ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
Administering vaccines at a county health immunization clinic.
Question 1 of 5
A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?
Correct Answer: C
Rationale: The MCV4 vaccine is routinely given to 11- to 12-year-olds, with a booster at 16, to protect against meningococcal bacteria. Younger children only receive it with specific risk factors, not applicable here.
Extract:
An infant with spina bifida undergoing surgical closure of the myelomeningocele sac.
Question 2 of 5
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: A latex-free environment is critical due to the high risk of latex allergy in spina bifida patients from frequent medical exposures. Supine positioning risks sac damage. Limiting visitors or contact precautions are unnecessary without infection.
Extract:
A 7-year-old child with fever, tachycardia, low oxygen saturation, WBC count 15,000/mm^3, Hgb 8 g/dL, Hct 32%.
Question 3 of 5
A nurse is caring for a 7-year-old child who has a fever, tachycardia, and low oxygen saturation. The nurse reviews the child's laboratory results and notes the following: - WBC count 15,000/mm^3 (normal range: 5,000 to 10,000/mm^3) - Hgb 8 g/dL (normal range: 10 to 15.5 g/dL) - Hct 32% (normal range: 32% to 44%) The nurse should suspect that the child has which of the following conditions?
Correct Answer: B
Rationale: Sickle cell anemia is likely, as low hemoglobin, hematocrit, fever, tachycardia, and low oxygen saturation suggest a sickle cell crisis causing tissue ischemia. Leukemia, hemophilia, or iron deficiency anemia are less likely without specific signs like bleeding or lymphadenopathy.
Extract:
A toddler with a fractured right femur in Bryant traction.
Question 4 of 5
A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following?
Correct Answer: D
Rationale: Bryant traction elevates the buttocks slightly for countertraction and alignment, using skin straps, not pins or slings, with hips/knees at 90 degrees.
Extract:
A 5-month-old infant scheduled for a lumbar puncture to rule out meningitis.
Question 5 of 5
A nurse is planning care for a 5-month-old infant who is scheduled for a lumbar puncture to rule out meningitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale:
Topical lidocaine/prilocaine reduces pain during lumbar puncture. The described position risks spinal injury, infant seats increase intracranial pressure, and 6-hour NPO is excessive.