ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 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.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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