Questions 36

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ATI RN Test Bank

ATI Nurs 243 Pediatrics Exam Questions

Extract:

A 12-month-old infant receiving chemotherapy for neuroblastoma.


Question 1 of 5

A nurse working in an immunization clinic is caring for a 12-month-old infant who is receiving chemotherapy for neuroblastoma. Which of the following immunizations CANNOT be given to this infant at this time?

Correct Answer: C

Rationale: Varicella (chickenpox) vaccine is a live attenuated vaccine and should not be given to immunocompromised children, such as those receiving chemotherapy, because it poses a risk of causing an infection.

Extract:

An adolescent following an intentional overdose of methylphenidate hydrochloride.


Question 2 of 5

An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.

Correct Answer: A,B,E,F

Rationale: Hallucinations, paranoia, tachycardia, and hypertension are expected due to the stimulant effects of methylphenidate overdose, which increase central nervous system and cardiovascular activity.

Extract:

A child with Cystic Fibrosis (CF) for immunizations.


Question 3 of 5

The nurse is discussing the importance of immunizations with the mother of a child with Cystic Fibrosis (CF) for immunizations. Which statement is the best response?

Correct Answer: B

Rationale: Children with CF need all typical immunizations to protect against preventable diseases, as well as additional vaccines like the yearly pneumococcal and influenza vaccines to prevent respiratory infections.

Extract:

A 5-year-old child receiving a MMR vaccine.


Question 4 of 5

The nurse is instructing the parents of a 5-year-old child receiving a MMR vaccine about possible serious reactions. Which of the following is considered a serious reaction? SELECT ALL THAT APPLY

Correct Answer: A,B

Rationale: Prolonged seizures and decreased level of consciousness are serious reactions to the MMR vaccine, requiring immediate medical attention.

Extract:

A child with Autism Spectrum Disorder.


Question 5 of 5

The nurse is caring for a child with Autism Spectrum Disorder. The nurse recognizes that which of the following may trigger anxiety and frustration during the hospitalization? SELECT ALL THAT APPLY

Correct Answer: B,C,D

Rationale: Overstimulation, illness and pain, and changes in routine can trigger anxiety and frustration in children with Autism Spectrum Disorder due to sensory sensitivities and preference for predictability.

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