ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?
Correct Answer: A,D
Rationale: HPV and meningococcal vaccines are due at 11. Rotavirus and Hepatitis A are earlier.
Question 2 of 5
A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Massaging risks irritation. Aspiration is unnecessary. Consent ensures legal and ethical administration.
Extract:
Nurses' Notes
Vital Signs
Medical History
Provider's Prescriptions
• 1100: Child presents to the ED via stretcher, transported by emergency medical services (EMS). EMS reports the school nurse notified them that the child began having difficulty breathing during lunch and started coughing and wheezing. Child appears anxious, sitting upright, and using accessory muscles to breathe. Lung auscultation reveals bilateral wheezing. Parent reports child has a history of asthma and has been using an albuterol inhaler more frequently over the past week.
Question 3 of 5
A nurse in the emergency department (ED) is assisting with the care of a 10-year-old child. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: A,B,C
Rationale: Asthma exacerbation fits symptoms. Albuterol relieves bronchospasm, oxygen saturation monitors breathing. PEFR and saturation track progress.
Extract:
Question 4 of 5
A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Massaging risks irritation. Aspiration is unnecessary. Consent is required. Dorsogluteal site risks nerve injury; vastus lateralis is preferred.
Question 5 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.