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? (Chi...
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.
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