ATI RN
ATI RN Pediatrics Nursing 2023 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: A
Rationale: The correct answer is A: Varicella. The nurse should plan to administer the Varicella vaccine to the 5-year-old child who is up-to-date with the current immunization schedule because it is recommended for children at this age to protect against chickenpox. Varicella vaccine is typically given around the age of 4-6 years to ensure immunity. The other choices are incorrect because: B: Haemophilus influenzae type b vaccine is usually given at 2, 4, and 6 months of age, not at 5 years. C: Rotavirus vaccine is usually given to infants at 2, 4, and 6 months of age, not at 5 years. D: Hepatitis B vaccine is typically given at birth, 1-2 months, and 6-18 months of age, not at 5 years.
Question 2 of 5
A nurse is providing instructions about a 24-hr urine collection to an adolescent client. Which of the following should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Discard the first voided specimen. This is because the first voided specimen may contain residual urine from the bladder that has been sitting for an extended period, which could skew the results of the 24-hour urine collection. By discarding the first voided specimen, the nurse ensures that the collection accurately represents the urine produced over the 24-hour period.
Choice A is incorrect because there is no need to cleanse the perineum with a povidone-iodine solution prior to voiding for a 24-hour urine collection.
Choice B is incorrect because all urine collected during the 24 hours should be stored in the same container to accurately measure the total output.
Choice D is incorrect because voiding every hour would not result in an accurate 24-hour collection.
Extract:
A nurse is assessing a child who is 2 hours postoperative following a cardiac catheterization and finds the dressing is saturated with blood.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Apply pressure just above the insertion site. This action is crucial to prevent further bleeding or hematoma formation at the insertion site. Applying pressure helps control the bleeding and promotes hemostasis, which is a priority in this situation to ensure patient safety. Reinforcing the dressing (
A) can come after controlling the bleeding. Obtaining vital signs (
C) and monitoring the pulse distal to the insertion site (
D) are important assessments but should follow immediate interventions to control bleeding.
Extract:
Question 4 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicates the treatment is effective?
Correct Answer: D
Rationale: The correct answer is D because holding urine for about 15 minutes before going to the bathroom is an indication of improved bladder control, which is the goal of conditioning therapy for enuresis. This demonstrates that the child is developing the ability to delay urination, a key aspect of the treatment.
Choice A is incorrect because going to the bathroom immediately when the alarm goes off does not show improved bladder control.
Choice B is incorrect as drinking less may not necessarily indicate treatment effectiveness.
Choice C is incorrect as Kegel exercises are not typically part of conditioning therapy for enuresis.
Extract:
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation.
Question 5 of 5
Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Ensure two nurses logroll the adolescent every 2 hours. This is essential post-surgery to prevent complications such as pressure ulcers and maintain proper body alignment. It ensures even distribution of pressure and reduces the risk of musculoskeletal injuries. Option A is incorrect as early ambulation may not be safe 12 hours post-surgery. Option C is not as crucial as logrolling for preventing complications. Option D is incorrect as oral intake should be cautiously initiated.