ATI LPN Pediatrics nursing 2023

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?

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

Correct Answer: A

Rationale: Lansoprazole is most effective 30 minutes before meals, reducing acid production. Sublingual use, frequent dosing, and chewing disrupt its intended action.

Question 2 of 5

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

A. A school-age child who has endocarditis and a new onset of lethargyB. A toddler who has Kawasaki disease and erythema of the lipsC. A school-age child who has rheumatic fever and an increased erythrocyte sedimentation rateD. A toddler who has coarctation of the aorta and weak pedal pulses

Correct Answer: A

Rationale: New lethargy in endocarditis suggests possible worsening or complications like embolism, requiring urgent assessment. Other findings are expected or less immediately critical.

Question 3 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?

A. Facial edemaB. Increased temperatureC. Moist mucus membranesD. Muscle twitching

Correct Answer: B

Rationale: Fever (increased temperature) is a common UTI sign due to immune response. Edema, moist membranes, and twitching are unrelated or indicate hydration/neurological issues.

Question 4 of 5

A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?

A. You should position your child on their back during administration of the medication.B. You should add the medication to your child's formula prior to feeding.C. You should put small bits of ice on your child's tongue prior to administering the medication.D. You should place the medication along the side of your child's tongue during administration.

Correct Answer: D

Rationale: Placing medication along the tongue's side aids swallowing and prevents gagging, ensuring safe administration. Back positioning risks aspiration, mixing with formula risks incomplete dosing, and ice is impractical.

Question 5 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?

A. NeomycinB. GlutenC. EggsD. Gelatin

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.

ATI LPN Pediatrics nursing 2023 | Nurselytic

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