ATI Pediatrics Q&As 2024 (100% Correct)

ATI
Pediatrics
Q&As
2024
(100%
Correct)
A
nurse
in
a
pediatric
clinic
is
assessing
a
toddler
at
a
well-child
visit.
Which
of
the
following
actions
should
the
nurse
take?
a.
Perform
the
assessment
in
a
head
to
toe
sequence.
b.
Minimize
physical
contact
with
the
child
initially .
c.
Explain
procedures
using
medical
terminology .
d.
Stop
the
assessment
if
the
child
becomes
uncooperative.
-
ANS-B
Rationale:
The
nurse
should
initially
minimize
physical
contact
with
the
toddler ,
and
then
progress
from
the
least
traumatic
to
the
most
traumatic
procedures.
A
nurse
is
caring
for
an
18-year-old
adolescent
who
is
up-to-date
on
immunizations
and
is
planning
to
attend
college.
The
nurse
should
inform
the
client
that
he
should
receive
which
of
the
following
immunizations
prior
to
moving
into
a
campus
dormitory?
a.
Pneumococcal
polysaccharide
b.
Meningococcal
polysaccharide
c.
Rotavirus
d.
Herpes
zoster
-
ANS-B
Rationale:
The
meningococcal
polysaccharide
immunization
is
used
to
prevent
infection
by
certain
groups
of
meningococcal
bacteria.
Meningococcal
infection
can
cause
life-threatening
illnesses,
such
as
meningococcal
meningitis,
which
affects
the
brain,
and
meningococcemia,
which
affects
the
blood.
Both
of
these
conditions
can
be
fatal.
College
freshmen,
particularly
those
who
live
in
dormitories,
are
at
an
increased
risk
for
meningococcal
disease
relative
to
other
persons
their
age.
Therefore,
the
Centers
for
Disease
Control
and
Prevention
has
issued
a
recommendation
that
all
incoming
college
students
receive
the
meningococcal
immunization.
A
nurse
is
teaching
the
parent
of
an
infant
about
food
allergens.
Which
of
the
following
foods
should
the
nurse
include
as
being
the
most
common
food
allergy
in
children?
a.
Cow's
milk b.
Wheat
bread
c.
Corn
syrup
d.
Egg
-
ANS-A
Rationale:
According
to
evidence-based
practice,
the
nurse
should
instruct
the
parent
that
cow's
milk
is
the
most
common
food
allergy
in
children.
Some
children
are
sensitive
to
the
protein,
called
casein,
found
in
cow's
milk.
They
have
difficulty
metabolizing
the
casein
and
are,
therefore,
allergic
to
cow's
milk.
A
nurse
is
teaching
the
parent
of
a
toddler
about
home
safety .
Which
of
the
following
statements
by
the
parent
indicates
an
understanding
of
the
teaching?
a.
"I
lock
my
medications
in
the
medicine
cabinet."
b.
"I
keep
my
child's
crib
mattress
at
the
highest
level."
c.
"I
turn
pot
handles
to
the
side
of
my
stove
while
cooking."
d.
"I
will
give
my
child
syrup
of
ipecac
if
she
swallows
something
poisonous."
-
ANS-A
Rationale:
Locking
up
medications
and
other
potential
poisons
prevents
access.
Toddlers
have
improved
gross
and
fine
motor
skills
that
allow
for
further
exploration
of
the
environment
and
possible
access
to
hazardous
substances.
A
nurse
is
performing
a
physical
assessment
on
a
6-month-old
infant.
Which
of
the
following
reflexes
should
the
nurse
expect
to
find?
a.
Stepping
b.
Babinski
c.
Extrusion
d.
Moro
-
ANS-B
Rationale:
The
Babinski
reflex,
which
is
elicited
by
stroking
the
bottom
of
the
foot
and
causing
the
toes
to
fan
and
the
big
toe
to
dorsiflex,
should
be
present
until
the
age
of
1
year .
Persistence
of
neonatal
reflexes
might
indicate
neurological
deficits.
A
nurse
is
preparing
to
administer
recommended
immunizations
to
a
2-month-old
infant.
Which
of
the
following
immunizations
should
the
nurse
plan
to
administer?
a.
Human
papillomavirus
(HPV)
and
hepatitis
A
b.
Measles,
mumps,
rubella
(MMR)
and
tetanus,
diphtheria,
and
acellular
pertussis
(TDaP)
c.
Haemophilus
influenzae
type
B
(Hib)
and
inactivated
polio
virus
(IPV) d.
Varicella
(VAR)
and
live
attenuated
influenza
vaccine
(LAIV)
-
ANS-C
Rationale:
The
recommended
immunizations
for
a
2-month-old
infant
include
Hib
and
IPV.
The
Hib
immunization
series
consists
of
3
to
4
doses,
depending
on
the
immunization
used,
and
at
a
minimum
is
administered
at
the
ages
of
2
months,
4
months,
and
12
to
15
months.
The
IPV
immunization
series
consists
of
4
doses
and
is
administered
at
the
ages
of
2
months,
4
months,
6
to
18
months,
and
4
to
6
years.
A
nurse
is
developing
a
plan
of
care
for
a
school-age
child
who
underwent
a
surgical
procedure
that
resulted
in
temporary
loss
of
vision.
Which
of
the
following
interventions
should
the
nurse
include
in
the
plan
of
care?
a.
Assign
an
assistive
personnel
to
feed
the
child.
b.
Explain
sounds
the
child
is
hearing.
c.
Have
the
child
use
a
cane
when
ambulating.
d.
Rotate
nurses
caring
for
the
child.
-
ANS-B
Rationale:
The
noises
in
a
facility
can
be
frightening
to
a
child
who
is
experiencing
a
sensory
loss.
It
is
important
to
explain
these
noises
to
allay
the
child's
fears.
A
nurse
is
assessing
a
3-year-old
child
who
is
1
day
postoperative
following
a
tonsillectomy .
Which
of
the
following
methods
should
the
nurse
use
to
determine
if
the
child
is
experiencing
pain?
a.
Ask
the
parents.
b.
Use
the
FACES
scale.
c.
Use
the
numeric
rating
scale.
d.
Check
the
child's
temperature.
-
ANS-B
Rationale:
Pain
is
a
subjective
experience
even
for
a
3-year-old
child.
The
FACES
scale
can
be
used
to
accurately
determine
the
presence
of
pain
in
children
as
young
as
3
years
of
age.
12.
A
nurse
is
assessing
a
6-month-old
infant
at
a
well-child
visit.
Which
of
the
following
findings
indicates
the
need
for
further
assessment?
a.
Grabs
feet
and
pulls
them
to
her
mouth
b.
Posterior
fontanel
is
closed
c.
Legs
remain
crossed
and
extended
when
supine d.
Birth
weight
has
doubled
-
ANS-C
Rationale:
Legs
crossed
and
extended
when
supine
is
an
unexpected
finding
and
requires
further
assessment.
At
6
months
of
age,
the
legs
flex
at
the
knees
when
the
infant
is
supine.
Crossed
and
extended
legs
when
supine
is
a
finding
associated
with
cerebral
palsy .
A
nurse
is
observing
a
mother
who
is
playing
peek-a-boo
with
her
8-month-old
child.
The
mother
asks
if
this
game
has
any
developmental
significance.
The
nurse
should
inform
the
mother
that
peek-a-boo
helps
develop
which
of
the
following
concepts
in
the
child?
a.
Hand-eye
coordination
b.
Sense
of
trust
c.
Object
permanence
d.
Egocentrism
-
ANS-C
Rationale:
Object
permanence
refers
to
the
cognitive
skill
of
knowing
an
object
still
exists
even
when
it
is
out
of
sight.
In
discovering
a
hidden
object
while
playing
peek-a-boo,
the
infant
experiences
validation
of
this
concept.
A
nurse
is
caring
for
a
15-month-old
toddler
who
requires
droplet
precautions.
Which
of
the
following
actions
should
the
nurse
take?
a.
Have
the
toddler
wear
a
disposable
gown
when
in
the
unit's
playroom.
b.
Wear
sterile
gloves
when
changing
the
toddler's
diapers.
c.
Wear
a
mask
when
assisting
the
toddler
with
meals.
d.
Ask
visitors
to
wear
an
N-95
mask
when
entering
the
room.
-
ANS-C
Rationale:
The
nurse
should
wear
a
mask
when
within
3
to
6
feet
of
the
toddler
to
prevent
the
transmission
of
infections
that
are
spread
via
large
droplet
particles
expelled
in
the
air.
A
nurse
at
a
pediatric
clinic
is
assessing
a
5-month-old
infant
during
a
well-child
visit.
Which
of
the
following
findings
should
the
nurse
report
to
the
provider?
a.
Head
lags
when
pulled
from
a
lying
to
a
sitting
position
b.
Absence
of
startle
and
crawl
reflexes
c.
Inability
to
pick
up
a
rattle
after
dropping
it
d.
Rolls
from
back
to
side
-
ANS-A