ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is monitoring a 6-month-old infant 20 min after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?
Correct Answer: D
Rationale: Hives may signal anaphylaxis, a priority due to its life-threatening potential. Redness, mild fever, and crying are common but less urgent post-immunization reactions.
Question 2 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 3 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: A
Rationale: Rice milk is lactose-free, making it a suitable alternative to cow's milk for lactose intolerance. Yogurt may still contain lactose, increasing lactose is counterproductive, and calcium-fortified juice is beneficial.
Question 4 of 5
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hr ago. Which of the following findings reported by the parent is the nurse's priority?
Correct Answer: A
Rationale: Swelling around the eyelids and mouth may indicate anaphylaxis, a life-threatening allergic reaction requiring immediate attention. Other findings are common post-immunization reactions but less urgent.
Question 5 of 5
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Rhinorrhea, or a runny nose, is a common early symptom of RSV, which often starts with cold-like symptoms before progressing to respiratory distress. Barrel chest and clubbing are associated with chronic conditions, not acute RSV, and vesicles are linked to other infections like chickenpox.