ATI RN
ATI Pediatrics Proctored Questions
Extract:
A 15-month-old child scheduled for MMR vaccine
Question 1 of 5
A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive measles, mumps, rubella. Which of the following findings Should the nurse identify as a contradiction for receiving the vaccine?
Correct Answer: A
Rationale: The correct answer is A: Allergy to neomycin. Neomycin is an antibiotic that is present in the MMR vaccine. An allergy to neomycin is a contraindication for receiving the MMR vaccine due to the risk of an allergic reaction. The other choices are not contraindications for the vaccine.
Choice B, having an upper respiratory infection 2 days ago, is not a contraindication as long as the child has fully recovered.
Choice C, a temperature of 37.2 (99 Fahrenheit), is within normal range and not a contraindication.
Choice D, a family history of seizures, is not a contraindication unless the child has a personal history of seizures.
Extract:
A child with partial-thickness burns to over 50% of his body
Question 2 of 5
A nurse is caring for a child who received partial -thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following action should the nurse take? (select all that apply.).
Correct Answer: A,C,E
Rationale: The correct actions to take are A, C, and E. Providing a high-calorie diet is essential for wound healing and energy requirements post-burn. Monitoring intake and output is crucial for assessing fluid balance and kidney function, as burns can lead to fluid imbalance. Changing dressing using aseptic technique is vital to prevent infection. Administering analgesics IM (choice
B) may not be necessary as the question does not indicate the child is in pain. Removing splints during sleep (choice
D) is incorrect as they are necessary to prevent contractures.
Extract:
A preschooler post-Wilms' tumor removal
Question 3 of 5
A nurse is planning to admit a preschooler from the PACU following removal of a Wilms' tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler?
Correct Answer: A
Rationale: The correct answer is A: A child who has a fractured left femur. This is the appropriate roommate for the preschooler post-surgery for Wilms' tumor because both conditions require limited mobility. The child with a fractured left femur would likely be immobile, similar to the child recovering from surgery. The other choices are incorrect because: B. Cellulitis of the right radius and C. Impetigo are contagious skin conditions that could pose a risk to the immunocompromised child post-surgery. D. Viral pneumonia is a respiratory illness that could be transmitted to the child with a weakened immune system.
Extract:
A preschool-age child who experienced the death of a sibling
Question 4 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: A
Rationale: The correct answer is A because preschool-age children often exhibit curiosity about death and may ask questions about what happens to the body. This is a normal part of their cognitive and emotional development as they try to make sense of the concept of death.
Choice B is incorrect because young children typically do not feel responsible for a sibling's death.
Choice C is incorrect as preschoolers may not have the cognitive ability to give a logical explanation for death.
Choice D is also incorrect because preschool-age children may not fully understand the permanence of death.
Extract:
A 24-month-old toddler
Question 5 of 5
A nurse is assessing a 24- month -old toddler. Which of the following finding should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D. Holding breath during a temper tantrum is a concerning behavior that could potentially lead to serious consequences like fainting or injury. It is important to report this to the healthcare provider for further evaluation and intervention. The other choices are not as critical. A: Having a vocabulary of 30 words is appropriate for a 24-month-old. B: Sleeping 11 to 12 hours per day is within the normal range for a toddler. C: Eating patterns can vary in toddlers and may not necessarily indicate a problem.