ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The HbA1c test measures average blood glucose levels over 2-3 months by assessing glucose-bound hemoglobin, making it a key tool for diabetes management. It does not test ketones, total hemoglobin, or oxygen levels.
Question 2 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: C
Rationale: The influenza vaccine contains trace egg proteins, and a severe egg allergy (anaphylaxis) is a contraindication due to potential allergic reactions. Neomycin and gelatin allergies may affect other vaccines, but not typically influenza, and gluten is unrelated.
Question 3 of 5
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The posterior iliac crest is the typical site for bone marrow aspiration in children, and the prone position provides safe, stable access. Other positions do not effectively expose this site for the procedure.
Question 4 of 5
A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?
Correct Answer: B
Rationale: Rice is a gluten-free grain, making rice pudding a safe choice for a child with celiac disease, which requires avoiding gluten found in wheat, rye, and barley. The other options contain gluten and are unsuitable.
Question 5 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: D
Rationale: The HPV vaccine is recommended for children aged 11-12, aligning with routine immunization schedules. Hib, Hepatitis A, and Rotavirus are typically given earlier in childhood and not at this age unless catching up.