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: A. Rotavirus vaccination is typically given in infancy, usually starting at 2 months of age, so it would not be administered to a 5-year-old child who is already up-to-date with the immunization schedule. B. Varicella (chickenpox) vaccine is routinely administered around 12-15 months of age with a booster dose typically given between 4-6 years of age.
Therefore, a 5-year-old child would receive the booster dose if not already administered. C. Haemophilus influenzae type b (Hib) vaccine is usually completed by 15 months of age, so it would not be administered to a 5-year-old child who is already up-to-date with the immunization schedule. D. Hepatitis B vaccine is typically administered at birth, 1-2 months, and 6-18 months of age, so a 5-year-old child who is up-to-date with immunizations would have already received the series.
Question 2 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: C
Rationale: A. Pediculosis capitis (head lice) does not require droplet precautions. B. Viral conjunctivitis is typically transmitted through contact precautions rather than droplet precautions. C. Seasonal influenza is transmitted via respiratory droplets, necessitating droplet precautions to prevent transmission. D. Hepatitis A is transmitted via the fecal-oral route and does not require droplet precautions.
Question 3 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: D
Rationale: A. Stevens-Johnson syndrome is a severe adverse reaction associated with certain medications but is not typically associated with morphine. B. Hypertension is not a common adverse effect of morphine; hypotension may occur instead. C. Prolonged wound healing is not typically associated with morphine use. D. Bradypnea (slow breathing) is a potential adverse effect of opioid medications such as morphine.
Question 4 of 5
A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?
Correct Answer: C
Rationale: A. Visual analog scales may not be appropriate for toddlers who are cognitively impaired and unable to understand abstract concepts. B. FACES pain scale relies on the child's ability to express emotions through facial expressions, which may be limited in cognitively impaired toddlers. C. FLACC (Face, Legs, Activity, Cry, Consolability) pain scale is a validated tool for assessing pain in young children, including those who are cognitively impaired. D. CRIES pain scale is typically used for neonates and infants up to 6 months of age and may not be suitable for toddlers.
Question 5 of 5
A nurse is reviewing the laboratory results of a child who was recently admitted for suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirming this diagnosis? Select all that apply.
Correct Answer: B,C,D
Rationale: A. Partial thromboplastin time (PTT) is not typically used to diagnose rheumatic fever. It is used to evaluate coagulation disorders. B. Elevated C-reactive protein (CRP) levels indicate inflammation, which can be associated with rheumatic fever. C. Elevated erythrocyte sedimentation rate (ESR) is a marker of inflammation and can be elevated in rheumatic fever. D. Elevated Antistreptolysin O (ASO) titer indicates recent streptococcal infection, which is a predisposing factor for rheumatic fever. E. Blood urea nitrogen (BUN) is not typically used to diagnose rheumatic fever. It is used to assess kidney function.