Questions 36

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ATI Nurs 243 Pediatrics Exam Questions

Extract:

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


Question 1 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.

Question 2 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 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, prescribed digoxin and furosemide.


Question 3 of 5

A 3-year-old child with congestive heart failure resulting from an underlying congenital heart defect, is prescribed digoxin and furosemide. Which of the following assessment findings are MOST concerning?

Correct Answer: C

Rationale: An apical pulse of 70 beats/minute and vomiting are concerning because they may indicate digoxin toxicity. A low heart rate (bradycardia) in a child on digoxin requires immediate attention.

Extract:

A newborn infant, with parents receiving anticipatory guidance to reduce child abuse.


Question 4 of 5

The nurse is providing anticipatory guidance teaching to the parents of a newborn infant geared toward reducing child abuse. Which of the following would be the priority topic of discussion to meet this goal?

Correct Answer: C

Rationale: Recognizing that increased crying is normal during the first month and ensuring parents have emotional support can significantly reduce the risk of frustration that may lead to child abuse.

Extract:

Antibiotic infusion via syringe pump, total volume 18 mL, to run over 90 minutes.


Question 5 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.

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