Questions 36

ATI RN

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ATI Nurs 243 Pediatrics Exam Questions

Extract:

A newborn child whose mother does not wish for immunizations due to concerns about MMR vaccine causing autism.


Question 1 of 5

The mother of a newborn child does not wish for her child to receive immunizations because she has read that immunizations, especially MMR vaccine, cause autism. Which of the following statements by the nurse is the FIRST response?

Correct Answer: D

Rationale: Providing accurate, evidence-based information is the best first response. It addresses the mother's concerns directly and helps correct misinformation.

Extract:

A school aged child with ADHD recently switched from methylphenidate to atomoxetine.


Question 2 of 5

A school aged child with ADHD was recently switched from a methylphenidate to atomoxetine. The nurse recognizes a need for further teaching when the parents make which of the following statements?

Correct Answer: B

Rationale: Atomoxetine is a non-stimulant medication for ADHD that must be taken consistently every day, not just on school days. This statement indicates a misunderstanding and a need for further teaching.

Extract:

A 1-month-old infant with a new ventriculoperitoneal shunt.


Question 3 of 5

The nurse is assessing a 1-month-old infant with a new ventriculoperitoneal shunt. Which of the following signs and symptoms in this infant is concerning for increased intracranial pressure? SELECT ALL THAT APPLY

Correct Answer: A,B,E

Rationale: Vomiting, poor feeding, and irritability can be signs of increased intracranial pressure in infants, indicating possible shunt malfunction or obstruction.

Extract:

A child who has hemiplegic cerebral palsy.


Question 4 of 5

A home health nurse is doing the first intake visit for a child who has hemiplegic cerebral palsy. When developing a plan of care for this child, which of the following goals is the priority for the nurse to include in the plan of care?

Correct Answer: B

Rationale: Modifying the home for safety is the priority because children with hemiplegic cerebral palsy have motor impairments that increase their risk for accidents and injuries. A safe environment is essential for the child’s well-being.

Extract:

A child diagnosed with a Wilm's tumor.


Question 5 of 5

For a child diagnosed with a Wilm's tumor. The nurse recognizes that which of the following is MOST important intervention when planning care for this child?

Correct Answer: A

Rationale: Avoiding further palpation of the abdomen is crucial to prevent rupture of the tumor and potential spread of cancer cells.

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