ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is assessing a school-age child who is receiving morphine.
Question 1 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Bradypnea. Bradypnea, or slow breathing, can indicate respiratory depression, a common adverse effect of many medications, especially opioids. Monitoring for this adverse effect is crucial to prevent serious complications like respiratory arrest. Prolonged wound healing (
B) is not typically a common adverse effect that requires immediate monitoring. Hypertension (
C) is a possible adverse effect, but it is not as urgent as respiratory depression. Stevens-Johnson syndrome (
D) is a severe skin reaction that is not typically monitored by nurses for immediate assessment of adverse effects.
Extract:
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Initiate contact isolation precautions. This is the appropriate action as it helps prevent the spread of infectious diseases, ensuring the safety of both patients and healthcare workers. Contact isolation is indicated for diseases that spread through direct contact, such as MRSA or C. difficile. Administering amphotericin B IV (choice
A) is not the immediate action needed without knowing the specific condition of the patient. Applying lidocaine ointment topically (choice
C) is not relevant to preventing the spread of infectious diseases. Reporting the disease to the state health department (choice
D) is important but not the initial action to take for immediate patient care.
Extract:
Question 3 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 to provide protection against the varicella virus, which can cause a highly contagious and potentially severe illness. Varicella vaccine is recommended by the CDC for children at this age to prevent complications such as pneumonia, encephalitis, and skin infections. The vaccine is given in two doses, with the second dose typically administered between ages 4-6 years.
Incorrect choices:
A: Inactivated polio virus - The first dose of inactivated polio virus vaccine is usually given at 2 months of age.
B: Hepatitis B - The first dose of hepatitis B vaccine is typically administered shortly after birth.
C: Human papillomavirus - HPV vaccine is not usually given until adolescence.
E, F, G: No information provided.
Question 4 of 5
A nurse is teaching a newly-licensed nurse about age-appropriate guidelines to prepare a school-age child for a procedure. Which of the following statements indicates that the newly-hired nurse understands the teaching?
Correct Answer: A
Rationale: Using simple diagrams is effective for explaining procedures to school-age children, aiding their understanding.
Extract:
A nurse is assessing a 4-month-old infant during a well-baby visit.
Question 5 of 5
For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: The correct answer is A: Doll's eye reflex intact. This finding is abnormal in adults and may indicate brainstem dysfunction. The nurse should notify the provider immediately for further evaluation and intervention.
Choice B is incorrect because no head lag when pulled to a sitting position is a normal finding in infants.
Choice C is incorrect because the presence of tears when crying is a normal physiological response.
Choice D is incorrect because a positive Babinski reflex is normal in infants but abnormal in adults.