ATI RN
ATI RN Pediatric Nursing 2023 II Questions
Extract:
Question 1 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: Rotavirus vaccination is typically administered in infancy, not at 5 years of age. The second dose of varicella vaccine is usually given at 4-6 years of age. Haemophilus influenzae type b (Hib) vaccination is typically completed by 15 months of age. Hepatitis B vaccination typically starts at birth and is completed in infancy.
Question 2 of 5
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
Correct Answer: A
Rationale: Tachypnea is a sign of respiratory distress and may indicate hypoxia, dehydration, or increased work of breathing. The nurse should report this finding to the provider and monitor the infant's oxygen saturation, heart rate, and respiratory rate. Coughing is a common symptom of RSV and may not require immediate reporting unless severe. Rhinorrhea (runny nose) is a common symptom of RSV and may not require immediate reporting unless severe. Pharyngitis (sore throat) is a common symptom of RSV but is not as urgent as tachypnea.
Question 3 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Riding the bicycle against the flow of traffic increases the risk of accidents and is unsafe. Keeping the bicycle at least 3 feet is too far from the curb and exposes the child to more traffic hazards. This instruction helps to prevent collisions with cars or pedestrians at busy crossings. This is too high and makes it hard for the child to balance and control the bicycle.
Question 4 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: This is the first step to control bleeding and prevent further blood loss. Monitoring the distal pulse is important, but controlling bleeding takes precedence. Vital signs can wait momentarily until the bleeding is under control. Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.
Question 5 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: Asking the child's parent to leave the room during the procedure may increase the child's anxiety and make the procedure more traumatic. Performing the procedure in the unit's playroom may not provide the necessary equipment and sterile environment required for a venipuncture. Applying a topical anesthetic cream helps reduce pain and discomfort during the venipuncture, promoting atraumatic care. Explaining the procedure in detail to the child 3 hours prior to the procedure may increase anxiety and anticipation, making the procedure more traumatic.