ATI RN
ATI Nurs 307 Pediatrics Quiz Questions
Extract:
An infant with tetralogy of Fallot having a hypercyanotic episode ('tet' spell).
Question 1 of 5
Which nursing interventions are appropriate for the nurse to implement for this infant? (Select all that apply.)
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E.
A: Placing the child in knee-chest position helps relieve pressure on the abdomen and can alleviate symptoms of certain conditions like intussusception.
B: Administering morphine intravenously as ordered is important for pain management in certain conditions like intussusception.
E: Administering oxygen is essential for infants experiencing respiratory distress.
Incorrect options:
C: Drawing blood for a serum hemoglobin, while important for assessing anemia, is not directly related to the immediate care needs of the infant in this scenario.
D: Administering Benadryl as ordered is not indicated for the conditions mentioned in the question.
Extract:
A 15-month-old toddler receiving the first measles, mumps, and rubella (MMR) immunization.
Question 2 of 5
Which of the following findings is a contraindication for this immunization?
Correct Answer: D
Rationale: The correct answer is D. A child with a congenital immunodeficiency should not receive certain immunizations due to the risk of exacerbating their condition. This is because their immune system may not be able to respond appropriately to the vaccine, leading to potential complications.
A: Taking antibiotics for otitis media is not a contraindication for immunization.
B: Having a cough and a low-grade fever is not a contraindication for immunization.
C: A slightly elevated temperature after the last set of immunizations is not a contraindication for future immunization.
Summary:
Choice D is the correct answer as it directly impacts the child's ability to safely receive immunizations.
Choices A, B, and C do not pose significant risks to receiving immunizations.
Extract:
Administering vaccines at a county health immunization clinic.
Question 3 of 5
Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?
Correct Answer: D
Rationale: The correct answer is D, an 11-year-old school-age child. The MCV4 vaccine is recommended for children aged 11-12 years. At this age, they are at increased risk of meningococcal disease due to social interactions. Administering the vaccine helps protect them during this vulnerable period.
Choices A, B, and C are incorrect as they are not within the recommended age group for MCV4 vaccination. Option A, a 2-year-old toddler, should receive the MenACWY vaccine, not MCV4. Option B, a 4-month-old infant, is too young for MCV4 and should receive MenB vaccine instead. Option C, a 4-year-old child, is also too young for MCV4 vaccination.
Extract:
A 4-year-old child receiving a vaccine.
Question 4 of 5
Which of the following vaccines should the nurse administer?
Correct Answer: C
Rationale: The correct answer is C: Varicella (VAR). The rationale for this is that Varicella vaccine is recommended for preventing chickenpox, a highly contagious viral infection. The other options, Hepatitis B, Haemophilus influenza type b, and Meningococcal vaccines, are important but not specifically indicated in this scenario. Hepatitis B vaccine is for preventing Hepatitis B virus infection, Hib vaccine is for preventing Haemophilus influenza type b infection, and Meningococcal vaccine is for preventing meningococcal disease.
Therefore, in this case, the nurse should administer the Varicella vaccine to prevent chickenpox.
Extract:
An 18-month-old toddler with a 10-day history of high fever, irritability, and symptoms suggestive of Kawasaki disease.
Question 5 of 5
The nurse should anticipate a provider's prescription for ___ and ___.
Correct Answer: A
Rationale: The correct answer is A because aspirin is commonly used for pain relief and fever reduction, while nebulized racemic epinephrine is used for treating respiratory conditions like asthma exacerbations. By anticipating these medications, the nurse can prepare for immediate administration based on common provider orders for pain and respiratory distress. The other choices are incorrect as they do not align with the standard practice of anticipating prescriptions commonly used for pain and respiratory symptoms.