ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child receiving morphine
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: D
Rationale: The correct answer is D: Bradypnea. Morphine is an opioid that can depress the respiratory system, leading to decreased respiratory rate known as bradypnea. The nurse should monitor the child for signs of respiratory depression such as shallow breathing, decreased oxygen saturation, and altered mental status. Hypertension (choice
A) is not a common adverse effect of morphine; Stevens-Johnson syndrome (choice
B) is a severe skin reaction typically caused by medications like antibiotics, not opioids like morphine; Prolonged wound healing (choice
C) is not directly associated with morphine use.
Extract:
Adolescents
Question 2 of 5
A nurse in a school-based health center is educating a group of adolescents about prevention and treatment of sexually transmitted infections (STIs). Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale:
Rationale: Prompt treatment of STIs is crucial to prevent complications such as infertility or pelvic inflammatory disease. Early detection and treatment can effectively manage the infection and prevent long-term consequences. The other choices are incorrect as follows:
A: Abstinence is the most effective way to prevent STIs.
C: Having one partner can reduce but not eliminate the risk of STIs.
D: Adolescents are at a higher risk due to engaging in risky behaviors.
In summary, choice B is correct as it emphasizes the importance of timely treatment in preventing complications, while the other choices provide inaccurate or incomplete information regarding STI prevention and risk factors.
Extract:
Infants
Question 3 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Infants should receive the first dose of varicella (chickenpox) vaccine at 12 months of age. This timing ensures protection against chickenpox, a highly contagious and potentially serious disease. Varicella vaccine is recommended to be given in two doses, with the first dose at 12-15 months and the second dose at 4-6 years. The other choices are incorrect because: A: Human papillomavirus vaccine is typically given starting at age 9-12 years. B: Inactivated polio virus vaccine is usually given at 2, 4, 6-18 months, and 4-6 years. C: Hepatitis B vaccine is typically given at birth, 1-2 months, and 6-18 months. So, the correct choice is D as it aligns with the recommended immunization schedule for varicella.
Extract:
Child with impetigo contagiosa developed in the hospital
Question 4 of 5
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Initiate contact isolation precautions. Impetigo contagiosa is highly contagious. By initiating contact isolation precautions, the nurse can prevent the spread of the infection to other patients, staff, and visitors. This includes wearing gloves and gowns when providing care, using dedicated equipment, and ensuring proper hand hygiene. Administering amphotericin B IV (choice
A) is not indicated for impetigo contagiosa as it is a fungal infection treatment. Reporting the disease to the state health department (choice
C) may be required for public health surveillance but does not directly address immediate infection control. Applying lidocaine ointment topically (choice
D) is not appropriate for impetigo treatment.
Extract:
Child with asthma using a metered-dose inhaler
Question 5 of 5
A nurse is teaching a child who has asthma about using a metered-dose inhaler with a mouthpiece. Identify the sequence of steps the nurse should instruct the child to take.
Order the Items
Source Container
Correct Answer: A,B,C,D
Rationale: The correct sequence of steps for using a metered-dose inhaler with a mouthpiece is as follows:
A: Exhale slowly through the nose - This step ensures that the child's lungs are ready to receive the medication and helps in controlling breathing during inhalation.
B: Depress the canister while inhaling slowly - This step allows the child to inhale the medication effectively into their lungs.
C: Hold breath for 10 seconds - Holding the breath helps the medication to be absorbed into the lungs and provides optimal effectiveness.
D: Remove the inhaler from the mouth - This step prevents the child from accidentally inhaling more medication and ensures proper completion of the process.
Other choices are incorrect as they do not align with the correct sequence of steps required for using a metered-dose inhaler with a mouthpiece.