ATI RN
ATI RN Pediatric Nursing 2023 Questions
Extract:
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up-to-date with the current schedule.
Question 1 of 5
Which of the following immunizations should the nurse plan to administer? Select all that apply.
Correct Answer: A,B
Rationale: The correct answer is A and B. The nurse should plan to administer the MMR (Measles, mumps, and rubella) and Varicella (VAR) immunizations. MMR vaccine protects against measles, mumps, and rubella, which are highly contagious diseases. Varicella vaccine prevents chickenpox, another common and contagious illness. Rotavirus (
C), Herpes zoster (
D), and Human papillomavirus (HPV4) (E) vaccines are not typically administered by nurses, depending on the setting. Rotavirus is usually given to infants by pediatricians, while Herpes zoster and HPV4 vaccines are often administered by healthcare providers specializing in adult vaccinations.
Extract:
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A, observing the child's throat with a flashlight. This is the first action the nurse should take to assess for any signs of inflammation, redness, or pus in the throat, which could indicate a possible infection like strep throat. This initial assessment will help guide further interventions. Giving the child small sips of water (
B) may be appropriate after assessing the throat but should not be the first action. Administering an analgesic (
C) or offering an ice collar (
D) without assessing the throat first may mask symptoms and delay proper treatment.
Extract:
A nurse is assessing a child who has heart failure.
Question 3 of 5
Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. Tachypnea, or rapid breathing, is a common clinical manifestation associated with various medical conditions, including respiratory distress, fever, and metabolic disorders. In this case, tachypnea may indicate a potential respiratory issue or underlying pathology related to the diagnosis being considered. Tremors (
B) and increased appetite (
C) are not typically associated with this diagnosis and may suggest alternative conditions. Bradycardia (
D), or slow heart rate, is also not a common clinical manifestation of this diagnosis.
Extract:
A nurse is caring for a school-age child who has diabetes mellitus.
Question 4 of 5
Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
Correct Answer: D
Rationale: The correct answer is D: Thirst. Hyperglycemia is characterized by high blood sugar levels, causing increased thirst as the body tries to dilute the excess glucose by increasing fluid intake. Sweating (
A), tremors (
B), and pallor (
C) are not typically associated with hyperglycemia. Sweating and tremors are more commonly seen in hypoglycemia, while pallor may indicate other underlying conditions. Thirst, on the other hand, is a classic symptom of hyperglycemia due to the body's response to elevated blood sugar levels.
Extract:
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure. The child's parents ask for information on hemodialysis.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because hemodialysis uses an artificial membrane outside the body to clean the patient's blood. This process involves the blood being filtered through a machine that contains a semipermeable membrane, allowing waste products and excess fluids to be removed.
Choice A is incorrect because the abdominal cavity is not used as a membrane in hemodialysis.
Choice B is incorrect as hemodialysis does not involve using an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis involves periodically filtering the blood, not continuously.
Therefore, the nurse should make statement C to accurately explain the process of hemodialysis.