ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A child starting antibiotic therapy for bacterial conjunctivitis.
Question 1 of 5
A child is starting antibiotic therapy for bacterial conjunctivitis. The parents ask when the child may return to daycare. The nurse's BEST response would be which of the following?
Correct Answer: B
Rationale: It is generally accepted that children with bacterial conjunctivitis can return to daycare after 24 to 48 hours of antibiotic treatment, as the risk of contagion is significantly reduced.
Extract:
A school aged child being evaluated for possible glomerulonephritis.
Question 2 of 5
A school aged child is being evaluated for possible glomerulonephritis. During the physical exam the nurse recognizes that which of the following, is a possible cause?
Correct Answer: D
Rationale: Glomerulonephritis often follows a streptococcal infection, such as strep throat, occurring within the last two weeks. This is known as post-streptococcal glomerulonephritis.
Extract:
A 12-month-old infant receiving chemotherapy for neuroblastoma.
Question 3 of 5
A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?
Correct Answer: C
Rationale: Varicella (chickenpox) vaccine is a live attenuated vaccine and should not be given to immunocompromised children, such as those receiving chemotherapy, because it poses a risk of causing an infection.
Extract:
An infant weighing 5kg, prescribed digoxin 4mcg/kg/day, safe dose 3.4 to 5.1 mcg/kg/day, label 0.25 mg/5mL.
Question 4 of 5
The nurse is preparing to administer the daily maintenance dose of digoxin to an infant: Infant's Weight: 5kg Order: Administer 4mcg/kg/day Safe Dose: 3.4 to 5.1 mcg/kg/day Label: 0.25 mg/5mL
Correct Answer: 0.4 mL
Rationale: Dose = 4 mcg/kg/day * 5 kg = 20 mcg/day = 0.02 mg/day. Using 0.25 mg/5 mL, (0.02 mg * 5 mL) / 0.25 mg = 0.4 mL.
Extract:
A 5-year-old child receiving a MMR vaccine.
Question 5 of 5
The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY
Correct Answer: A,B
Rationale: Prolonged seizures and decreased level of consciousness are serious reactions to the MMR vaccine, requiring immediate medical attention.