ATI RN
ATI RN Pediatrics Nursing 2023 Questions
Extract:
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule.
Question 1 of 5
Which of the following immunizations should the nurse plan to administer?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Varicella vaccine is recommended for children to prevent chickenpox caused by the varicella-zoster virus. Administering this vaccine helps protect individuals from contracting the disease, reducing the severity of symptoms and potential complications. Rotavirus (
A) is given to prevent severe diarrhea in infants. Hepatitis B (
B) is administered to prevent hepatitis B virus infection. Haemophilus influenzae type b (
C) vaccine is given to prevent bacterial infections caused by H. influenzae type b.
Extract:
Question 2 of 5
A nurse is preparing to administer immunizations to a 5-year-old child who is up-to-date with the current immunization schedule. Which of the following immunizations should the nurse plan to administer?
Correct Answer: A
Rationale: The correct answer is A: Varicella. The nurse should plan to administer the Varicella vaccine to the 5-year-old child who is up-to-date with the current immunization schedule because it is recommended for children at this age to protect against chickenpox. Varicella vaccine is typically given around the age of 4-6 years to ensure immunity. The other choices are incorrect because: B: Haemophilus influenzae type b vaccine is usually given at 2, 4, and 6 months of age, not at 5 years. C: Rotavirus vaccine is usually given to infants at 2, 4, and 6 months of age, not at 5 years. D: Hepatitis B vaccine is typically given at birth, 1-2 months, and 6-18 months of age, not at 5 years.
Extract:
Nurses' Notes: 0700: 7 year old client who weighs 18.1 kg (39.9 lb) admitted with a UTI. Child reports pain and burning upon urination and feeling like they need to go to the bathroom all the time. Child's guardian reports the client has been incontinent of urine the past 2 nights and that the urine has a very strong odor. Vital Signs: 0715: Temperature 38 C (100.4 F), Heart rate 80/min, Respiratory rate 22/min, Blood pressure 106/65 mm Hg. 0930: Temperature 38.4 C (101.1 F), Heart rate 90/min, Respiratory rate 23/min, Blood pressure 105/65 mm Hg. Provider Prescription: Sulfamethoxazole and trimethoprim 8 mg TMP/kg/day PO, Salicylic acid 20 mg/kg/dose every 4 hr as needed for pain and fever.
Question 3 of 5
For each of the following interventions, click to specify if the potential intervention is anticipated or contraindicated for the client.
| Intervention | Anticipated |
|---|---|
| Administer Sulfamethoxazole and trimethoprim | |
| Advise child's guardian about the use of sunscreen | |
| Administer salicylic acid for pain and fever | |
| Ensure the child receives a maximum of 1,200 mL/day of fluid | |
| Educate the child about proper perineal hygiene |
Correct Answer: A,B,E
Rationale: A: Sulfamethoxazole and trimethoprim treat the UTI. B: Sunscreen is advised due to photosensitivity from the antibiotic. E: Perineal hygiene prevents recurrent UTIs. Contraindicated: C: Salicylic acid risks Reye's syndrome. D: Fluid restriction is inappropriate; increased fluids help flush bacteria.
Extract:
Question 4 of 5
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Correct Answer: D
Rationale: The correct answer is D: Monitor for pallor or swelling in the child's affected hand. This is the priority information to include because it indicates a potential complication, such as impaired circulation or compartment syndrome, which requires immediate attention to prevent further harm. Pallor or swelling in the affected hand could be signs of decreased blood flow or increased pressure within the cast, leading to tissue damage. It is crucial to monitor these signs closely to prevent any serious consequences.
Explanations for why the other choices are incorrect:
A: Using a hair dryer on a cool setting to relieve itching is not a priority compared to monitoring for circulation issues.
B: Examining the child for skin irritation at the cast edges is important but not as critical as monitoring for pallor or swelling.
C: Restricting strenuous activities for 3 days is important for proper healing but does not address immediate complications.
Overall, monitoring for pallor or swelling is the priority as it requires immediate action to prevent potential complications.
Extract:
A nurse is preparing to assess a 4-year-old child's visual acuity.
Question 5 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.