ATI RN
RN Pediatric Nursing 2023 ATI
1. A parent of a child with cerebral palsy is being taught about home care by a healthcare provider. Which statement by the parent indicates an understanding of the teaching?
- A. I will perform range-of-motion exercises twice a day.
- B. I will apply a heating pad on my child's legs to reduce spasms.
- C. I will allow my child to rest in a recliner for 1 hour each day.
- D. I will use wrist splints to maintain alignment.
Correct answer: D
Rationale: Using wrist splints can help maintain alignment and prevent contractures in a child with cerebral palsy. This intervention is crucial in managing the condition and supporting the child's mobility and function.
2. A child has Wilms' tumor and is scheduled for surgery. Which of the following actions should the nurse include in the plan of care?
- A. Palpate the child's abdomen daily for tumor size.
- B. Reposition the child frequently.
- C. Prepare the child for chemotherapy.
- D. Avoid palpating the abdomen.
Correct answer: D
Rationale: Palpating the abdomen of a child with Wilms' tumor should be avoided to prevent the risk of rupturing the tumor and spreading cancer cells. This action is crucial to maintain the child's safety and prevent potential complications before surgery.
3. At what age may an infant close their eyes to bright lights and show improved head control?
- A. 30-33 weeks after conception
- B. 34-36 weeks after conception
- C. Less than 30 weeks after conception
- D. 37-40 weeks after conception
Correct answer: A
Rationale: Around 30-33 weeks after conception, infants usually start closing their eyes in response to bright lights and exhibit enhanced head control. This developmental milestone indicates progress in their visual and motor abilities, reflecting the maturation of their neurological system. As preterm infants continue to grow and develop, they gradually acquire these skills, showcasing the natural progression of their sensory and motor functions.
4.
- A. Aspirin 81mg daily
- B. Clopidogrel (Plavix) 75mg daily
- C. Heparin 5000 units subQ q12hrs
- D. Metoprolol 50mg q8hrs
Correct answer: B
Rationale: For patients who lack risk factors for GI bleeding, combined use of clopidogrel with a PPI, may reduce the effects of clopidogrel without offering any real benefits and thus should be avoided.
5. Which statement regarding the human papillomavirus vaccine (Gardasil) is true?
- A. Gardasil is administered in a two-dose series.
- B. Gardasil provides protection against chlamydia.
- C. Gardasil is recommended for males and females.
- D. Gardasil becomes effective after the first dose.
Correct answer: C
Rationale: Gardasil is recommended for both males and females to protect against HPV and related conditions such as genital warts and certain cancers. It is essential for both genders to receive the vaccine to prevent the spread of HPV and its associated health risks.
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