ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 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?
Correct Answer: D
Rationale: Chewing destroys lansoprazole's coating. Sublingual use is incorrect. Four times daily exceeds typical dosing. Administering 30 minutes before breakfast optimizes acid reduction.
Question 2 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?
Correct Answer: D
Rationale: Mild fever and reduced appetite are common. Injection site pain is expected. Swelling around eyelids and mouth suggests anaphylaxis, requiring immediate attention.
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-based flu vaccines contraindicate use with egg anaphylaxis. Gelatin, gluten, and neomycin are unrelated.
Question 4 of 5
A nurse is caring for a child who received an initial dose of antibiotics 20 minutes ago. Which of the following findings is the priority to report to the provider?
Correct Answer: B
Rationale: Increased pulse is nonspecific. Wheezing signals airway constriction, a priority due to anaphylaxis risk. Rash and headache are less urgent.
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.