ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
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: D
Rationale: The correct answer is D: Ensure two nurses logroll the adolescent every 2 hr. This is important post-scoliosis repair with spinal instrumentation to prevent complications like pressure ulcers or injury to the surgical site. Logrolling helps maintain alignment of the spine and reduces strain on the surgical area. Offering sips of water 4 hr postop (
A) may not be appropriate due to anesthesia effects. Ambulating 12 hr postop (
B) may be too early and risky. Maintaining the bed at a 30° angle (
C) is not specific to spinal surgery care.
Question 2 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: C
Rationale: The correct answer is C: Apply a topical anesthetic cream 1 hr prior to the procedure. This action ensures atraumatic care by numbing the area of the venipuncture, reducing pain and anxiety for the child. Asking the parent to leave (
A) may increase the child's anxiety. Performing the procedure in a playroom (
B) may not provide the necessary sterile conditions. Explaining the procedure to the child in detail hours before (
D) may not address the immediate anxiety and pain during the venipuncture.
Question 3 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. At 12 months, infants should receive the first dose of the Varicella vaccine to protect against chickenpox. This timing is crucial as chickenpox can be severe in young children. A: Inactivated polio virus is typically given at 2 months, 4 months, 6-18 months, and 4-6 years. C: Human papillomavirus vaccine is usually given to adolescents around 11-12 years. D: Hepatitis B vaccine is given at birth, 1-2 months, and 6-18 months.
Therefore, B is the correct choice for the 12-month immunization schedule.
Question 4 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. If a toddler receiving digoxin therapy has vomited 2 times in the last hour, it can lead to decreased absorption of digoxin and potentially lower therapeutic levels in the bloodstream. This situation requires a revision of the plan of care to ensure the toddler receives the necessary dose of digoxin.
Incorrect choices:
B: A digoxin level of 1.2 ng/mL falls within the therapeutic range of 0.8-2 ng/mL, so no immediate revision of the plan of care is needed.
C: An apical pulse of 100/min could be within the expected range for a toddler, especially when receiving digoxin therapy. Monitoring is important, but it may not require an immediate revision of the plan of care.
D: A potassium level of 4.0 mEq/L is within the normal range, so no revision of the plan of care is necessary based on this value.
Question 5 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. The Varicella vaccine is typically administered to children at 12-15 months and again at 4-6 years to ensure immunity against chickenpox. Since the child is 5 years old, the nurse should plan to administer the Varicella vaccine to maintain protection. Rotavirus is usually given to infants, so it is not needed for a 5-year-old who is up-to-date. Haemophilus influenzae type b vaccine is generally completed by age 5, and Hepatitis B vaccination is typically completed in infancy.
Therefore, the Varicella vaccine is the appropriate choice for the 5-year-old child in this scenario.