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: A
Rationale: Minimizing physical contact respects sensory sensitivities common in autism, reducing distress. Semiprivate rooms increase stimuli, eye contact during agitation may provoke anxiety, and leaving the TV on risks overstimulation, all of which are inappropriate.
Question 2 of 5
The nurse is assisting in planning care for a child. Which of the following interventions should the nurse plan to include?
Correct Answer: A,C
Rationale: Daily weights monitor fluid status, critical for acute changes. Seizure precautions ensure safety for at-risk children. BP every 8 hours, sodium restriction, and bed rest are not universally needed unless specified.
Question 3 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 4 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: B
Rationale: Prone position exposes the iliac crest, ideal for marrow collection. Other positions don't provide access or stability.
Question 5 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.