ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
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?
Correct Answer: D
Rationale: Tretinoin increases sun sensitivity, necessitating sunscreen with SPF 15 or higher. A pea-sized amount, nighttime application, and waiting 20-30 minutes post-wash are the correct methods.
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 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?
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.
Question 4 of 5
A nurse is caring for a child who has had diarrhea for 3 days. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A stool culture identifies the cause of diarrhea (e.g., infection), guiding treatment. Weekly weighing, NPO status, or apple juice (which worsens diarrhea) are inappropriate for acute management.
Question 5 of 5
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Rounded facial features ('moon face') are a hallmark of Cushing's syndrome due to cortisol-induced fat deposition. Weight gain, hypertension, and sleep disturbances are more typical than the other options.