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 guardian of a school-age child who has asthma. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Pneumococcal vaccine reduces infection risk in asthma. Salmeterol isn't for acute use, sports are beneficial, and peak flow needs slow inhalation.
Question 3 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: A
Rationale: Oral rehydration prevents dehydration in shigella. High sodium worsens imbalance, antidiarrheals prolong infection, and antivirals are ineffective against bacteria.
Question 4 of 5
A nurse is caring for a child who is 3 days postoperative following a below-the-knee amputation of the left leg. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Inspecting for infection is the priority to prevent complications. Teaching, exercises, and positioning are secondary.
Question 5 of 5
A nurse is collecting data from an adolescent client 24 hours after surgery. Which of the following findings should the nurse report to the primary health care provider?
Correct Answer: C
Rationale: Increased weight-bearing ability on the affected leg is typically an expected finding, especially as the client begins to recover postoperatively. Enhanced weight-bearing suggests improving strength, mobility, and healing in the affected limb. It does not usually indicate complications. Warmth extending from the left calf to the knee could indicate localized inflammation or infection, but without additional findings like swelling or pain, it's less urgent. A temperature of 38.8° C (101.8° F) suggests a possible systemic infection, such as a postoperative wound infection, and must be reported promptly for evaluation to prevent complications like sepsis. Itching in bilateral antecubital spaces may indicate a mild allergic reaction or irritation but is not urgent unless accompanied by severe symptoms.