ATI RN
ATI RN Pediatric Nursing 2023 II 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: B
Rationale: The correct answer is B: Varicella. At 12 months, infants should receive the first dose of the Varicella vaccine to protect against chickenpox. This timing is crucial as chickenpox can be severe in young children. A: Inactivated polio virus is typically given at 2 months, 4 months, 6-18 months, and 4-6 years. C: Human papillomavirus vaccine is usually given to adolescents around 11-12 years. D: Hepatitis B vaccine is given at birth, 1-2 months, and 6-18 months.
Therefore, B is the correct choice for the 12-month immunization schedule.
Question 2 of 5
A nurse is planning care for a child who is in the acute stage of nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Weigh the child once per day. In nephrotic syndrome, monitoring weight is crucial to assess fluid retention. Daily weight can indicate fluid status changes, allowing for timely interventions. Positioning the child supine (
B) does not address the fluid balance issue. Limiting calorie intake (
C) may be necessary for some cases but is not a priority in the acute stage. Increasing fluid intake (
D) can worsen fluid retention.
Extract:
Exhibit 2 Nurses' Notes 0730: Child presents to the emergency department (ED). Guardians report the child woke up coughing with a low-grade fever. Child appears alert and restless in guardian's arms. Respirations easy, no cough noted. 0800: Child became agitated. Hoarse cry noted with audible inspiratory stridor. Barking, nonproductive cough present.
Question 3 of 5
For each of the following findings, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than one disease process.
| Finding | Acute Laryngotracheobronchitis | pneumonia |
|---|---|---|
| Irritability | ||
| Temperature | ||
| Cough findings at 0800 | ||
| Stridor |
Correct Answer: A,B,C,D
Rationale: The correct answer is .
A: Irritability is a common symptom seen in both acute laryngotracheobronchitis and pneumonia due to the discomfort caused by respiratory issues.
B: Temperature is an important indicator in differentiating between the two conditions as pneumonia typically presents with higher fever compared to laryngotracheobronchitis.
C: Cough findings at 0800 can be present in both conditions, but the nature of the cough and accompanying symptoms can help differentiate between them.
D: Stridor is a key clinical finding in acute laryngotracheobronchitis due to upper airway inflammation, whereas it is not a typical finding in pneumonia.
Incorrect choices:
E, F, G: These choices are left blank as they are not relevant to distinguishing between acute laryngotracheobronchitis and pneumonia based on the given parameters.
Extract:
Question 4 of 5
A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. During a seizure, the child may thrash around uncontrollably, posing a risk of injury if there are hard objects nearby. By clearing the area of such objects, the parents can help prevent the child from harming themselves during the seizure. Placing the child in a prone position (choice
A) is not recommended as it can obstruct breathing. Inserting a tongue blade between the teeth (choice
C) is also not advised as it can cause injury to the child's mouth during the seizure. Minimizing movement of the limbs (choice
D) is important to prevent injury, but clearing the area of hard objects takes precedence.
Question 5 of 5
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Use a tumbling E chart for the assessment. This is because a tumbling E chart is commonly used for testing visual acuity in young children as they may not yet know their letters. The chart consists of the letter 'E' facing in different directions, and the child is asked to point in the direction the 'E' is facing. This method helps assess visual acuity without the child needing to know letters.
A: Assessing both eyes together first, then separately may not be as effective in determining each eye's individual visual acuity.
B: Positioning the child 4.6 meters from the chart is the standard distance for adults, not for testing children's visual acuity.
C: Testing the child without glasses before testing with glasses may not provide an accurate assessment of the child's visual acuity with correction.