ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A child with Cystic Fibrosis (CF) for immunizations.
Question 1 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 6-year-old child with Sickle Cell Anemia admitted for vaso-occlusive crisis, complaining of pain in the abdomen, right tibia, and headache, pain level 10 on FACES Pain Scale, with tender abdomen, warm and tender right tibia, and history of multiple crises.
Question 2 of 5
The nurse is planning the nursing care for this child and anticipates which of the following to be a part of the plan of care for a child in vaso-occlusive crisis? For each potential intervention, click to specify if the intervention is anticipated or contraindicated.
Correct Answer: A,B,C
Rationale: Monitor RLE pulses, administer oxycodone for pain, and continue IV fluids are anticipated to assess perfusion, manage pain, and maintain hydration. Decreasing oxygen is contraindicated as adequate oxygenation is crucial to prevent further sickling.
Extract:
Antibiotic infusion via syringe pump, total volume 18 mL, to run over 90 minutes.
Question 3 of 5
The nurse must administer the following antibiotic via syringe pump. The infusion is to run over 90 minutes. The nurse calculates the infusion rate and sets the pump for the following rate
Correct Answer: 12 mL/hr
Rationale:
Total volume is 18 mL over 90 minutes (1.5 hours). Rate = 18 mL / 1.5 hours = 12 mL/hour.
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 school aged child with ADHD, prescribed dexamethylphenidate 10mg before breakfast and lunch.
Question 5 of 5
The nurse is assessing a school aged child with ADHD. The child is prescribed dexamethylphenidate 10mg before breakfast and lunch. Which of the following findings is of MOST concern to the nurse?
Correct Answer: C
Rationale: A blood pressure reading of 140/90 is concerning as it indicates hypertension, which can be a side effect of stimulant medications like dexamethylphenidate.