ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Infants should receive the first dose of varicella (chickenpox) vaccine at 12 months of age to provide protection against the varicella virus, which can cause a highly contagious and potentially severe illness. Varicella vaccine is recommended by the CDC for children at this age to prevent complications such as pneumonia, encephalitis, and skin infections. The vaccine is given in two doses, with the second dose typically administered between ages 4-6 years.
Incorrect choices:
A: Inactivated polio virus - The first dose of inactivated polio virus vaccine is usually given at 2 months of age.
B: Hepatitis B - The first dose of hepatitis B vaccine is typically administered shortly after birth.
C: Human papillomavirus - HPV vaccine is not usually given until adolescence.
E, F, G: No information provided.
Extract:
A nurse on a pediatric unit is caring for four children.
Question 2 of 5
The nurse should use droplet precautions for which of the following children?
Correct Answer: C
Rationale: The correct answer is C: A toddler who has seasonal influenza. Droplet precautions are used for infections transmitted through respiratory droplets. Seasonal influenza is a highly contagious respiratory illness spread through droplets.
Choice A (viral conjunctivitis) does not require droplet precautions as it is transmitted through direct contact with eye secretions.
Choice B (pediculosis capitis) is spread through direct head-to-head contact, not respiratory droplets.
Choice D (hepatitis
A) is transmitted through the fecal-oral route, not respiratory droplets.
Therefore, the correct choice is C as it aligns with the mode of transmission for droplet precautions.
Extract:
A nurse is providing peritoneal dialysis to a child and observes there is minimal dialysate outflow at the end of the outflow time.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the child to change position. This action helps prevent complications such as clotting or kinking of the catheter during peritoneal dialysis. Changing positions can improve fluid flow and ensure proper dialysis efficiency. Increasing dwell time (choice
A) may lead to complications. Increasing oral fluid intake (choice
C) is important but not the immediate action needed. Assessing for a bruit (choice
D) is not relevant to peritoneal dialysis.
Extract:
A nurse is assessing a 7-year-old child who has diabetes mellitus.
Question 4 of 5
Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: D
Rationale: The correct answer is D: Shakiness. Hypoglycemia is characterized by low blood sugar levels, leading to symptoms like shakiness, sweating, confusion, and dizziness. Shakiness occurs as a result of the brain not receiving enough glucose for energy production. Increased capillary refill (
A) is not typically associated with hypoglycemia. Decreased appetite (
B) and thirst (
C) are more commonly seen in conditions like hyperglycemia.
Therefore, the correct manifestation of hypoglycemia is shakiness due to inadequate glucose supply to the brain.
Extract:
Medical History (0930): Three urinary tract infections over the past year treated with antibiotics. Diagnosed at 6 months old with vesicoureteral reflux; Vital Signs (0930): Heart rate: 128/min, Temperature: 38.4°C (101.1°F), Respiratory rate: 28/min; Nurse's Notes (0930): Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hours. Child febrile and lethargic. Notified provider of parent reports and child's fever. New prescriptions received. Urine sample obtained via sterile straight catheter; Diagnostic Results (1030): Urinalysis: Leukocyte esterase: positive (negative), Specific gravity: 1.035 (1.005 to 1.030), Appearance: cloudy and dark amber (clear), Nitrites: present (none), WBCs: 10 (0 to 4); Provider Prescriptions (0945): Obtain urine sample for urinalysis and culture and sensitivity via sterile straight catheter; A nurse in a provider's office is caring for a 1-year-old toddler.
Question 5 of 5
The child is at risk for developing _______and__________ .
Correct Answer: A,C
Rationale: The correct answer is A and C. Pyelonephritis is a bacterial infection of the kidneys, common in children with underlying urinary tract abnormalities, putting them at risk. Renal scarring can result from untreated or recurrent pyelonephritis, leading to long-term kidney damage.
Choices B, D, and E are not directly related to the initial risk factors mentioned in the question.