ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
1-year-old child for vaccines.
Question 1 of 5
A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply)
Correct Answer: A,D,E
Rationale:
Choice A: MMR is given at 12-15 months.
Choice B: Rotavirus is given before 8 months.
Choice C: HPV is for preteens.
Choice D: Varicella is given at 12-15 months.
Choice E: DTaP is given at 15-18 months.
Extract:
Vital Signs (0700 hrs): Temperature: 36.7°C (98.0°F), Pulse rate: 114/min, Respiratory rate: 30/min, Blood pressure: 92/66 mm Hg, Oxygen saturation: 90%. Medication Administration Record (0700 hrs): Furosemide 40 mg IV every 6 hr. Administered at 0600. Digoxin 250 mcg IV now. Administered at 0600. Physical Examination Results (0700 hrs): Jugular vein distention noted. Lower extremity edema 2+ bilaterally. Extremities cool with decreased skin pigmentation. Peripheral pulses weak bilaterally. Lung sounds with wheezing noted throughout. Diagnostic Results (0700 hrs): Chest X-ray: Cardiomegaly noted. Echocardiogram: Left ventricular hypertrophy, mitral valve stenosis. BNP: 1200 pg/mL.
Question 2 of 5
Based on the information provided, what is the most appropriate initial nursing action?
Correct Answer: D
Rationale: Repositioning to high Fowler's position improves lung expansion and reduces breathing effort, addressing immediate respiratory distress due to fluid overload.
Extract:
Child who has otitis media.
Question 3 of 5
A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?
Correct Answer: A
Rationale: Tugging on the ear lobe is a common sign of otitis media discomfort.
Extract:
Infants who have cystic fibrosis.
Question 4 of 5
A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?
Correct Answer: D
Rationale: Trendelenburg increases reflux and aspiration risk in cystic fibrosis.
Extract:
18-month-old toddler who has been hospitalized for 10 days.
Question 5 of 5
A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the corner of the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
Correct Answer: D
Rationale: These behaviors indicate regression due to hospitalization stress.