the nurse is administering the first hepatitis a vaccine to an 18 month old child when should the child return to the clinic for the second dose of he

ATI RN

Nursing Care of Children ATI

1. The nurse is administering the first hepatitis A vaccine to an 18-month-old child. When should the child return to the clinic for the second dose of hepatitis A vaccination?

A. After 2 months
B. After 3 months
C. After 4 months
D. After 6 months

Correct answer: D

Rationale: The second dose of the hepatitis A vaccine is recommended 6 months after the first dose to ensure full immunity.

2. The nurse is preparing to assess a 10-month-old infant. He is sitting on his father's lap and appears to be afraid of the nurse and of what might happen next. Which initial actions by the nurse should be most appropriate?

A. Initiate a game of peek-a-boo.
B. Ask the infant's father to place the infant on the examination table
C. Talk softly to the infant while taking him from his father
D. Undress the infant while he is still sitting on his father’s lap

Correct answer: A

Rationale: Engaging the infant in a familiar game like peek-a-boo can help reduce fear and build rapport before starting the assessment.

3. The clinic nurse is instructing parents about caring for a toddler with ascariasis (common roundworm). Which statement made by the parents indicates a need for further teaching?

A. We will wash our hands often, especially after diaper changes
B. We know that roundworm can be transmitted from person to person
C. We will be sure to continue the nitazoxanide (Alinia) orally for 3 days
D. We will bring a stool sample to the clinic for examination in 2 weeks

Correct answer: B

Rationale: Roundworm (ascariasis) is typically transmitted through ingestion of contaminated soil, not directly from person to person. This statement indicates a misunderstanding requiring clarification.

4. What is the priority nursing intervention for a child with epiglottitis?

A. Administer antibiotics
B. Maintain airway patency
C. Provide hydration
D. Monitor vital signs

Correct answer: B

Rationale: The correct answer is B: Maintain airway patency. When dealing with a child with epiglottitis, the priority nursing intervention is to ensure airway patency to prevent airway obstruction, which can lead to respiratory distress or failure. Administering antibiotics (choice A) is important to treat the infection, but airway management takes precedence. Providing hydration (choice C) and monitoring vital signs (choice D) are essential aspects of care but are secondary to securing the airway in a child with epiglottitis.