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

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 caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?

A. Increased pulse B. Maculopapular rash C. Headache D. Wheezing

Correct Answer: D

Rationale: Wheezing may indicate an anaphylactic reaction to the antibiotic, a life-threatening emergency requiring immediate reporting. Other findings are less urgent unless severe.

Question 3 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 4 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 5 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.

ATI LPN Pediatrics nursing 2023 | Nurselytic

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