ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
A 1-year-old child.
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,C,E
Rationale: The correct answer is A, C, and E. The recommended vaccines for a 1-year-old child include DTaP, Varicella, and MMR. DTaP protects against diphtheria, tetanus, and pertussis, which are serious infectious diseases. Varicella vaccine prevents chickenpox, a common childhood illness. MMR vaccine protects against measles, mumps, and rubella, all of which can cause serious complications if contracted. These vaccines are part of the standard immunization schedule for children at 1 year of age to provide immunity early in life.
Incorrect
Choices:
B: Rotavirus vaccine is usually given to infants starting at 2 months of age, not at 1 year.
D: HPV4 vaccine is typically recommended for adolescents, not for 1-year-old children.
Extract:
A 10-month-old infant.
Question 2 of 5
A nurse is assessing a 10-month-old infant. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: The infant does not sit steadily without support. This finding should be reported to the provider because by 10 months, infants should be able to sit steadily without support, demonstrating proper musculoskeletal development and strength. Inability to sit steadily may indicate a delay in gross motor skills.
Incorrect choices:
A: The infant is unable to imitate animal sounds - This is a language development milestone, not a concern at this age.
B: The infant cannot build a tower of three or four cubes - This is a fine motor skill, not necessarily expected at 10 months.
D: The infant cannot turn pages in a book - Fine motor skill that may not be fully developed at this age.
Extract:
A 2-month-old infant following a surgical procedure.
Question 3 of 5
A nurse is planning care for a 2-month-old infant following a surgical procedure. Which of the following pain rating scales should the nurse plan to use to determine the infant's level of pain?
Correct Answer: A
Rationale: The correct answer is A: FLACC scale. The FLACC scale assesses pain in nonverbal patients like infants by evaluating facial expression, leg movement, activity, cry, and consolability. It is validated and widely used in pediatric settings. The FACES scale (
B) and OUCHER scale (
C) are more suitable for older children who can self-report pain. The PANAD scale (
D) doesn't exist, making it an invalid option. In summary, the FLACC scale is the best choice for assessing pain in a 2-month-old infant due to its reliability and appropriateness for nonverbal patients.
Extract:
A 10-year-old child who will be hospitalized for an extended period of time.
Question 4 of 5
A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following actions should the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?
Correct Answer: C
Rationale: The correct answer is C: Encourage the client to complete school work. According to Erikson's theory of psychosocial development, the stage relevant to a 10-year-old child is Industry vs. Inferiority. During this stage, children strive to master skills and develop a sense of competence. Encouraging the child to complete school work promotes a sense of accomplishment and mastery, supporting their psychosocial development. Providing a daily session with a play therapist (
Choice
A) may be beneficial for emotional support but does not directly target the child's developmental stage. Discouraging visits from friends (
Choice
B) could lead to feelings of isolation and hinder social development. Varying the child's schedule each day (
Choice
D) may disrupt routine and stability, impacting the child's sense of security and continuity.
Extract:
A toddler who weighs 33 lb.
Question 5 of 5
A nurse is preparing to administer amoxicillin 30 mg/kg/day in 2 equally divided doses every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer. (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale:
To calculate the dose of amoxicillin for the toddler, first convert the weight to kg (33 lb ÷ 2.2 = 15 kg).
Then, calculate the total daily dose (30 mg/kg/day x 15 kg = 450 mg/day). Since the dose is divided into 2 equal doses, each dose is 225 mg. Next, calculate the volume needed using the concentration of the suspension (200 mg/5 mL). Divide the dose by the concentration (225 mg ÷ 200 mg/5 mL = 5.625 mL/day). Since the dose is given every 12 hours, divide the daily dose by 2 (5.625 mL ÷ 2 = 2.8125 mL per dose). Round to the nearest tenth, the nurse should administer 5.6 mL. Other choices are incorrect as they do not align with the correct calculation.