Pediatrics ATI Practice A questions and
Answers (Latest Update 2024)
A nurse is a providers office is preparing to administer vaccinations to a toddler
during a well-child visit. Which of the actions should the nurse plan to take? (kid 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 ANSWERS 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 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 candidacies. 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
ANSWERS 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 ANSWERS 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.
,Pediatrics ATI Practice A questions and
Answers (Latest Update 2024)
A nurse is caring for a preschooler whose father is going home 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
ANSWERS B. "Your daddy will be back after you eat."
Rationale: Preschoolers make sense of time best when they can associate it with an
expected daily routine, such as meals and bedtime. Therefore, the child
comprehends time best when it is explained to them in relation to an event they are
familiar with, such as eating.
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 ANSWERS A. Hematocrit 28%
Rationale: The nurse should recognize that this hematocrit level is below the
expected reference range of 32% to 44% for a school-age child. The child can
exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the
decreased oxygen-carrying capacity.
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 ANSWERS B. Sodium 140 mEq/L
, Pediatrics ATI Practice A questions and
Answers (Latest Update 2024)
Rationale: The nurse should identify that a sodium level of 140 mEq/L is within the
expected reference range of 134 to 150 mEq/L and indicates the current treatment
regimen the infant is receiving for dehydration is effective.
A nurse is reviewing the laboratory report of a 7-year-old child who is going through
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 ANSWERS A. Hgb 8.5 g/dL
Rationale: A child receiving chemotherapy is at risk for anemia due to the
chemotherapy effects on the blood-forming cells of the bone marrow. The
development of anemia is diagnosed through laboratory testing of hemoglobin and
hematocrit levels. The nurse should recognize that a hemoglobin level of 8.5 g/dL is
below the expected reference range of 10 to 15.5 g/dL for a 7-year-old child and
should be reported to the provider.
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 ANSWERS D. "Give the
infant a pacifier at bedtime."
Rationale: The nurse should inform the parent that protective factors against SIDS
include breastfeeding and the use of a pacifier when the infant is sleeping.
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 plan to take? (place in order)
Remove the tape securing the catheter
Turn off the IV pump
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