ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
An infant with spina bifida undergoing surgical closure of the myelomeningocele sac.
Question 1 of 5
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: A latex-free environment is critical due to the high risk of latex allergy in spina bifida patients from frequent medical exposures. Supine positioning risks sac damage. Limiting visitors or contact precautions are unnecessary without infection.
Extract:
Administering vaccines at a county health immunization clinic.
Question 2 of 5
A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?
Correct Answer: C
Rationale: The MCV4 vaccine is routinely given to 11- to 12-year-olds, with a booster at 16, to protect against meningococcal bacteria. Younger children only receive it with specific risk factors, not applicable here.
Extract:
A toddler with heart failure.
Question 3 of 5
A nurse is assessing a toddler who has heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Orthopnea, difficulty breathing when lying flat, is expected in heart failure. Weight gain, tachycardia, and decreased urine output are typical, not the opposites.
Extract:
Parents of a newborn.
Question 4 of 5
A nurse is providing teaching to the parents of a newborn. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The hepatitis B vaccine is given at birth, correct per the schedule. DTaP starts at 2 months, not 2 weeks. PCV13 starts at 2 months, not 1 year. MMR is given at 12-15 months, not 6 months.
Extract:
School-age boys.
Question 5 of 5
A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?
Correct Answer: B
Rationale: Growth spurts occur in mid-puberty, correct. Voice changes are mid-to-late puberty. Delayed puberty is diagnosed at 14, not 11. Gynecomastia occurs early-to-mid puberty.