ATI RN
ATI RN Pediatric Nursing 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: A. Riding the bicycle against the flow of traffic increases the risk of collisions with oncoming vehicles. Children should ride with the flow of traffic to be more predictable and visible to drivers. B. Keeping the bicycle at least 3 feet from the curb while riding in the street is excessive and may place the child too far into traffic; a safer distance is closer to 1-2 feet to avoid hazards like parked cars. C. Walking the bicycle through intersections allows the child to safely navigate intersections as pedestrians, reducing the risk of accidents with vehicles. D. The height of the child's feet when seated on the bicycle being 3 to 6 inches off the ground is unsafe; their feet should be able to touch the ground for balance and control while stopping and starting.
Question 2 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 3 of 5
A nurse is assessing a 4-month-old infant during a well-baby visit. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: A. No head lag when pulled to a sitting position is a normal finding at 4 months of age and does not require notification of the provider. B. The Doll's eye reflex (also known as oculocephalic reflex) should be absent by 4 months of age. Its persistence could indicate neurological abnormalities and warrants further evaluation by the provider. C. Presence of tears when crying is a normal physiological response and does not require notification of the provider. D. Positive Babinski reflex is normal in infants under 2 years old and typically disappears by 12 to 24 months of age. It does not require immediate notification of the provider.
Question 4 of 5
A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: A. Stevens-Johnson syndrome is a severe adverse reaction associated with certain medications but is not typically associated with prednisolone. B. Prolonged wound healing is a potential adverse effect of corticosteroid therapy such as prednisolone. C. Hypotension is not a common adverse effect of prednisolone. D. Renal failure is not typically associated with prednisolone use.
Question 5 of 5
A nurse is caring for a child who is receiving conditioning therapy for enuresis. Which of the following statements by the child's parent indicate the treatment is effective?
Correct Answer: C
Rationale: A. This statement suggests that the child may be experiencing difficulty holding urine, which is not indicative of successful treatment for enuresis. B. Decreased fluid intake may not necessarily indicate successful treatment for enuresis and could potentially lead to dehydration. C. This statement suggests that the child responded to the conditioning therapy by waking up to use the bathroom when the alarm signaled, indicating progress in achieving nighttime continence. D. While Kegel exercises may be beneficial for pelvic floor strength, they are not typically a primary treatment for enuresis, and this statement does not directly indicate the effectiveness of the treatment.