a nurse is preparing to administer a measles mumps and rubella mmr vaccine to a 15 month old child which of the following findings is a contraindicati

ATI RN

ATI Pediatrics Proctored Exam 2023

1. A healthcare professional is preparing to administer a measles, mumps, and rubella (MMR) vaccine to a 15-month-old child. Which of the following findings is a contraindication to the administration of this vaccine?

A. Family history of egg allergy
B. Currently taking antibiotics
C. History of asthma
D. Presence of rhinorrhea

Correct answer: B

Rationale: Taking antibiotics is a contraindication to receiving the MMR vaccine because antibiotics can potentially interfere with the effectiveness of the vaccine. It is essential to avoid administering the MMR vaccine while the child is on antibiotics to ensure the vaccine provides the intended protection.

2. What is an initial sign of nephrosis that the nurse might note in a child?

A. Raspberry-like rash
B. Periorbital edema
C. Temperature elevation
D. Abdominal pain

Correct answer: B

Rationale: In nephrotic syndrome, edema is a common symptom that is generalized and not easily noticeable, even by parents. However, an early sign that can be assessed by the nurse is periorbital edema, which refers to swelling around the eyes. This can be an initial indicator of nephrosis and may prompt further evaluation and intervention.

3. What is the recommended sleep duration for 14-17-year-olds?

A. 14-17 hours
B. 8-10 hours
C. 12-15 hours
D. 9-11 hours

Correct answer: B

Rationale: The recommended sleep duration for adolescents aged 14-17 is 8-10 hours to promote optimal health. Getting enough sleep is crucial for their physical and mental well-being, as it supports growth, development, learning, and overall health.

4. A nurse is teaching a parent of a child who has type 1 diabetes mellitus. Which of the following statements by the parent indicates an understanding of the teaching?

A. I will notify my child's school about his condition.
B. I will encourage my child to eat a carbohydrate snack if his blood glucose is low.
C. I will rotate injection sites each time I give my child insulin.
D. I will ensure my child receives the flu vaccine every year.

Correct answer: C

Rationale: The nurse should instruct the parent to rotate injection sites to prevent tissue damage and improve insulin absorption.

5. A healthcare professional is reviewing the laboratory report of an infant who is receiving treatment for severe dehydration. The professional should identify which of the following laboratory values indicates effectiveness of the current treatment?

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

Rationale: A sodium level of 140 mEq/L within the expected reference range indicates effective treatment for dehydration. In dehydration, sodium levels are often elevated, so a normal sodium level suggests that the treatment is helping to restore the electrolyte balance in the infant's body.