ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 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. Varicella vaccine is typically given to children around 12-15 months of age, and a second dose is recommended at around 4-6 years. Since the child is 5 years old and up-to-date with the immunization schedule, the nurse should plan to administer the second dose of the varicella vaccine to ensure continued protection against chickenpox.
Choice A (Rotavirus) is usually given in infancy, so it is not needed at this age.
Choice C (Haemophilus influenzae type b) is typically administered in infancy and early childhood.
Choice D (Hepatitis
B) is usually given shortly after birth and during early childhood. The other choices are not relevant in this scenario.
Question 2 of 5
A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots?
Correct Answer: C
Rationale: The correct answer is C: Inside of the cheeks. Koplik spots are small white spots with a bluish-white center on the buccal mucosa opposite the molars. These spots are specific to measles and appear before the characteristic rash. Inspecting the inside of the cheeks allows the nurse to identify these spots early, aiding in prompt diagnosis and appropriate management. The other areas listed (forehead, chest, back) are not associated with the presence of Koplik spots in measles.
Question 3 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: A
Rationale: The correct answer is A: Oral electrolyte solution. This is because infants with acute diarrhea are at risk of dehydration due to fluid loss. Oral electrolyte solution helps replace lost fluids and electrolytes, preventing dehydration. Applesauce, white grape juice, and chicken soup are not recommended for infants with acute diarrhea as they can worsen diarrhea symptoms or lack the necessary electrolytes to rehydrate the infant. It is crucial to prioritize rehydration with oral electrolyte solution in managing acute diarrhea in infants.
Question 4 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: B
Rationale: The correct answer is B: Bedside computer keyboard. The keyboard is a common source of healthcare-associated infections due to frequent use and potential contamination from various sources. Keyboards are often touched by multiple healthcare providers without proper cleaning, leading to the spread of pathogens. Unopened bottles of formula (
A) are typically sterile until opened. Disposable diapers (
C) are not a common source of infection if disposed of properly. Protective plastic gowns (
D) are used to prevent contamination rather than being a source of infection.
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: A
Rationale: The correct answer is A because vomiting can affect the absorption and effectiveness of digoxin. Vomiting can lead to decreased drug levels in the bloodstream, potentially causing subtherapeutic effects. This can result in inadequate control of the toddler's condition and may lead to worsening symptoms.
Choices B, C, and D are within acceptable ranges and do not necessarily warrant a revision of the plan of care.
Choice B indicates a digoxin level within the therapeutic range, choice C indicates a slightly elevated pulse rate which can be expected with digoxin therapy, and choice D indicates a potassium level within the normal range.
Therefore, the nurse should focus on the toddler who has vomited to ensure proper absorption of the medication and adjust the plan of care accordingly.