ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
An 18-month-old toddler in the emergency department with high fever, irritability, red eyes, dry lips, strawberry tongue, swollen hands and feet, rash, and enlarged lymph node.
Question 1 of 5
A nurse is caring for an 18-month-old toddler in the emergency department. The nurse reviews the toddler's medical record and assessment findings. Which of the following provider prescriptions should the nurse anticipate?
Correct Answer: A
Rationale: Intravenous immunoglobulin is used for Kawasaki disease, indicated by the toddler's symptoms like fever, red eyes, and rash. It reduces complications like coronary artery aneurysms. Acyclovir treats viral infections, not relevant here. Penicillin is for bacterial infections, not indicated. Hydrocortisone is for skin conditions, not effective for Kawasaki rash.
Extract:
A child with red marks across his cheeks.
Question 2 of 5
A nurse is caring for a child who has red marks across his cheeks. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Red cheek marks suggest fifth disease, which may spread to the body. Assessing for rash confirms this. Abuse referral or questioning parents is premature; temperature is nonspecific.
Extract:
An 18-month-old toddler in the emergency department with high fever, irritability, red eyes, dry lips, strawberry tongue, swollen hands and feet, rash, and enlarged lymph node.
Question 3 of 5
A nurse is caring for an 18-month-old toddler in the emergency department. The nurse reviews the toddler's medical record and assessment findings. Which of the following provider prescriptions should the nurse anticipate?
Correct Answer: A
Rationale: Intravenous immunoglobulin is used for Kawasaki disease, indicated by the toddler's symptoms like fever, red eyes, and rash. It reduces complications like coronary artery aneurysms. Acyclovir treats viral infections, not relevant here. Penicillin is for bacterial infections, not indicated. Hydrocortisone is for skin conditions, not effective for Kawasaki rash.
Extract:
A 15-month-old toddler receiving the first MMR immunization.
Question 4 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: Congenital immunodeficiency contraindicates the live MMR vaccine due to infection risk. Mild fever, antibiotics, or low-grade illness are not contraindications.
Extract:
A toddler with acute laryngotracheobronchitis in a cool mist tent.
Question 5 of 5
A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?
Correct Answer: C
Rationale: Decreased stridor indicates reduced airway obstruction, showing treatment effectiveness. Hydration, temperature, and cough are less specific.