ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?
Correct Answer: B
Rationale: Facial edema suggests kidney issues, not UTI. Fever is common in UTIs due to infection. Muscle twitching and moist membranes are unrelated to UTIs.
Question 2 of 5
A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Massaging risks irritation. Aspiration is unnecessary. Consent ensures legal and ethical administration.
Question 3 of 5
A nurse is monitoring a 6-month-old infant 20 minutes after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: Redness at the injection site is a common and expected local reaction following immunization. It typically resolves on its own without intervention. A temperature of 37.7°C (99.9°F) is a mild fever and a common response to immunizations as the body mounts an immune response. Hives on the child's neck is the priority finding because it can indicate an allergic reaction, which may progress to anaphylaxis, a severe, life-threatening condition requiring immediate intervention. Prolonged crying can be a sign of discomfort or pain but is not as urgent as signs of an allergic reaction.
Question 4 of 5
A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: Chewing destroys lansoprazole's coating. Sublingual use is incorrect. Four times daily exceeds typical dosing. Administering 30 minutes before breakfast optimizes acid reduction.
Question 5 of 5
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Prone position accesses the iliac crest, ideal for bone marrow aspiration.