ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 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: A. The first dose of inactivated poliovirus vaccine is typically administered at 2 months of age, not at 12 months. B. The first dose of varicella (chickenpox) vaccine is recommended at 12 months of age. C. Human papillomavirus vaccine is typically administered starting at age 9-11 years, not at 12 months. D. The first dose of hepatitis B vaccine is typically administered at birth, not at 12 months.
Question 2 of 5
A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A. Applying pressure just above the insertion site helps to control bleeding by compressing the vessel and promoting hemostasis. B. Monitoring the pulse distal to the insertion site is important but should occur after controlling the bleeding. C. Obtaining vital signs is important but does not address the immediate need to control bleeding. D. Reinforcing the dressing may be necessary after controlling the bleeding but is not the first action to take.
Question 3 of 5
A nurse is teaching the guardian of a newborn about how to prepare their 3-year-old child to meet their new sibling. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: A. While preparing the 3-year-old child for changes in routines is important, it is too general. Providing specific strategies like role-playing with a doll would be more helpful. B. Providing a doll for the 3-year-old child to imitate parental behaviors is an effective way to help them understand and adjust to the new sibling's arrival. This encourages a sense of involvement and can help alleviate feelings of jealousy or displacement. C. While telling the 3-year-old child about having a new playmate is positive, it does not offer concrete strategies for preparing the child for the new sibling's arrival. D. Waiting for the newborn to come home before moving the 3-year-old child from the crib to a bed may not be necessary. The transition from crib to bed can be independent of the newborn's arrival and should be based on the child's readiness.
Extract:
Nurses' Notes: The child's guardian states the child has been unable to sleep recently and has been very irritable. Guardian expresses concern about the child's atopic dermatitis worsening and the child scratching excessively, which results in the areas bleeding. Guardian states the child has a history of allergic rhinitis. Medication Administration Record: Diphenhydramine 10 mg PO 4 times per day, Pimecrolimus 1% cream apply to skin lesions daily. Assessment: Child is alert and responsive, Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated. Heart rate 108/min, Generalized small clusters of reddish, scaly patches with lichenifications and depigmentation on the child's bilateral upper and lower extremities.
Question 4 of 5
Which of the following statements should the nurse plan to include in the discharge instructions for the child's guardian? Select all that apply.
Correct Answer: A,B,D,F,G
Rationale: A. Cutting and filing the child's fingernails frequently can help prevent excessive scratching and further damage to the skin. B. Using a mild detergent reduces the risk of skin irritation and exacerbation of atopic dermatitis. C. Pimecrolimus cream should be applied thinly, not in a thick layer, to the affected areas to avoid potential side effects. D. Atopic dermatitis tends to have periodic flare-ups, so it's important to inform the guardian about this aspect of the condition. E. Atopic dermatitis itself is not contagious, although the child may be prone to skin infections if lesions are present. F. Applying gloves to the child's hands can prevent scratching and further skin damage. G. Emollients help to moisturize the skin and improve its barrier function, which is important in managing atopic dermatitis.
Extract:
Question 5 of 5
A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?
Correct Answer: C
Rationale: A. Asking the child's parent to leave the room may increase the child's anxiety and make the procedure more traumatic. B. Performing the procedure in the playroom may not necessarily ensure atraumatic care as the environment may still be unfamiliar and anxiety-provoking for the child. C. Applying a topical anesthetic cream helps numb the area, reducing the pain and discomfort associated with venipuncture, thus promoting atraumatic care. D. Explaining the procedure in detail to the child 3 hours prior to the procedure may not be effective in reducing the child's anxiety at the time of the procedure and may increase anticipation-related stress.