ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for an 18-month-old infant who is 12 hours postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?
Correct Answer: B
Rationale: The FLACC Scale assesses pain in non-verbal infants via behavior, ideal for an 18-month-old. Others require higher cognitive ability.
Question 2 of 5
A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?
Correct Answer: A
Rationale: Egg anaphylaxis contraindicates egg-based influenza vaccines due to potential severe reactions. Neomycin, gluten, and gelatin are not typically in flu vaccines or relevant contraindications.
Question 3 of 5
A nurse is collecting data from a school-age child who has erythema infectiosum (fifth disease). The nurse should expect the rash to appear on which area of the child's body first?
Correct Answer: A
Rationale: Fifth disease begins with a 'slapped cheek' facial rash due to parvovirus B19, before spreading elsewhere.
Question 4 of 5
A nurse is reinforcing teaching about bicycle safety with a school-age child. Which of the following instructions should the nurse include?
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 5 of 5
A nurse is evaluating teaching about infection control with the caregiver of a school-age child who has rubella. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: C
Rationale: Keeping the child home for 7 days after the rash disappears follows rubella isolation guidelines, preventing spread. Other options risk transmission.