ATI PN Pediatrics Nursing 2023 II

Extract:

Question 1 of 4

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?

A. My child cries when I touch the area where she received the shot. B. My child has a temperature of 100.7 degrees Fahrenheit. C. My child has some swelling around her eyelids and mouth. D. My child only ate 2 ounces during her last feeding.

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 4

A nurse is reinforcing teaching about bicycle safety with a school-age child. Which of the following instructions should the nurse include?

A. Choose a helmet that is light in color and covers your ears. B. Ride instead of walk your bicycle through crosswalks and intersections. C. Ride against traffic to allow visibility to oncoming vehicles. D. Ensure the balls of your feet touch the ground when you are seated on the bicycle.

Correct Answer: D

Rationale: Feet touching the ground ensures bike fit and stability. Helmets shouldn't cover ears, and riding through crosswalks or against traffic increases risks.

Question 3 of 4

A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?

A. Position the child side-lying to expose the vertebrae. B. Place the child in a prone position to expose the posterior iliac crest. C. Place the child supine with legs flexed outward into a frog-like position. D. Position the child sitting with their buttocks at the edge of the table.

Correct Answer: B

Rationale: Prone position exposes the iliac crest, ideal for marrow collection. Other positions don't provide access or stability.

Question 4 of 4

A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?

A. This test tells me how much oxygen my body is carrying. B. This test checks for ketones in my urine. C. This test measures the amount of hemoglobin in my blood. D. This test checks my blood sugar over the last few months.

Correct Answer: D

Rationale: HbA1c measures average glucose over 2-3 months, reflecting control. It doesn't assess oxygen, ketones, or total hemoglobin.

Question 5 of 4

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 finding reported by the parent is the nurse's priority?

A. My child cries when I touch the area where she received the shot. B. My child has a temperature of 100.7 degrees Fahrenheit. C. My child has some swelling around her eyelids and mouth. D. My child only ate 2 ounces during her last feeding.

Correct Answer: C

Rationale: Eyelid and mouth swelling may indicate anaphylaxis, the priority over common post-vaccine reactions like pain, mild fever, or reduced appetite.

ATI PN Pediatrics Nursing 2023 II | Nurselytic

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ATI LPN

ATI LPN