ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Child with HIV
Question 1 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will ensure that my child is tested for tuberculosis every year." This statement indicates an understanding of the teaching because children with HIV are at a higher risk for tuberculosis. Regular testing is essential for early detection and treatment.
Incorrect answers:
A: Incorrect because doubling medications without medical advice can be harmful.
B: Incorrect because childhood immunizations should not be repeated in remission.
D: Incorrect because transmission risk doesn't decrease in 2 weeks; consistent treatment is necessary.
Extract:
Infant with necrotizing enterocolitis
Question 2 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: A,D
Rationale: The correct answers are A and D. Necrotizing enterocolitis is characterized by symptoms like vomiting due to inflammation and damage in the intestines, and a rounded abdomen from gas accumulation. Tachypnea may occur due to pain or distress but is not a specific finding. Hypertension is not typically associated with necrotizing enterocolitis in infants.
Extract:
5-year-old child up-to-date with current immunization schedule
Question 3 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: C
Rationale: The correct answer is C: Varicella. The child is up-to-date with the current immunization schedule, which includes the varicella vaccine at around 12-15 months of age. Varicella vaccine provides protection against chickenpox, a highly contagious viral infection. Administering the varicella vaccine to the 5-year-old child will ensure continued immunity and prevent the child from contracting chickenpox.
Choice A (Hepatitis
B) is usually given at birth and in subsequent doses, not typically at 5 years old.
Choice B (Haemophilus influenzae type b) is usually given in infancy and not at 5 years old.
Choice D (Rotavirus) is given to infants and not usually administered at 5 years old.
Therefore, the correct choice for the nurse to administer is the Varicella vaccine.
Extract:
11-month-old infant with acute diarrhea
Question 4 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: D
Rationale: The correct answer is D: Oral electrolyte solution. This is the best choice for an infant with acute diarrhea as it helps prevent dehydration by replacing lost fluids and electrolytes. Chicken soup (
A) may be too heavy for an infant's stomach. White grape juice (
B) and applesauce (
C) contain high sugar levels that can worsen diarrhea. Providing a clear, detailed explanation helps the guardian understand the importance of using oral electrolyte solution to manage the infant's condition effectively.
Extract:
1-year-old child hospitalized
Question 5 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infection?
Correct Answer: A
Rationale: The correct answer is A: Bedside computer keyboard. Bedside computer keyboards are frequently touched by multiple healthcare providers without proper disinfection, leading to cross-contamination and potential healthcare-associated infections. Protective plastic gowns, unopened bottles of formula, and disposable diapers are not common sources of infection in the child's room as long as they are handled and disposed of properly. It is crucial to prioritize proper hygiene practices and regular cleaning of frequently touched surfaces like computer keyboards to prevent the spread of infections in healthcare settings.