ATI Peds Practice Exam 2 questions and answers ( verified answers )

ATI Peds Practice Exam 2 ATI Peds Practice Exam 2 ATI Peds Practice Exam 2 ATI Peds Practice Exam 2 ATI Peds Practice Exam 2 A nurse in a provider's office is preparing to administer vaccinations to a toddler during a well-child visit. Which of the actions should the nurse plan to take? (Child has increased RR & HR; allergy to Neomycin) A. Withhold the measles, mumps, and rubella (MMR) vaccine. B. Withhold the diphtheria, tetanus, and pertussis (dtap) vaccine. C. Withhold the influenza vaccine. D. Withhold the tuberculin skin test (TST). • Correct Answer: A. Withhold the measles, mumps, and rubella (MMR) vaccine. Rationale: The nurse should recognize that an allergy to neomycin with an anaphylactic reaction is a contraindication for receiving the MMR vaccine. Clients who have a severe allergy to eggs or gelatin should also not receive this vaccine. A nurse is providing teaching to the parent of a school-aged child who has a new prescription for oral nystatin for the treatment of oral candidiasis. Which of the following instructions should the nurse include? A. "Shake the medication prior to administration." B. "Provide the medication through a straw." C. "Rinse the child's mouth with water immediately after giving the medication." D. "Mix the medication with applesauce if the child dislikes the taste." • Correct Answer: A. "Shake the medication prior to administration." Rationale: The nurse should instruct the parent to shake the medication prior to administration to disperse the medication evenly within the suspension. A nurse is reviewing the lumbar puncture results of a school-aged child who has suspected bacterial meningitis. Which of the following findings should the nurse identify as an indication of bacterial meningitis? A. Decreased cerebrospinal fluid pressure B. Decreased WBC count C. Increased protein concentration D. Increased glucose level • Correct Answer: C. Increased protein concentration Rationale: The nurse should identify that an increased protein concentration in the spinal fluid is a finding that can indicate bacterial meningitis. A nurse is caring for a preschooler whose father is going home for a few hours while another relative stays with the child. Which of the following statements should the nurse make to explain to the child when their father will return? A. "Your daddy will be back at 7 p.m." B. "Your daddy will be back after you eat." C. "Your daddy will be back in the morning." D. "Your daddy will be back after he takes care of your brother." • Correct Answer: B. "Your daddy will be back after you eat." Rationale: Preschoolers understand time best when it is related to familiar events like meals and bedtime. A nurse is reviewing the laboratory report of a school-aged child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia? A. Hematocrit 28% B. Hemoglobin 13.5 g/dl C. WBC count 8,000/mm³ D. Platelets 250,000/mm³ • Correct Answer: A. Hematocrit 28% Rationale: This hematocrit level is below the expected reference range of 32% to 44% for a school-age child. A nurse is reviewing the laboratory results of an infant who is receiving treatment for severe dehydration. The nurse should identify which of the following lab values indicates that the treatment is working? A. Potassium 2.9 meq/L B. Sodium 140 meq/L C. Urine specific gravity 1.035 D. BUN 25 mg/dl • Correct Answer: B. Sodium 140 meq/L Rationale: A sodium level of 140 meq/L is within the expected reference range and indicates the treatment for dehydration is effective. A nurse is reviewing the laboratory report of a 7-year-old child who is undergoing chemotherapy. Which of the following lab values should the nurse report to the provider? A. Hgb 8.5 g/dl B. WBC count 9,500/mm³ C. Prealbumin 18 mg/dl D. Platelets 300,000/mm³ • Correct Answer: A. Hgb 8.5 g/dl Rationale: A hemoglobin level of 8.5 g/dl is below the expected reference range for a 7-year-old child and should be reported. A nurse is teaching the parents of an infant ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include? A. "Place the infant in a prone position to sleep." B. "Allow the infant to sleep on a large pillow." C. "Use a soft mattress in the infant's crib." D. "Give the infant a pacifier at bedtime." • Correct Answer: D. "Give the infant a pacifier at bedtime." Rationale: Protective factors against SIDS include breastfeeding and pacifier use during sleep. A nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing to discontinue the IV fluids and catheter, which of the following actions should the nurse take? (Place in order) 1. Remove the tape securing the catheter 2. Turn off the IV pump 3. Occlude the IV tubing 4. Apply pressure over the catheter insertion site • Correct Order: 2, 3, 1, 4 Rationale: First, turn off the IV pump; next, occlude the IV tubing; then remove the tape; and finally apply pressure over the catheter insertion site. A school nurse is assessing an adolescent who has multiple burns in various stages of healing. Which of the following behaviors should the nurse identify as a possible indication of physical abuse? A. Expresses a reluctance to leave home B. Provides a detailed description of how the burns occurred C. Denies discomfort during assessment of injuries D. Describes strong relationships with peers • Correct Answer: C. Denies discomfort during assessment of injuries Rationale: A blunted response to pain may suggest physical abuse. A nurse is teaching the parent of an infant who has the Pavlik Harness for the treatment of developmental dysplasia of the hip. The nurse should identify that which of the following statements made by the parents indicates an understanding of the teaching? A. "I should remove the harness at night to allow my infant to stretch her legs." B. "I will need to adjust the straps on the harness once each week." C. "I should apply baby powder to my infant's skin twice daily." D. "I will place my infant's diapers under the harness straps." • Correct Answer: D. "I will place my infant's diapers under the harness straps." Rationale: This prevents soiling of the harness. A nurse is assessing a school-aged child who has peritonitis. Which of the following findings should the nurse expect? A. Hyperactive bowel sounds B. Abdominal distention C. Bradycardia D. Bloody stool • Correct Answer: B. Abdominal distention Rationale: Abdominal distention is an expected finding in peritonitis.