ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Question 1 of 5
A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?
Correct Answer: A
Rationale: Egg anaphylaxis contraindicates egg-based influenza vaccines due to potential severe reactions. Neomycin, gluten, and gelatin are not typically in flu vaccines or relevant contraindications.
Question 2 of 5
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hour ago. Which of the following findings reported by the parent is the nurse's priority?
Correct Answer: C
Rationale: Swelling around eyelids and mouth suggests anaphylaxis, requiring immediate action. Pain, mild fever, and reduced intake are common and less urgent.
Question 3 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates to the nurse that the child is dehydrated?
Correct Answer: C
Rationale: Increased pulse compensates for hypovolemia in dehydration. BP decreases, fontanels sink, and veins collapse, not distend, with dehydration.
Question 4 of 5
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Minimizing physical contact respects sensory sensitivities common in autism, reducing distress. Semiprivate rooms increase stimuli, eye contact during agitation may provoke anxiety, and leaving the TV on risks overstimulation, all of which are inappropriate.
Question 5 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates dehydration?
Correct Answer: A,B,C,D
Rationale: A sunken anterior fontanel suggests reduced intracranial pressure from dehydration. Increased pulse rate compensates for reduced circulating volume. Dry mucous membranes result from fluid depletion. Irritability occurs due to electrolyte imbalance and hypovolemia, all indicating dehydration.