ATI RN
ATI Nsg 234 Pediatrics Exam Questions
Extract:
A nurse at the well-baby clinic is preparing to give an immunization vaccine to an 18-month-old child.
Question 1 of 5
Which vaccine should the nurse prioritize for administration?
Correct Answer: C
Rationale: The nurse should prioritize administering the DTaP vaccine as it protects against serious diseases like diphtheria, tetanus, and pertussis. These diseases can be life-threatening, especially for infants and young children. Rotavirus, influenza, and MMR vaccines are important too, but DTaP should be prioritized due to the severity of the diseases it prevents. Rotavirus vaccine protects against a common cause of severe diarrhea in infants, influenza vaccine prevents seasonal flu, and MMR vaccine protects against measles, mumps, and rubella. Each of these vaccines has its own importance, but in terms of prioritization based on disease severity, DTaP is the correct choice.
Extract:
A nurse is caring for an 8-month-old child with a known dysmorphic syndrome and congenital anomalies.
Question 2 of 5
The nurse recognizes that the child is at risk for which of the following?
Correct Answer: A
Rationale: The correct answer is A: Frequent hospitalizations. Children who require frequent hospitalizations are at risk for various complications such as infections, missed school, and disruptions in their daily routine. This can have long-term physical, emotional, and social consequences. Weight loss (
B), cognitive impairment (
C), and dependence on caregivers (
D) may be outcomes of frequent hospitalizations but are not direct risks. It is crucial for the nurse to address the underlying issue of frequent hospitalizations to prevent further complications.
Extract:
The nurse is caring for a newborn with a diagnosis of tracheoesophageal fistula (TEF).
Question 3 of 5
Which of the following assessment findings may be present in a newborn with TEF? (Select All that Apply.)
Correct Answer: C,D,E
Rationale: The correct assessment findings for a newborn with tracheoesophageal fistula (TEF) are excessive drooling (
C), respiratory distress (
D), and coughing or choking during feeding (E). Excessive drooling is due to the inability to swallow saliva, respiratory distress occurs due to aspiration into the lungs, and coughing or choking during feeding can result from the abnormal connection between the trachea and esophagus. Sunken abdomen (
B) is not typically associated with TEF, and normal feeding and swallowing (
A) would not be expected due to the anatomical defect.
Extract:
A pediatric nurse is assessing a child with otitis media that has frequent ear problems.
Question 4 of 5
The nurse recognizes that which of the following risk factors are associated with otitis media?
Correct Answer: B
Rationale: The correct answer is B: Frequent viral infections. Otitis media is commonly caused by bacterial or viral infections. Frequent viral infections can lead to inflammation and fluid buildup in the middle ear, increasing the risk of developing otitis media.
Choice A is incorrect because using cotton tipped swabs can actually push earwax deeper into the ear canal, leading to blockages and increasing the risk of otitis media.
Choice C is incorrect as playing in the pool does not directly increase the risk of otitis media.
Choice D is incorrect as cleaning the ears with vinegar is not a common risk factor for otitis media.
Extract:
A nurse is providing discharge teaching about nutrition to the parents of a 9-year-old child with cystic fibrosis (CF).
Question 5 of 5
The nurse should recognize that which statement made by the mother indicates understanding about nutrition?
Correct Answer: A
Rationale: The correct answer is A because giving pancreatic enzymes with snacks and meals indicates the mother understands the importance of managing her child's pancreatic insufficiency. This is crucial for proper digestion and absorption of nutrients.
Choice B is incorrect because salt restriction is not directly related to nutrition understanding.
Choice C is incorrect as limiting fluid intake is not a standard nutrition practice for children.
Choice D is incorrect because limiting protein is not advisable for children with pancreatic insufficiency, as they may have difficulty absorbing fats and fat-soluble vitamins.