ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 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 2 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: Hives on the neck may indicate an allergic reaction, potentially anaphylactic, requiring immediate action. Crying, redness, and mild fever are common and less urgent.
Question 3 of 5
A nurse is reinforcing teaching with the guardian of a school-age child who has a severe peanut allergy. Which of the following information should the nurse include?
Correct Answer: A,B
Rationale: An epinephrine auto-injector is essential for anaphylaxis. Avoiding all nuts prevents cross-reactivity. Peanut allergies don't worsen with exposure and are rarely outgrown.
Question 4 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 5 of 5
A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Poor muscle tone is expected due to malnutrition in failure to thrive. Eye contact and stranger anxiety are normal, and weight is typically below the 5th percentile.