ATI RN
ATI Pediatrics Proctored Questions
Extract:
An infant at 12 months of age
Question 1 of 5
A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infant 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. Varicella vaccine is typically administered to infants at 12 months of age to protect against chickenpox. This timing ensures optimal immunity before potential exposure. Hepatitis B is usually given shortly after birth. Human papillomavirus vaccine is typically given in adolescence. Inactivated polio virus vaccine is usually given in multiple doses starting at 2 months of age. So, Varicella is the appropriate choice at 12 months.
Extract:
A client with Hodgkin's lymphoma
Question 2 of 5
A nurse is assessing an client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: night sweats. Night sweats are a common symptom of Hodgkin's lymphoma due to the body's response to the cancer. The lymphoma can cause the body to produce excessive sweat, leading to night sweats. Unexplained weight gain (
A) is not typically associated with Hodgkin's lymphoma. Flushed skin (
B) is more commonly seen in conditions like fever or allergic reactions, not specific to Hodgkin's lymphoma. Decreased body temperature (
C) is not a typical finding in Hodgkin's lymphoma. Night sweats are a classic symptom of Hodgkin's lymphoma, making choice D the correct answer.
Extract:
An adolescent with type 1 diabetes mellitus
Question 3 of 5
A nurse is teaching an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: HbA1c of 11.5%. This is the priority finding because it indicates the long-term control of blood glucose levels, which is crucial in managing diabetes. A high HbA1c level suggests poor diabetes management and increased risk of complications.
Choices A, B, and D are important but do not reflect the overall control of diabetes over time like HbA1c does. Cholesterol level (choice
A) and glycosuria (choice
B) are important for monitoring overall health, while pre-prandial blood glucose (choice
D) is essential for short-term management.
Extract:
A school-age child with sickle cell crisis
Question 4 of 5
A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Apply warm compresses to the affected area. This action helps to improve blood flow and reduce pain during a sickle cell crisis. Warmth can help dilate blood vessels, promoting better circulation and reducing the risk of further sickling of red blood cells. Initiating contact precautions (
A) is unnecessary as sickle cell crisis is not contagious. Decreasing fluid intake (
C) can worsen dehydration, a common complication in sickle cell crisis. Administering furosemide IV (
D) is not indicated as it is a diuretic and can exacerbate dehydration.
Extract:
A school-age child with pertussis
Question 5 of 5
A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Report the diagnosis to the public health department. This action is crucial to prevent the spread of pertussis in the community. By reporting the diagnosis, the public health department can take necessary steps such as contact tracing and implementing control measures.
Choice B is incorrect as placing the child in a protected environment is not a standard practice for pertussis.
Choice C is not appropriate as administering the pertussis vaccine to an already infected child will not treat the current infection.
Choice D is incorrect as restricting oral fluids can lead to dehydration in a child with pertussis who may have difficulty eating or drinking due to coughing spells.