ATI LPN Pediatrics nursing 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?

A. Apply the medication in the morning. B. Use a dime-sized amount of the medication. C. Use a sunscreen with an SPF of 15 or higher while using the medication. D. Apply the medication 5 min after washing the face.

Correct Answer: C

Rationale: Tretinoin increases sun sensitivity, requiring sunscreen with SPF 15 or higher. Morning application, dime-sized amounts, and applying too soon after washing are incorrect.

Question 2 of 5

A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?

A. Massage the injection site for 15 seconds after administration. B. Administer the vaccine into the dorsogluteal muscle. C. Ensure the guardian signed an informed consent form for the immunization. D. Aspirate for the presence of blood return prior to administering the vaccine.

Correct Answer: C

Rationale: Informed consent is essential before vaccination to ensure understanding of benefits and risks. Massaging, dorsogluteal site use, and aspiration are not recommended practices.

Question 3 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 lethargy B. A toddler who has Kawasaki disease and erythema of the lips C. A school-age child who has rheumatic fever and an increased erythrocyte sedimentation rate D. 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 4 of 5

A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?

A. You should drink rice milk instead of cow's milk. B. You should eat flavored yogurt instead of plain yogurt. C. You should gradually increase lactose products in your diet. D. You should limit your intake of calcium-fortified orange juice.

Correct Answer: A

Rationale: Rice milk is lactose-free, making it a suitable alternative to cow's milk for lactose intolerance. Yogurt may still contain lactose, increasing lactose is counterproductive, and calcium-fortified juice is beneficial.

Question 5 of 5

A nurse is reinforcing teaching with the guardian of a school-age child who has a severe peanut allergy. Which of the following information should the nurse include?

A. The child's allergy will become more severe with prolonged exposure. B. The child should refrain from eating any type of nut. C. The child will likely outgrow the allergy in adolescence. D. The child should carry an epinephrine auto-injector.

Correct Answer: D

Rationale: Carrying an epinephrine auto-injector is critical for managing potential anaphylaxis in peanut allergies, which often persist and require emergency preparedness.

ATI LPN Pediatrics nursing 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN