Questions 64

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ATI PN Pediatrics Nursing 2023 II Questions

Extract:


Question 1 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 2 of 5

A nurse is preparing to perform a heel stick using a spring-loaded automatic puncture device on a 1-week-old infant. In which of the following locations should the nurse puncture the infant's foot?

Correct Answer: B

Rationale: The lateral heel is capillary-rich and safe, minimizing pain and ensuring blood flow. Other sites risk trauma or insufficient yield.

Question 3 of 5

A nurse is caring for an 18-month-old infant who is 12 hours postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?

Correct Answer: B

Rationale: The FLACC Scale assesses pain in non-verbal infants via behavior, ideal for an 18-month-old. Others require higher cognitive ability.

Question 4 of 5

A nurse is collecting data from an adolescent client 24 hours after admission. Which of the following findings should be reported immediately?

Correct Answer: D

Rationale: Oxygen saturation of 95% is acceptable and not urgent. Barrel chest indicates a chronic condition, not an immediate threat. A respiratory rate of 32/min suggests tachypnea but is less critical than hemoptysis of 300 mL, which indicates significant bleeding requiring immediate intervention to prevent airway obstruction or shock.

Question 5 of 5

A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Gravity flow is safe and effective. Crushing sustained-release, minimal flushing, or mixing medications risk efficacy and safety.

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