ATI RN
ATI RN Nursing Care of Children 2019 Questions
Extract:
Adolescent with sickle cell anemia
Question 1 of 5
A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Pneumococcal conjugate (PCV13). Adolescents with sickle cell anemia are at higher risk for infections, including pneumonia, which can be caused by Streptococcus pneumoniae. PCV13 helps protect against pneumococcal infections, reducing the risk of pneumonia in this vulnerable population. Option B, Rotavirus, is not necessary for adolescents as it primarily targets infants and young children. Option C, MMR, protects against measles, mumps, and rubella but is not specifically indicated for sickle cell anemia. Option D, RSV, is primarily recommended for infants and young children at high risk for severe respiratory infections.
Extract:
Toddler with cystic fibrosis
Question 2 of 5
A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Steatorrhea. In cystic fibrosis, the pancreas is affected, leading to insufficient production of digestive enzymes. This results in malabsorption of fats, leading to steatorrhea, which is characterized by foul-smelling, greasy stools. Rhinorrhea (
A) is not typically associated with cystic fibrosis. Weight gain (
B) is unlikely due to malabsorption issues. Visible peristalsis (
C) is not a typical finding in cystic fibrosis.
Extract:
School-age child with seizure disorder
Question 3 of 5
A nurse is providing teaching to the guardians of a school-age child who has a seizure disorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizures?
Correct Answer: D
Rationale: The correct answer is D: Lack of sleep. Lack of sleep is a common trigger for seizures in individuals with seizure disorders due to the disruption of normal brain activity and increased stress on the body. Sleep deprivation can lower the seizure threshold, making individuals more susceptible to experiencing seizures. Prolonged headache (
A) is not a common trigger for seizures. Exposure to secondhand smoke (
B) may aggravate respiratory conditions but is not a direct trigger for seizures. Decreased temperature (
C) is unlikely to be a common trigger for seizures unless it leads to severe hypothermia.
Therefore, the correct answer is D as lack of sleep is a known trigger for seizures.
Extract:
Infant at risk for sudden infant death syndrome (SIDS)
Question 4 of 5
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because dressing the baby in lightweight clothing helps prevent overheating, which is a risk factor for SIDS. Heavy clothing can lead to increased body temperature and suffocation.
Choices B and C are incorrect as the baby should always be placed on their back in a crib with no soft bedding or pillows to reduce the risk of SIDS.
Choice D is incorrect as stuffed animals should be removed entirely from the crib to prevent suffocation.
Extract:
School-age child preparing for an invasive procedure
Question 5 of 5
A nurse is preparing a school-age child for an invasive procedure. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Demonstrate deep-breathing and counting exercises. This answer is correct because deep-breathing and counting exercises can help the child relax and manage anxiety before the invasive procedure. By demonstrating these techniques, the nurse can provide the child with coping mechanisms to reduce stress and fear associated with the procedure.
Choice A is incorrect because a 30-minute teaching session may overwhelm the child and cause more anxiety.
Choice C is incorrect as using vague language can increase the child's fear and uncertainty about the procedure.
Choice D is incorrect because explaining the procedure in a playroom may not be the most appropriate setting for the child to focus and comprehend the information effectively.