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: 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.
Question 2 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reposition the client using a turning sheet. When caring for a client with a halo vest, repositioning using a turning sheet helps prevent skin breakdown and pressure ulcers. This action maintains proper alignment of the halo device and reduces the risk of complications. Encouraging flexion and extension of the neck (
Choice
A) is contraindicated as it can disrupt the stability of the halo device and potentially cause harm. Assessing the pin sites for infection once every other day (
Choice
C) is important but not the priority action in this scenario. Tightening the screws on the halo device (
Choice
D) should only be done by healthcare professionals as per specific instructions.
Question 3 of 5
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Clear urine. In acute poststreptococcal glomerulonephritis, the kidneys are inflamed, leading to protein and blood in the urine, causing it to appear cloudy or dark. Clear urine indicates that the inflammation and damage to the kidneys have improved, reflecting effective treatment.
Choice A is not relevant to kidney function.
Choice B does not directly relate to kidney inflammation.
Choice D is not a specific indicator of kidney improvement.
Question 4 of 5
A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Initiate airborne precautions. Varicella, commonly known as chickenpox, is highly contagious and spreads through airborne droplets. By initiating airborne precautions, the nurse can prevent the spread of the virus to other individuals. Providing a warm blanket (choice
A) is not directly related to managing varicella. Assessing the oral cavity for Koplik spots (choice
B) is more indicative of measles, not varicella. Administering aspirin for fever (choice
C) is contraindicated in children with varicella due to the risk of Reye's syndrome.
Question 5 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
Rationale:
To calculate the correct dose, first convert the child's weight from lb to kg: 55 lb/2.2 = 25 kg. Next, calculate the dose: 10 mg/kg x 25 kg = 250 mg.
Then, determine how many mL of the solution to administer: 100 mg/5 mL = 250 mg/x mL. Cross multiply: 100x = 1250. Divide by 100 to find x = 12.5 mL.
Therefore, the nurse should administer 12.5 mL.
Choice A: Incorrect. This choice does not provide a calculated answer.
Choice B-G: Irrelevant as they do not offer a numerical answer or any calculation rationale.