ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
12-month-old infant up-to-date with current immunization schedule
Question 1 of 5
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule. Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,C
Rationale:
Correct Answer: A,C. A. Varicella first dose is given at 12-15 months. C. MMR first dose is given at 12-15 months. B. HPV starts at 11-12 years. D. Rotavirus series ends by 8 months. E. Herpes zoster is for older adults.
Extract:
Infant with heart failure who vomited after digoxin
Question 2 of 5
A nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Vomiting may indicate toxicity; assess and consult before the next dose, but per the options, A is closest to standard care pending review. B. Large dilution risks dosing errors. C. Antiemetic doesn't address cause. D. Fluid increase isn't specific to this issue.
Extract:
Nurses' Notes 0915: Received the child awake, alert, and crying. Parent states that child was playing with remote control toy and when the parent heard the child crying, they noticed that a battery was missing from the toy. The parent states that the child was drooling more than usual and witnessed them gagging periodically. 0930: Child is lying on parent's chest with eyes open and requesting 'sippy cup.' Continues to have expiratory wheezing in bilateral upper lobes. Preparing child for diagnostic testing.
Question 3 of 5
The nurse should first ___
Correct Answer: B
Rationale:
Correct Answer: B. Keeping NPO prevents battery movement and complications if ingested. A. Consent is secondary to safety. C. Teaching is important but not the first action.
Extract:
Child at end-of-life stage
Question 4 of 5
A nurse is caring for a child on a pediatric unit who is at the end-of-life stage. Which of the following actions should the nurse take to help the sibling cope with the child's diagnosis?
Correct Answer: A
Rationale:
Correct Answer: A. Child Life Specialists help siblings cope with end-of-life issues. B. Talking aids coping. C. Limiting time may increase anxiety. D. Exclusion can heighten distress.
Extract:
Toddler who weighs 12 kg (26.5 lb) postoperative following open-heart surgery
Question 5 of 5
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale:
Correct Answer: A. Urine output <1 mL/kg/hr (12 mL/hr for 12 kg) suggests renal issues post-surgery. B. 2+ pulses are normal. C. 36°C is low but not critical alone. D. 22 mL chest drainage isn’t excessive.