ATI RN
ATI RN Pediatrics 2023 Questions
Extract:
Infants
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. This timing ensures protection against chickenpox, a highly contagious and potentially serious disease. Varicella vaccine is recommended to be given in two doses, with the first dose at 12-15 months and the second dose at 4-6 years. The other choices are incorrect because: A: Human papillomavirus vaccine is typically given starting at age 9-12 years. B: Inactivated polio virus vaccine is usually given at 2, 4, 6-18 months, and 4-6 years. C: Hepatitis B vaccine is typically given at birth, 1-2 months, and 6-18 months. So, the correct choice is D as it aligns with the recommended immunization schedule for varicella.
Extract:
7-year-old child with diabetes mellitus
Question 2 of 5
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: A
Rationale: The correct answer is A: Shakiness. Hypoglycemia occurs when blood sugar levels drop too low in individuals with diabetes mellitus. Shakiness is a common symptom due to the body's response to low glucose levels, triggering an increase in adrenaline. Decreased appetite and thirst are more indicative of hyperglycemia, where blood sugar levels are high. Increased capillary refill is not a typical manifestation of hypoglycemia but may indicate poor circulation or dehydration.
Extract:
Question 3 of 5
A nurse is providing teaching about injury prevention to the parents of a toddler. Which of the following safety measures should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Check clothing for loose buttons. This safety measure is important to prevent choking hazards for the toddler. Loose buttons can easily come off and pose a risk of being swallowed. This action promotes safe clothing practices, reducing the risk of accidental ingestion.
Other choices are incorrect:
A: Providing balloons for play can be dangerous as they pose a choking hazard.
B: Adjusting the water heater temperature to 54° C is too low and can lead to bacterial growth in the water.
C: Placing screens on windows is important for preventing falls but not directly related to injury prevention from clothing hazards.
Extract:
Preschooler with neutropenia
Question 4 of 5
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Avoid raw fruits and vegetables in the child's diet. Neutropenia is a condition characterized by a low level of neutrophils, a type of white blood cell that helps fight infections. Raw fruits and vegetables may contain bacteria that can be harmful to a child with neutropenia, as their immune system is compromised. Cooking these foods can help reduce the risk of infection.
Therefore, this intervention is crucial in preventing potential infections in the child.
Other choices are incorrect:
B: Bathing the child every other day is not directly related to managing neutropenia. It is important for hygiene but does not specifically address the increased risk of infection in neutropenic children.
C: Obtaining the child's rectal temperature once daily is important for monitoring fever, but it does not directly address the dietary considerations needed for neutropenia.
D: Administering vaccines prior to discharge is important for preventing infections in general, but it is not specific to the dietary
Extract:
School-age child with heart failure taking furosemide
Question 5 of 5
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: A decrease in peripheral edema. Furosemide is a loop diuretic that works by increasing urine output, reducing fluid volume, and decreasing congestion in heart failure patients.
Therefore, a decrease in peripheral edema indicates that the medication is effectively reducing fluid retention and congestion.
Incorrect
Choices:
A: An increase in venous pressure - Furosemide should actually decrease venous pressure by reducing fluid volume.
C: An increase in potassium levels - Furosemide can cause potassium loss, so an increase in potassium levels would be an indication of a potential issue.
D: A decrease in cardiac output - Furosemide should not decrease cardiac output; it should help improve cardiac function by reducing fluid overload.