ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A child with suspected rheumatic fever, prescribed an antistreptolysin O (ASO) titer.
Question 1 of 5
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an antistreptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse give?
Correct Answer: A
Rationale: The correct answer is A: This test will confirm if your child had a recent streptococcal infection. The ASO titer measures the level of antibodies in the blood that the body produces in response to a streptococcal infection. Elevated levels indicate recent infection.
Choice B is incorrect as ASO titer does not directly indicate rheumatic fever.
Choice C is incorrect as it measures antibodies, not immunity.
Choice D is incorrect as ASO titer is not used to monitor aminoglycoside levels.
Extract:
A toddler with a fractured right femur in Bryant traction.
Question 2 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: The correct answer is D: The buttocks is elevated slightly off of the bed. In Bryant traction, the buttocks should be elevated slightly off the bed to ensure proper alignment and application of traction to the fractured femur. Elevating the buttocks helps to maintain the correct angle and prevent complications such as pressure ulcers and nerve damage.
Incorrect options:
A: Weights are attached to a pin that is inserted into the femur - This is incorrect as weights are typically attached to the traction frame, not directly to the bone.
B: Skin straps maintain the leg in an extended position - Skin straps are not typically used in Bryant traction.
C: A padded sling is under the knee of the affected leg - This is incorrect as Bryant traction does not involve the use of a padded sling under the knee.
Extract:
A 15-month-old toddler receiving the first MMR immunization.
Question 3 of 5
A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to a 15-month-old toddler. Which of the following findings is a contraindication for this immunization?
Correct Answer: A
Rationale: The correct answer is A. A child with congenital immunodeficiency should not receive live vaccines like MMR due to the risk of severe infections. This is a contraindication as the child's immune system may not respond appropriately, leading to potential harm.
Choices B and D are incorrect as slight elevations in temperature are mild side effects following immunization and not contraindications.
Choice C is incorrect as antibiotics for otitis media do not contraindicate MMR administration.
Extract:
A child with mumps.
Question 4 of 5
A nurse is planning care for a child who has mumps. Which of the following instructions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Initiate droplet precautions. Mumps is spread through respiratory droplets, so initiating droplet precautions is crucial to prevent the spread of the infection. This includes wearing a mask and placing the child in a private room. Airborne precautions (
B) are not necessary for mumps. Contact precautions (
C) are used for diseases spread by direct contact, not through respiratory droplets like mumps. Standard precautions (
D) are important but do not specifically address the mode of transmission for mumps.
Extract:
A mother immediately following a stillbirth delivery.
Question 5 of 5
A nurse is providing care to a mother immediately following a stillbirth delivery. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Offer the mother private time with the newborn. This is the first action the nurse should take to provide emotional support and allow the mother to grieve and bond with her stillborn baby. Administering alprazolam (
A) is not appropriate as it is a medication for anxiety and not the priority in this situation. Contacting the health care facility's clergy (
B) may be helpful for spiritual support but not the first action. Assisting the client with transferring to the gynecology unit (
D) is important but not as immediate as providing emotional support to the mother.