ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Adolescent following scoliosis repair with spinal instrumentation
Question 1 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent injury to the surgical site. Logrolling helps maintain proper alignment of the spine and reduces stress on the incision site. Two nurses are needed to ensure proper technique and to prevent strain on one nurse.
Choice B, maintaining the head of the bed at a 30° angle, is incorrect because it is not a priority action post-surgery and may not directly impact the surgical site.
Choice C, assisting the adolescent to ambulate 12 hr following surgery, is incorrect because early ambulation is beneficial but may not be appropriate immediately post-surgery.
Choice D, offering sips of water 4 hr following surgery, is incorrect because oral intake is typically restricted immediately after surgery to prevent complications.
Extract:
Child weighs 55 lb
Question 2 of 5
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 12.5 mL
Rationale:
To determine the correct dose of ibuprofen for the child, we first convert the child's weight from pounds to kilograms (55 lb ÷ 2.2 = 25 kg).
Then, we calculate the dose: 10 mg/kg × 25 kg = 250 mg. Next, we convert the dose from mg to mL using the available concentration: 250 mg ÷ 100 mg/5 mL = 12.5 mL.
Therefore, the nurse should administer 12.5 mL of ibuprofen. The other choices are incorrect because they do not follow the correct calculations based on the child's weight and the concentration of the available ibuprofen solution.
Extract:
School-age child receiving morphine
Question 3 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: The correct answer is D: Bradypnea. Morphine is an opioid that can depress the respiratory system, leading to decreased respiratory rate known as bradypnea. The nurse should monitor the child for signs of respiratory depression such as shallow breathing, decreased oxygen saturation, and altered mental status. Hypertension (choice
A) is not a common adverse effect of morphine; Stevens-Johnson syndrome (choice
B) is a severe skin reaction typically caused by medications like antibiotics, not opioids like morphine; Prolonged wound healing (choice
C) is not directly associated with morphine use.
Extract:
Adolescents
Question 4 of 5
A nurse in a school-based health center is educating a group of adolescents about prevention and treatment of sexually transmitted infections (STIs). Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale:
Rationale: Prompt treatment of STIs is crucial to prevent complications such as infertility or pelvic inflammatory disease. Early detection and treatment can effectively manage the infection and prevent long-term consequences. The other choices are incorrect as follows:
A: Abstinence is the most effective way to prevent STIs.
C: Having one partner can reduce but not eliminate the risk of STIs.
D: Adolescents are at a higher risk due to engaging in risky behaviors.
In summary, choice B is correct as it emphasizes the importance of timely treatment in preventing complications, while the other choices provide inaccurate or incomplete information regarding STI prevention and risk factors.
Extract:
Infants
Question 5 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: D
Rationale: The correct answer is D: Varicella. Infants should receive the first dose of varicella (chickenpox) vaccine at 12 months of age. This timing ensures protection against chickenpox, a highly contagious and potentially serious disease. Varicella vaccine is recommended to be given in two doses, with the first dose at 12-15 months and the second dose at 4-6 years. The other choices are incorrect because: A: Human papillomavirus vaccine is typically given starting at age 9-12 years. B: Inactivated polio virus vaccine is usually given at 2, 4, 6-18 months, and 4-6 years. C: Hepatitis B vaccine is typically given at birth, 1-2 months, and 6-18 months. So, the correct choice is D as it aligns with the recommended immunization schedule for varicella.