ATI RN
ATI Pediatric Exam 3 Questions
Extract:
A child who has pertussis
Question 1 of 5
The child's parent asks the nurse what the common name for this disease is. The nurse should respond with which of the following common names?
Correct Answer: B
Rationale: The correct answer is B: Whooping cough. Whooping cough, also known as pertussis, is a common name for the disease characterized by severe coughing fits and a whooping sound when gasping for air. This is the most appropriate response as it matches the description provided by the parent.
Incorrect options:
A: Mumps - Mumps is a viral infection characterized by swollen salivary glands, not severe coughing fits.
C: Fifth disease - Fifth disease is a viral illness that causes a distinctive red rash on the face, not severe coughing fits.
D: Chickenpox - Chickenpox is a viral infection that causes itchy blisters, not severe coughing fits.
Extract:
A child who is immunosuppressed due to leukemia or chemotherapeutic agents
Question 2 of 5
Nursing care of a child who is immunosuppressed due to leukemia or chemotherapeutic agents should include:
Correct Answer: D
Rationale: The correct answer is D: Use good handwashing. This is crucial in preventing the spread of infections to the immunosuppressed child. Proper hand hygiene reduces the risk of transmitting harmful pathogens. Sharing a room with a child with active mumps (
A) increases the risk of infection. Restricting oral fluids (
B) may lead to dehydration. Strict isolation (
C) is unnecessary and can have negative psychological effects on the child. In summary, good handwashing is essential for infection control in immunosuppressed children, while the other options pose risks or are unnecessary.
Extract:
A school-age child who has acute glomerulonephritis with peripheral edema and is producing 35mL of urine per hour
Question 3 of 5
A nurse is caring for a school-age child who has acute glomerulonephritis with peripheral edema and is producing 35mL of urine per hour. The nurse should place the client on which of the following diets?
Correct Answer: D
Rationale: The correct answer is D: Low-sodium, fluid-restricted. In acute glomerulonephritis, there is decreased kidney function leading to fluid retention and reduced urine output. A low-sodium diet helps reduce fluid retention and manage hypertension associated with glomerulonephritis. Fluid restriction helps prevent fluid overload and further edema.
Choices A, B, and C do not specifically address the need to reduce sodium and fluid intake, which are crucial in managing glomerulonephritis. It is important to focus on sodium and fluid restrictions to prevent worsening of symptoms and complications in this client population.
Extract:
A child who has otitis media
Question 4 of 5
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Tugging on the affected ear lobe. This is a typical assessment finding in a child with otitis media. Tugging on the ear lobe indicates ear pain, a common symptom of otitis media. It occurs because the middle ear is inflamed and filled with fluid, causing pressure and discomfort. Erythema and edema of the affected ear (choice
B) may be present but are not as specific to otitis media as ear tugging. Pain when manipulating the affected ear lobe (choice
C) is expected due to the inflammation. Clear drainage from the affected ear (choice
D) is more indicative of a perforated eardrum rather than otitis media.
Extract:
An adolescent
Question 5 of 5
A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?
Correct Answer: D
Rationale: The correct answer is D: Meningococcal polysaccharide vaccine. Adolescents are recommended to receive the meningococcal vaccine to protect against meningococcal disease, a serious bacterial infection that can lead to meningitis and sepsis. The other choices are incorrect because:
A: Bacille Calmette-Guérin (BCG) vaccine is primarily used to prevent tuberculosis and is not routinely given in the United States for pre-college physical assessments.
B: Pneumococcal polysaccharide vaccine is recommended for older adults and individuals with specific medical conditions, but not routinely given to adolescents as part of pre-college physical assessments.
C: Influenza vaccine is recommended annually for all individuals 6 months and older, including adolescents, but it is not specifically required for pre-college physical assessments.
Overall, the correct answer is D because the meningococcal vaccine is a routine immunization for adolescents to prevent a serious bacterial infection