ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Inspecting the stethoscope reduces fear, aiding cooperation. Traumatic procedures first, early clothing removal, or discouraging lap-sitting increase anxiety.
Question 2 of 5
A nurse is contributing to the plan of care for a school-age child who has pediculosis. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Hot drying for 20 minutes kills lice and nits. Bags need 14 days, antibacterial solutions don't target lice, and 100°F water is too cool.
Question 3 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 4 of 5
A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?
Correct Answer: C
Rationale: Fever is a common systemic sign of UTI due to infection. Moist membranes indicate hydration, edema suggests renal issues, and twitching is unrelated.
Question 5 of 5
A nurse is collecting data from an infant whose guardian reports worsening symptoms. The infant has a cough productive of very thick white mucus. Upon auscultation, wheezes are heard bilaterally on inspiration and expiration. Moderate substernal and subcostal retractions are noted. Mucous membranes are pink, and a large amount of clear to white nasal discharge is noted. Capillary refill is 2 to 3 seconds. The guardian states the infant has difficulty feeding, often vomits, and has not had a wet diaper for 8 hours. During coughing episodes, mucous membranes are cyanotic, and oxygen saturation decreases. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Administering oxygen therapy addresses hypoxemia from cyanosis and low saturation, the priority to prevent hypoxic injury. Hydration, positioning, and intubation are secondary.