ATI LPN Pediatrics nursing 2023

Extract:

Question 1 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?

A. Place the child in prone position to expose the posterior iliac crest. B. Position the child side-lying to expose the vertebrae. 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: A

Rationale: The posterior iliac crest is the typical site for bone marrow aspiration in children, and the prone position provides safe, stable access. Other positions do not effectively expose this site for the procedure.

Question 2 of 5

A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?

A. I will give my child a chocolate malt for a snack. B. I should provide my child with rice pudding for dessert. C. I should make my child's sandwiches using rye bread. D. I will feed my child a barley-based breakfast cereal.

Correct Answer: B

Rationale: Rice is a gluten-free grain, making rice pudding a safe choice for a child with celiac disease, which requires avoiding gluten found in wheat, rye, and barley. The other options contain gluten and are unsuitable.

Question 3 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?

A. Haemophilus influenzae type b B. Hepatitis A C. Rotavirus D. Human papillomavirus

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 4 of 5

A nurse is reinforcing teaching with the guardian of a school-age child who has asthma. Which of the following instructions should the nurse include in the teaching?

A. Obtain a pneumococcal immunization for your child. B. Use salmeterol to manage your child's acute exacerbations. C. Have your child inhale deeply and quickly when using the peak flow meter. D. Avoid allowing your child to participate in school sports.

Correct Answer: A

Rationale: Children with asthma are at higher risk for pneumococcal infections, making immunization recommended. Salmeterol is for maintenance, not acute exacerbations, and sports should be encouraged with proper asthma control.

Question 5 of 5

A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hr ago. Which of the following findings reported by the parent is the nurse's priority?

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

Correct Answer: A

Rationale: Swelling around the eyelids and mouth may indicate anaphylaxis, a life-threatening allergic reaction requiring immediate attention. Other findings are common post-immunization reactions but less urgent.

ATI LPN Pediatrics nursing 2023 | Nurselytic

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