ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?
Correct Answer: C
Rationale: Clostridium difficile spreads via contact with contaminated surfaces, necessitating contact precautions. Others require droplet precautions due to respiratory transmission.
Question 2 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: B
Rationale: Allowing medications to flow by gravity ensures safe, effective delivery without clogging. Crushing sustained-release tablets, minimal flushing, or mixing medications can compromise efficacy or safety.
Question 3 of 5
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
Correct Answer: C
Rationale: Preschoolers often perceive death as a form of punishment due to magical thinking. They may believe that death happens because of something they did wrong or something they caused, reflecting a child's egocentric thinking. They generally do not understand the permanence of death, which typically develops around age 6, nor do they focus on isolation or physical changes as older children might.
Question 4 of 5
A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?
Correct Answer: D
Rationale: The HPV vaccine is recommended for children aged 11-12, aligning with routine immunization schedules. Hib, Hepatitis A, and Rotavirus are typically given earlier in childhood and not at this age unless catching up.
Question 5 of 5
A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hr after their curfew. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reassuring the adolescent that the abuse is not their fault supports emotional safety and trust, critical in abuse cases. Confidentiality must yield to mandatory reporting, and assumptions or judgments are unhelpful.