Peds ATI Final 2024
uTeaching parents about immunizations, the nurse explains the child will need which of
the following immunizations at 2 months of age? Select all that apply
1.DTaP
2.IPV
3.MMR
4.Hep A
5.Hep B
6.Influenza
7.Rotavirus
8.Hib
9.PCV (pneumococcal vaccine) - 1
2
5
7
8
9
At what ages do children receive the MMR vaccine?
1. 6 months and 12 months
2. 12 months and 4 years
3. 36 months and 48 months
4. 9 months and 8 years - 2
Rationale: CDC recommends all children get two doses of MMR (measles-mumps-
rubella) vaccine, starting with the first dose at 12 through 15 months of age, and the
second dose at 4 through 6 years of age.
•A nurse is performing a developmental screening on an 18 month old. Which of the
following skills should the toddler be able to perform? (Select all that apply.)
1.Build a tower with six blocks
1.Throw a ball overhand
1.Walk up and down stairs
1.Draw circles
1.Use a spoon without rotation - 2
5
remaining skills are for a toddler b/w ages 2-3
Ms. Aloha is worried about her 4-year-old who is waking with night terrors. What advice
should the nurse give this mother? Select all that apply.
1.Let the child choose their own bedtime
2.Use a night-light in the room.
3.Provide the child with a favorite toy.
, 4.Reassure the child and provide comfort, but avoid allowing the child to sleep with their
parents.
5.Give Benadryl 30 minutes prior to sleep
6.Wake 15 minutes before the usual time of the terror - 2
3
4
6
Night terrors typically occur between midnight and 2 am during the deepest stage of
sleep. Usually you cannot wake the child.
A child with sickle cell anemia will is experience what s/s during a vaso-occlusive crisis?
- -SOB
-Fatigue
-Pallor
-Jaundice
-Hands and feet cool to touch
-HA
-dizzy
-Pain
Tell whether the following lab values will be increased or decreased in the child w/ sickle
cell anemia.
1. hemoglobin
2. WBC count
3. Billirubin
4. Reticulocyte - 1. decreased
2. elevated
3. elevated
4. elevated
What are precipitating factors associated w/ vaso-occlusive crisis? - -cold
-dehydration
-fever
-infection
-hypoxia
-high altitude
What nursing interventions should be done for child with vaso-occlusive crisis? - -warm
compress
-opioids for pain management
-blood products
-promote rest, hydration and nutrition
uTeaching parents about immunizations, the nurse explains the child will need which of
the following immunizations at 2 months of age? Select all that apply
1.DTaP
2.IPV
3.MMR
4.Hep A
5.Hep B
6.Influenza
7.Rotavirus
8.Hib
9.PCV (pneumococcal vaccine) - 1
2
5
7
8
9
At what ages do children receive the MMR vaccine?
1. 6 months and 12 months
2. 12 months and 4 years
3. 36 months and 48 months
4. 9 months and 8 years - 2
Rationale: CDC recommends all children get two doses of MMR (measles-mumps-
rubella) vaccine, starting with the first dose at 12 through 15 months of age, and the
second dose at 4 through 6 years of age.
•A nurse is performing a developmental screening on an 18 month old. Which of the
following skills should the toddler be able to perform? (Select all that apply.)
1.Build a tower with six blocks
1.Throw a ball overhand
1.Walk up and down stairs
1.Draw circles
1.Use a spoon without rotation - 2
5
remaining skills are for a toddler b/w ages 2-3
Ms. Aloha is worried about her 4-year-old who is waking with night terrors. What advice
should the nurse give this mother? Select all that apply.
1.Let the child choose their own bedtime
2.Use a night-light in the room.
3.Provide the child with a favorite toy.
, 4.Reassure the child and provide comfort, but avoid allowing the child to sleep with their
parents.
5.Give Benadryl 30 minutes prior to sleep
6.Wake 15 minutes before the usual time of the terror - 2
3
4
6
Night terrors typically occur between midnight and 2 am during the deepest stage of
sleep. Usually you cannot wake the child.
A child with sickle cell anemia will is experience what s/s during a vaso-occlusive crisis?
- -SOB
-Fatigue
-Pallor
-Jaundice
-Hands and feet cool to touch
-HA
-dizzy
-Pain
Tell whether the following lab values will be increased or decreased in the child w/ sickle
cell anemia.
1. hemoglobin
2. WBC count
3. Billirubin
4. Reticulocyte - 1. decreased
2. elevated
3. elevated
4. elevated
What are precipitating factors associated w/ vaso-occlusive crisis? - -cold
-dehydration
-fever
-infection
-hypoxia
-high altitude
What nursing interventions should be done for child with vaso-occlusive crisis? - -warm
compress
-opioids for pain management
-blood products
-promote rest, hydration and nutrition
