ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medications to a 5-month-old infant. Tympanic temperature 39.2°C (102.6°F). Heart rate 84/min. Respiratory rate 30/min. Blood pressure 80/30 mmHg. Oxygen saturation 96% on 0.5 L oxygen via nasal cannula. Weight 7.2 kg (15.9 lb). The nurse should clarify the prescription for which medication?
Correct Answer: A
Rationale: Ibuprofen should be clarified before administration to a 5-month-old infant as it is not recommended for infants younger than 6 months due to risks of nephrotoxicity and gastrointestinal irritation. Acetaminophen is safe for infants to reduce fever. Heart rate and temperature are vital signs, not medications, and do not require clarification as prescriptions.
Question 2 of 5
A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Bolus feedings risk aspiration. Feedings every 3 hours balance nutrition and heart load. Lateral positioning risks aspiration. Diluting formula causes nutritional deficits.
Question 3 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: C
Rationale: Sports are safe with management. Peak flow requires exhalation. Pneumococcal vaccine reduces infection risk. Salmeterol is for maintenance, not acute.
Question 4 of 5
A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: 2 mL may not clear the tube. Gravity flow ensures safe delivery. Crushing sustained-release alters efficacy. Mixing risks interactions.
Question 5 of 5
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: TV risks overstimulation. Minimal contact respects sensory needs. Shared rooms and forced eye contact may distress.