ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A preschooler receiving a vaccine.
Question 1 of 5
A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: A 1.8 mm needle is appropriate for a preschooler's deltoid. A 20-gauge needle is too large, the injection site is lower, and a 90-degree angle is used for intramuscular injections.
Extract:
A child with a new prescription for an oral antibiotic.
Question 2 of 5
A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Include the medication's purpose, adverse effects, and written information to ensure adherence and safety. Do not stop antibiotics early to prevent resistance. Use a proper measuring device, not a kitchen spoon, for accurate dosing.
Extract:
An infant with developmental dysplasia of the hip (DDH) using a Pavlik harness.
Question 3 of 5
A nurse in a provider's office is caring for an infant who has developmental dysplasia of the hip (DDH). The nurse should include which of the following instructions when teaching the parents about the Pavlik harness?
Correct Answer: D
Rationale: Placing the diaper under the harness prevents interference with its function. Removing the harness, adjusting straps, or massaging skin risks complications.
Extract:
A 3-year-old child with 160 mL urine output over 8 hr, weighs 33 lb.
Question 4 of 5
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33 lb. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The child's urine output (20 mL/hr) is below the expected 30-40 mL/hr, suggesting dehydration. Providing oral rehydration fluids addresses this. Monitoring alone delays intervention. A bladder scan is not the first step, as retention is unlikely. Notifying the provider comes after initial fluid administration and assessment.
Extract:
A child with rheumatic fever, parent providing medical history.
Question 5 of 5
A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?
Correct Answer: A
Rationale: A recent streptococcal sore throat (sibling) is a likely trigger for rheumatic fever, occurring 2-4 weeks prior. Chickenpox, fifth disease, and gastritis are unrelated.