ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 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: C
Rationale: The influenza vaccine contains trace egg proteins, and a severe egg allergy (anaphylaxis) is a contraindication due to potential allergic reactions. Neomycin and gelatin allergies may affect other vaccines, but not typically influenza, and gluten is unrelated.
Question 2 of 5
A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Tretinoin increases sun sensitivity, requiring sunscreen with SPF 15 or higher. Morning application, dime-sized amounts, and applying too soon after washing are incorrect.
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 assisting with the care of a school-age child who has shigella. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Oral rehydration therapy prevents dehydration from shigella-induced diarrhea. Antidiarrheals worsen infection, high sodium is unneeded, and antivirals are ineffective against bacteria.
Question 5 of 5
A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Delivering back blows with the infant face down is the initial step in the infant choking protocol to dislodge the obstruction. Other actions are inappropriate for active choking scenarios.