ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: B. Nausea is a common adverse effect of morphine and should be monitored for, particularly in pediatric patients. A. Prolonged wound healing is not associated with morphine. C. Stevens-Johnson syndrome is not typical with morphine. D. Morphine is not commonly linked to renal failure.
Question 2 of 5
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,B
Rationale: A. The MMR vaccine is typically administered at 12 months of age as part of routine immunization schedules. B. The varicella vaccine is typically administered at 12 months of age as part of routine immunization schedules. C. Rotavirus vaccine is given at 2, 4, and 6 months. D. Herpes zoster vaccine is not given to infants. E. HPV vaccine starts at age 11 or 12.
Question 3 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: D
Rationale: D. Tachypnea (rapid breathing) in an infant with RSV is a concerning sign that may indicate respiratory distress and requires immediate reporting to the provider to prevent worsening respiratory failure. A. Rhinorrhea (runny nose) is a common symptom of RSV and not immediately alarming unless accompanied by other severe symptoms. B. Pharyngitis (sore throat) is less specific in infants with RSV and not typically a priority for reporting. C. Coughing is expected with RSV and does not warrant immediate reporting unless it severely impacts breathing.
Question 4 of 5
A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: C. Increased urine output indicates improved renal function, a primary goal of treatment for nephrotic syndrome. A. Odorless urine is not specific. B. Lack of pain with voiding is not a direct indicator. D. Normal temperature is not related to treatment success.
Extract:
Nurses' Notes 0930: Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic. 0945: Notified provider of parent reports and child's fever. New prescriptions received. 1000: Urine sample obtained via sterile straight catheter. Vital Signs 0930: Temperature 38.4° C (101.1° F), Heart rate 128/min, Respiratory rate 28/min. Diagnostic Results 1030: Urinalysis: Appearance: cloudy and dark amber (clear), Specific gravity 1.035 (1.005 to 1.030), Leukocyte esterase: positive (negative), Nitrites: present (none), WBCS: 10 (0 to 4).
Question 5 of 5
Select words from the choices to fill in each blank in the following sentence. The child is at risk for developing ______ and _______.
Correct Answer: A,D
Rationale: E. Pyelonephritis is a bacterial infection of the kidneys commonly associated with fever and lethargy, especially in young children. B. Renal scarring can occur as a complication of untreated or recurrent urinary tract infections (UTIs), particularly pyelonephritis.