ATI RN
ATI Pediatrics Exam 2 Questions
Extract:
A 15-month-old toddler receiving the first MMR immunization.
Question 1 of 5
A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to a 15-month-old toddler. Which of the following findings is a contraindication for this immunization?
Correct Answer: A
Rationale: Congenital immunodeficiency contraindicates the live MMR vaccine due to infection risk. Mild fever, antibiotics, or low-grade illness are not contraindications.
Extract:
Children on a general pediatric unit.
Question 2 of 5
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Correct Answer: D
Rationale: Parents answering for the child may indicate controlling behavior, a potential abuse sign. Obesity or frequent visitors are not direct abuse indicators.
Extract:
Date formatting.
Question 3 of 5
Which of the following is the correct way to write the date in the American format?
Correct Answer: A
Rationale: The American date format is month/day/year, so 2/20/2024 is correct for February 20, 2024.
Extract:
An 18-month-old toddler in the emergency department with a high axillary temperature of 39.5°C (103.1°F), high apical heart rate of 142/min, normal respiratory rate of 22/min, oxygen saturation of 98%, pulling at his ear.
Question 4 of 5
A nurse is caring for an 18-month-old toddler in the emergency department. The nurse reviews the toddler's medical record and assessment findings. Which of the following provider prescriptions should the nurse anticipate?
Correct Answer: C
Rationale: Nebulized albuterol is appropriate as it treats bronchospasm, a common issue in respiratory infections. The toddler's high heart rate and ear-pulling suggest respiratory distress or an ear infection, which albuterol can address. Acetaminophen is for fever/pain, not the primary issue here. Oral rehydration is for dehydration, not indicated by normal respiratory rate and oxygen saturation. Intravenous antibiotics are not needed without bacterial infection signs.
Extract:
An infant with spina bifida undergoing surgical closure of the myelomeningocele sac.
Question 5 of 5
A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: A latex-free environment is critical due to the high risk of latex allergy in spina bifida patients from frequent medical exposures. Supine positioning risks sac damage. Limiting visitors or contact precautions are unnecessary without infection.