ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing to assess a 4-year-old child's visual acuity.
Question 1 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A: Use a tumbling E chart for the assessment. This is the correct action because using a tumbling E chart is a common method to assess visual acuity in children. The chart consists of E shapes facing different directions, allowing the child to indicate the direction in which the E is pointing. This method is age-appropriate and engaging for children, making it easier to assess their visual acuity accurately.
Why the other choices are incorrect:
B: Testing the child without glasses before testing with glasses may not be necessary for all children and could lead to inaccurate results.
C: Positioning the child 4.6 meters (15 feet) from the chart is not a standard distance for visual acuity assessment in children.
D: Assessing both eyes together first, then each eye separately may not be the most effective approach for assessing visual acuity in children, as it may not provide accurate individual eye measurements.
Extract:
A nurse is teaching a group of parents about childhood immunizations.
Question 2 of 5
The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: C
Rationale: The correct answer is C: Varicella. At 12 months of age, infants should receive the first dose of varicella (chickenpox) vaccine to protect them against this contagious disease. Varicella vaccine helps prevent severe complications and spread of the virus. Inactivated polio virus (choice
A) is typically given at 2 months of age. Hepatitis B (choice
B) vaccine is usually administered shortly after birth. Human papillomavirus (choice
D) vaccine is recommended for adolescents.
Therefore, varicella (choice
C) is the appropriate immunization for infants at 12 months of age.
Extract:
A nurse is caring for a child who has impetigo contagiosa that developed in the hospital.
Question 3 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:
A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis.
Question 4 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: D
Rationale: The correct answer is D: Clear urine. Clear urine indicates proper hydration and kidney function, showing that the treatment has been effective in maintaining the body's fluid balance. Odorless urine (choice
A) is not a reliable indicator of treatment effectiveness. Temperature (choice
B) within normal range doesn't directly relate to treatment success. No pain with voiding (choice
C) is important but doesn't necessarily indicate treatment effectiveness. The focus should be on physiological changes like clear urine to assess treatment outcomes.
Extract:
A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs.
Question 5 of 5
Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Infuse each unit of blood within 4 hr. This is crucial to prevent bacterial contamination and ensure blood product integrity. Storing blood at room temperature for too long (
A) can promote bacterial growth. Administering RBCs with non-filtered IV tubing (
C) can lead to potential infusion reactions due to the presence of microaggregates. Infusing dextrose 5% in water during packed RBC infusion (
D) can cause hemolysis due to the low osmolarity of the solution.