Ati Rn Pediatrics Ngn Practice Exam
Actual Exam Complete 153 Questions
And Correct Detailed Answers
(Verified Answers)
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. - ✔✔✔ANSWER-
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 - ✔✔✔ANSWER-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 - ✔✔✔ANSWER-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." -
✔✔✔ANSWER-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 - ✔✔✔ANSWER-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) -
✔✔✔ANSWER-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
Actual Exam Complete 153 Questions
And Correct Detailed Answers
(Verified Answers)
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. - ✔✔✔ANSWER-
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 - ✔✔✔ANSWER-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 - ✔✔✔ANSWER-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." -
✔✔✔ANSWER-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 - ✔✔✔ANSWER-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) -
✔✔✔ANSWER-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
