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: Rotavirus, hepatitis B, and Hib are completed earlier. The second varicella dose is given at 4-6 years, appropriate for a 5-year-old.
Extract:
A nurse is planning care for a child who has varicella.
Question 2 of 5
Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: Koplik spots are for measles, not varicella. Aspirin risks Reye's syndrome. A blanket aids comfort but isn't specific. Airborne precautions prevent varicella's spread via droplets.
Extract:
A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy.
Question 3 of 5
Which of the following assessment findings is the priority?
Correct Answer: B
Rationale: Pain is expected and manageable. Frequent swallowing suggests bleeding, a critical post-tonsillectomy complication. Refusal to drink or crying are less urgent than potential hemorrhage.
Extract:
A nurse is preparing to administer ibuprofen 10 mg/kg PO to a child. The child weighs 55 lb. Available is ibuprofen 100 mg/5 mL solution.
Question 4 of 5
How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 12.5
Rationale: Convert 55 lb to 24.948 kg. Calculate dose: 24.948 kg × 10 mg/kg = 249.48 mg. Convert to volume: (249.48 mg ÷ 100 mg) × 5 mL = 12.474 mL, rounded to 12.5 mL.
Extract:
A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia.
Question 5 of 5
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
Correct Answer: B
Rationale: Low hemoglobin indicates anemia, not improvement. A normal RBC count suggests treatment is stabilizing red cell production, indicating a therapeutic effect. Elevated WBC may reflect disease activity or infection, not necessarily success. Low platelets suggest ongoing issues, not improvement.