ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Children with autism can be very sensitive to sensory input, including physical touch. Minimizing physical contact helps reduce sensory overload and the child's anxiety, which is critical during stressful events like surgery. Eye contact may increase agitation, a semiprivate room could heighten distress, and a television at night might disrupt sleep.
Question 2 of 5
A nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Suctioning in 3-4 second increments minimizes airway trauma and hypoxia. A snug catheter, saline instillation, and clean technique are incorrect or risky for tracheostomy care.
Question 3 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?
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 4 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.
Question 5 of 5
A nurse is preparing to administer recommended immunizations to a 4-year-old child who is up-to-date on current immunizations and severely immunocompromised. Which of the following immunizations should the nurse plan to administer?
Correct Answer: B
Rationale: DTaP, an inactivated vaccine, is safe for immunocompromised children. MMR, Varicella, and LAIV are live vaccines, contraindicated due to infection risk.