ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a newly admitted child who has cystic fibrosis. For which of the following members of the interprofessional team should the nurse initiate a referral?
Correct Answer: A
Rationale: The correct answer is A: Dietitian. In cystic fibrosis, nutrition is crucial due to malabsorption issues. A dietitian can assess the child's nutritional needs, provide dietary recommendations, and help optimize nutrient intake. Referring to an occupational therapist (
B) would address activities of daily living, not specific to cystic fibrosis. Speech-language pathologists (
C) focus on speech and swallowing disorders, not directly related to cystic fibrosis. Physical therapists (
D) primarily address mobility and physical function, which may not be the priority in cystic fibrosis.
Question 2 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: B
Rationale: The correct answer is B: Varicella. Varicella vaccine is recommended to be given at 12 months of age to protect against chickenpox. This timing allows for early protection before potential exposure. Inactivated polio virus, human papillomavirus, and hepatitis B vaccines are typically given at different ages based on the recommended immunization schedules. Varicella vaccine at 12 months is crucial to prevent severe complications from chickenpox in infants.
Question 3 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Administer the next dose as prescribed. It is important to maintain therapeutic levels of digoxin in the infant's system to manage heart failure. Vomiting after administration does not necessarily mean the medication was not absorbed. Skipping a dose may lead to suboptimal treatment. Mixing with formula (
A) may dilute the medication. Giving an antiemetic (
B) may not address the cause of vomiting. Increasing fluid intake (
C) may not prevent vomiting.
Question 4 of 5
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?
Correct Answer: B
Rationale: The correct answer is B: Varicella. Varicella vaccine is typically given to children around 12-15 months of age, and a second dose is recommended at around 4-6 years. Since the child is 5 years old and up-to-date with the immunization schedule, the nurse should plan to administer the second dose of the varicella vaccine to ensure continued protection against chickenpox.
Choice A (Rotavirus) is usually given in infancy, so it is not needed at this age.
Choice C (Haemophilus influenzae type b) is typically administered in infancy and early childhood.
Choice D (Hepatitis
B) is usually given shortly after birth and during early childhood. The other choices are not relevant in this scenario.
Question 5 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following toddlers should the nurse revise the plan of care?
Correct Answer: A
Rationale: The correct answer is A because vomiting can affect the absorption and effectiveness of digoxin. Vomiting can lead to decreased drug levels in the bloodstream, potentially causing subtherapeutic effects. This can result in inadequate control of the toddler's condition and may lead to worsening symptoms.
Choices B, C, and D are within acceptable ranges and do not necessarily warrant a revision of the plan of care.
Choice B indicates a digoxin level within the therapeutic range, choice C indicates a slightly elevated pulse rate which can be expected with digoxin therapy, and choice D indicates a potassium level within the normal range.
Therefore, the nurse should focus on the toddler who has vomited to ensure proper absorption of the medication and adjust the plan of care accordingly.