ATI LPN
ATI PN Pediatrics Nursing 2023 II 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: B
Rationale: Minimizing contact respects sensory needs, reducing distress. TV, shared rooms, and eye contact during agitation increase overstimulation and anxiety.
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 reinforcing teaching with the guardians of a toddler who has cystic fibrosis. Which of the following diets should the nurse recommend for the toddler?
Correct Answer: B
Rationale: High-protein, high-calorie diets meet increased metabolic demands and counter malabsorption in cystic fibrosis, supporting growth and immunity.
Question 4 of 5
A nurse is preparing to administer cephalexin 50 mg/kg/day in divided doses every 8 hours to a child who weighs 33 lb. The amount available is cephalexin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose?
Correct Answer: A
Rationale: Convert 33 lb to 15 kg (33 ÷ 2.2).
Total daily dose: 50 mg/kg/day × 15 kg = 750 mg/day. Per dose: 750 mg ÷ 3 = 250 mg. Volume: 250 mg ÷ (250 mg/5 mL) = 5 mL.
Question 5 of 5
The nurse is assisting in planning care for the child. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: Daily weights monitor fluid status, but seizure precautions are critical for safety in children at risk of seizures, involving padded rails and emergency readiness. BP every 8 hours and sodium restriction are not universally required unless specified.