ATI PN Pediatrics Nursing 2023 II

Extract:

Question 1 of 5

A nurse is receiving a change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?

A. A toddler who has coarctation of the aorta and weak pedal pulses. B. A school-age child who has rheumatic fever and an increased erythrocyte sedimentation rate. C. A school-age child who has endocarditis and a new onset of lethargy. D. A toddler who has Kawasaki disease and erythema of the lips.

Correct Answer: C

Rationale: New lethargy in endocarditis signals potential worsening, requiring urgent assessment. Weak pulses, elevated ESR, and lip erythema are expected or less acute.

Question 2 of 5

A nurse is preparing to perform a heel stick using a spring-loaded automatic puncture device on a 1-week-old infant. In which of the following locations should the nurse puncture the infant's foot?

A. The center of the heel. B. The lateral side of the heel. C. The arch of the foot. D. The ball of the foot.

Correct Answer: B

Rationale: The lateral heel is capillary-rich and safe, minimizing pain and ensuring blood flow. Other sites risk trauma or insufficient yield.

Question 3 of 5

A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?

A. I should administer this medication 30 minutes before breakfast.' B. I should place the capsule under my child's tongue.' C. I will have my child chew the capsule completely.' D. I will administer this medication four times per day.'

Correct Answer: A

Rationale: Administering 30 minutes before breakfast optimizes lansoprazole absorption. Sublingual use, chewing, or four-times-daily dosing are incorrect.

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?

A. Allow medications to flow into the tube by gravity. B. Crush sustained-release tablets prior to administration. C. Flush the tube with 2 mL sterile water after all medications are administered. D. Mix all the medications together prior to administration.

Correct Answer: A

Rationale: Gravity flow is safe and effective. Crushing sustained-release, minimal flushing, or mixing medications risk efficacy and safety.

Question 5 of 5

A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hour ago. Which of the following findings reported by the parent is the nurse's priority?

A. My child cries when I touch the area where she received the shot. B. My child has a temperature of 100.7 degrees Fahrenheit. C. My child has some swelling around her eyelids and mouth. D. My child only ate 2 ounces during her last feeding.

Correct Answer: C

Rationale: Swelling around eyelids and mouth suggests anaphylaxis, requiring immediate action. Pain, mild fever, and reduced intake are common and less urgent.

ATI PN Pediatrics Nursing 2023 II | Nurselytic

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ATI LPN

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