ATI LPN
ATI PN Pediatrics Nursing 2023 II 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: 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 2 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 3 of 5
A nurse is collecting data from an infant who has respiratory syncytial virus (RS). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Rhinorrhea is common in RSV due to upper respiratory inflammation. Vesicles relate to varicella, barrel chest to chronic conditions, and clubbing to prolonged hypoxia, none of which are typical in acute RSV.
Question 4 of 5
A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lowering room temperature aids fever comfort. Ice baths risk cold stress, excessive acetaminophen risks toxicity, and aspirin risks Reye's syndrome.
Question 5 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates to the nurse that the child is dehydrated?
Correct Answer: C
Rationale: Increased pulse compensates for hypovolemia in dehydration. BP decreases, fontanels sink, and veins collapse, not distend, with dehydration.