ATI RN
ATI RN Pediatric Nursing 2023 I Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has had a lumbar puncture. Which of the following complications should the nurse monitor the child for?
Correct Answer: C
Rationale: The correct answer is C: Headache. Following a lumbar puncture, leakage of cerebrospinal fluid can lead to a headache due to decreased pressure in the spinal canal. The nurse should monitor the child for signs of headache, including worsening with changes in position. Nuchal rigidity when standing (choice
A) is a sign of meningitis, not a lumbar puncture complication. Double vision (choice
B) is not typically associated with a lumbar puncture. Pain in the posterior iliac crest (choice
D) is not a common complication of a lumbar puncture.
Question 2 of 5
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Notify the provider if your child is swallowing frequently. This is important post-tonsillectomy as it may indicate bleeding, which needs immediate medical attention.
Choice A is incorrect as dark brown blood between teeth is not a typical sign of bleeding.
Choice B is incorrect as straws can increase the risk of bleeding.
Choice D is incorrect as clearing the throat can irritate the surgical site.
Question 3 of 5
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. In heart failure, the heart cannot pump effectively, causing fluid to build up in the lungs, leading to respiratory distress and tachypnea (rapid breathing). Tremors and increased appetite are not typically associated with heart failure. Bradycardia (slow heart rate) is not a common clinical manifestation of heart failure; instead, it can be a sign of worsening condition.
Question 4 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: The correct answer is A and B. At 12 months, the recommended immunizations are MMR and VAR. MMR protects against measles, mumps, and rubella, which are highly contagious diseases. VAR protects against chickenpox (varicella), preventing severe complications.
Choice C, Rotavirus, is typically given earlier at 2, 4, and 6 months.
Choices D and E are not recommended at 12 months; Herpes zoster is for older individuals, and HPV4 is typically given around age 11-12.
Question 5 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Check clothing for loose buttons. This is important because loose buttons can pose a choking hazard to toddlers. By checking and securing clothing items, parents can prevent accidental ingestion.
Choice B is incorrect as the recommended water heater temperature for safety is 49°C (120°F), not 54°C.
Choice C is relevant for preventing falls but not directly related to injury prevention from choking hazards.
Choice D is incorrect because balloons are a choking hazard for young children.