ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
School-age child with a maintenance prescription for prednisone following an acute asthma attack
Question 1 of 5
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "My child might experience mood swings." This statement indicates understanding because prednisone, a corticosteroid, can cause mood swings as a common side effect. This shows the parent comprehends the potential side effects of the medication.
Choice A is incorrect because withholding medication before physical activity could be dangerous during an asthma attack.
Choice C is incorrect as weekly blood tests are not typically required for monitoring prednisone use.
Choice D is incorrect as decreased appetite is a common side effect but not the best indicator of understanding the teaching.
Extract:
Preschool-age child who recently experienced the death of a sibling
Question 2 of 5
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?
Correct Answer: C
Rationale:
Correct
Answer: C - The child is curious about what happened to the sibling's body.
Rationale: It is age-appropriate for preschool-age children to be curious about death and what happens to the body. This curiosity is a natural part of their development as they begin to understand the concept of death. It is a way for them to make sense of the situation and cope with their emotions.
Incorrect
Choices:
A: The child feels responsible for the sibling's death - Preschool-age children typically do not have the cognitive ability to understand complex concepts like responsibility for death.
B: The child views the sibling's death as permanent - Preschool-age children may not fully grasp the permanence of death.
D: The child can give a logical explanation for the sibling's death - Preschool-age children may not have the cognitive ability to provide logical explanations for death events.
Extract:
School-age child with juvenile idiopathic arthritis
Question 3 of 5
A nurse is providing teaching to the guardian of a school-age child who has juvenile idiopathic arthritis. Which of the following responses by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will encourage my child to participate in physical activities." This response indicates an understanding of the teaching because physical activities help maintain joint mobility and reduce stiffness in juvenile idiopathic arthritis. It also promotes overall physical and mental well-being.
Choice B is incorrect because cold packs are not recommended for juvenile idiopathic arthritis as they can worsen symptoms by increasing stiffness.
Choice C is incorrect because NSAIDs should be administered with food to minimize gastrointestinal side effects, not before meals.
Choice D is incorrect because it does not empower the child to take care of themselves and manage their condition independently.
Extract:
School-age child with diabetes mellitus
Question 4 of 5
A nurse is caring for a school-age child who has diabetes mellitus. Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Correct Answer: C
Rationale: The correct answer is C: Thirst. Hyperglycemia in a child with diabetes mellitus leads to increased blood sugar levels, causing the body to try to dilute the excess sugar by increasing urine output, leading to dehydration and thirst. Tremors (
A) are more indicative of hypoglycemia. Pallor (
B) is associated with anemia or decreased blood flow. Sweating (
D) is not typically a direct symptom of hyperglyzemia.
Extract:
12-month-old infant up-to-date with current immunization schedule
Question 5 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: The correct answers are A and C. Varicella (VAR) and Measles, mumps, and rubella (MMR) are recommended immunizations for a 12-month-old infant. VAR protects against chickenpox and MMR protects against measles, mumps, and rubella. Both are part of the routine childhood immunization schedule.
Choice B, HPV4, is not typically administered at 12 months but rather later in adolescence.
Choice D, Rotavirus (RV), is usually given in early infancy, not at 12 months.
Choice E, Herpes zoster, is a vaccine for shingles, which is not routinely given to infants.