ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Bolus feedings risk aspiration. Feedings every 3 hours balance nutrition and heart load. Lateral positioning risks aspiration. Diluting formula causes nutritional deficits.
Question 2 of 5
A nurse is preparing to perform a heel stick using a spring-loaded automatic puncture device on a 1-week-old infant. In which of the following locations should the nurse puncture the infant's foot?
Correct Answer: A
Rationale: Heel has fewer nerves and good capillaries, ideal for blood collection.
Question 3 of 5
A nurse is preparing to administer immunizations to a 4-year-old child who is currently up to date with the recommended immunization schedule. Which of the following immunizations should the nurse plan to administer? (Select all that apply)
Correct Answer: A,B,C
Rationale: DTaP, MMR, and VAR are due at 4 years per schedule. RV is completed in infancy.
Question 4 of 5
A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Flavored yogurt has lactose. Calcium-fortified juice is safe. Increasing lactose risks symptoms. Rice milk is lactose-free.
Question 5 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: Redness at the injection site is a common and expected local reaction following immunization. It typically resolves on its own without intervention. A temperature of 37.7°C (99.9°F) is a mild fever and a common response to immunizations as the body mounts an immune response. Hives on the child's neck is the priority finding because it can indicate an allergic reaction, which may progress to anaphylaxis, a severe, life-threatening condition requiring immediate intervention. Prolonged crying can be a sign of discomfort or pain but is not as urgent as signs of an allergic reaction.