ATI LPN Pediatrics nursing 2023

Extract:

Question 1 of 5

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

A. Poker Chip Tool B. Color tool C. Numeric scale D. FLACC scale

Correct Answer: D

Rationale: The FLACC scale assesses pain in nonverbal children like an 18-month-old using behavioral indicators. Other scales require cognitive abilities beyond this age, such as understanding numbers or colors.

Question 2 of 5

A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?

A. Perform a head tilt and a chin lift and then give two rescue breaths. B. Place the infant in a side-lying position and perform abdominal thrusts. C. Move the infant into an upright position and suction the airway with a bulb syringe. D. Deliver back blows with the infant face down over the rescuer's arm.

Correct Answer: D

Rationale: Delivering back blows with the infant face down is the initial step in the infant choking protocol to dislodge the obstruction. Other actions are inappropriate for active choking scenarios.

Question 3 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?

A. Crush sustained-release tablets prior to administration. B. Allow medications to flow into the tube by gravity. C. Flush the tube with 2 mL sterile water after all medications are administered. D. Mix all the medications together prior to administration.

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 4 of 5

A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

A. Use a dime-sized amount of the medication. B. Apply the medication in the morning. C. Apply the medication 5 min after washing the face. D. Use a sunscreen with an SPF of 15 or higher while using the medication.

Correct Answer: D

Rationale: Tretinoin increases sun sensitivity, necessitating sunscreen with SPF 15 or higher. A pea-sized amount, nighttime application, and waiting 20-30 minutes post-wash are the correct methods.

Question 5 of 5

A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?

A. Increased pulse B. Maculopapular rash C. Headache D. Wheezing

Correct Answer: D

Rationale: Wheezing may indicate an anaphylactic reaction to the antibiotic, a life-threatening emergency requiring immediate reporting. Other findings are less urgent unless severe.

ATI LPN Pediatrics nursing 2023 | Nurselytic

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