blood vessels are capable of efficiently carrying oxygen to them.
The nurse observes that the child’s lips are edematous and inflamed and that he is drooling. These findings
indicate that the child might have swelling of the oral cavity and pharynx, which can result in a
compromised airway.
2.A nurse is teaching a parent of a 12-month old child about development during the toddleryears.
Which of the following statements should the nurse include?
a. "Your child should be referring to himself using the appropriate pronoun by 18 months of
age."
b. "A toddler's interest in looking at pictures occurs at 20 months of age."
c. "A toddler should have daytime control of his bowel and bladder by 24 months of age."
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.
Volume (mL)/Time (min) = drop factor (gtt/mL) = X
100 mL/240 min x 60 gtt/mL = X gtt/min
X = 25
Learning System RN 3.0 Quiz
Answer KEY.
,1. A nurse in the emergency department is caring for a 2-year-old child who was found by his parents
crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is
drooling. Which of the following is the priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
Rationale: The nurse should apply the ABC priority-setting framework when answering this item. This
framework emphasizes the basic core of human functioning: having an open airway, being able to breathe
in adequate amounts of oxygen, and circulating oxygen to the body's organs via the blood. An alteration in
any of these can indicate a threat to life, and is therefore the nurse’s priority concern. When applying the
ABC priority setting framework, airway is always the highest priority because the airway must be clear and
open for oxygen exchange to occur. Breathing is the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential in order for oxygen exchange to occur.
Circulation is the third highest priority in the ABC priority setting framework because delivery of oxygen to
critical organs only occurs if the heart and blood vessels are capable of efficiently carrying oxygen to them.
The nurse observes that the child’s lips are edematous and inflamed and that he is drooling. These findings
indicate that the child might have swelling of the oral cavity and pharynx, which can result in a
compromised airway.
2.A nurse is teaching a parent of a 12-month old child about development during the toddleryears.
Which of the following statements should the nurse include?
a. "Your child should be referring to himself using the appropriate pronoun by 18 months of
age."
b. "A toddler's interest in looking at pictures occurs at 20 months of age."
c. "A toddler should have daytime control of his bowel and bladder by 24 months of age."
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.
Volume (mL)/Time (min) = drop factor (gtt/mL) = X
100 mL/240 min x 60 gtt/mL = X gtt/min
X = 25
