ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
5-year-old child up-to-date with current immunization schedule
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: C
Rationale: The correct answer is C: Varicella. The child is up-to-date with the current immunization schedule, which includes the varicella vaccine at around 12-15 months of age. Varicella vaccine provides protection against chickenpox, a highly contagious viral infection. Administering the varicella vaccine to the 5-year-old child will ensure continued immunity and prevent the child from contracting chickenpox.
Choice A (Hepatitis
B) is usually given at birth and in subsequent doses, not typically at 5 years old.
Choice B (Haemophilus influenzae type b) is usually given in infancy and not at 5 years old.
Choice D (Rotavirus) is given to infants and not usually administered at 5 years old.
Therefore, the correct choice for the nurse to administer is the Varicella vaccine.
Extract:
11-month-old infant with acute diarrhea
Question 2 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: D
Rationale: The correct answer is D: Oral electrolyte solution. This is the best choice for an infant with acute diarrhea as it helps prevent dehydration by replacing lost fluids and electrolytes. Chicken soup (
A) may be too heavy for an infant's stomach. White grape juice (
B) and applesauce (
C) contain high sugar levels that can worsen diarrhea. Providing a clear, detailed explanation helps the guardian understand the importance of using oral electrolyte solution to manage the infant's condition effectively.
Extract:
1-year-old child hospitalized
Question 3 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: A
Rationale: The correct answer is A: Bedside computer keyboard. Bedside computer keyboards are frequently touched by multiple healthcare providers without proper disinfection, leading to cross-contamination and potential healthcare-associated infections. Protective plastic gowns, unopened bottles of formula, and disposable diapers are not common sources of infection in the child's room as long as they are handled and disposed of properly. It is crucial to prioritize proper hygiene practices and regular cleaning of frequently touched surfaces like computer keyboards to prevent the spread of infections in healthcare settings.
Extract:
Four children on a pediatric unit
Question 4 of 5
A nurse on a pediatric unit is caring for four children. The nurse should use droplet precautions for which of the following children?
Correct Answer: D
Rationale: The correct answer is D: A toddler who has seasonal influenza. Droplet precautions are used for diseases transmitted through respiratory secretions within short distances. Influenza is primarily spread through droplets, making it necessary to protect others by wearing a mask and maintaining distance. Pediculosis capitis (lice), viral conjunctivitis, and hepatitis A are not transmitted through respiratory droplets, so droplet precautions are not needed.
Extract:
Toddlers receiving digoxin therapy
Question 5 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: D
Rationale: The correct answer is D. Vomiting can lead to reduced absorption of digoxin, affecting its therapeutic effect. This can result in suboptimal treatment and potential toxicity. Monitoring for vomiting is crucial when administering digoxin.
Choices A, B, and C indicate normal findings within the expected range for a toddler receiving digoxin therapy, so no revision is needed for those.