ATI LPN Pediatrics nursing 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with the guardian of a school-age child who has asthma. Which of the following instructions should the nurse include in the teaching?

A. Obtain a pneumococcal immunization for your child. B. Use salmeterol to manage your child's acute exacerbations. C. Have your child inhale deeply and quickly when using the peak flow meter. D. Avoid allowing your child to participate in school sports.

Correct Answer: A

Rationale: Children with asthma are at higher risk for pneumococcal infections, making immunization recommended. Salmeterol is for maintenance, not acute exacerbations, and sports should be encouraged with proper asthma control.

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 hr ago. Which of the following findings reported by the parent is the nurse's priority?

A. My child has some swelling around her eyelids and mouth. B. My child cries when I touch the area where she received the shot. C. My child only ate 2 ounces during her last feeding. D. My child has a temperature of 100.7 degrees Fahrenheit.

Correct Answer: A

Rationale: Swelling around the eyelids and mouth may indicate anaphylaxis, a life-threatening allergic reaction requiring immediate attention. Other findings are common post-immunization reactions but less urgent.

Question 3 of 5

A nurse is contributing to the care plan of an 18-month-old child who has pneumonia. Which of the following items should the nurse select for the child's play activities?

A. Wooden building blocks B. Stringing beads C. Colored paper and safety scissors D. Alphabet flash cards

Correct Answer: A

Rationale: Wooden building blocks suit an 18-month-old's developmental stage, promoting motor skills and creativity. Beads, scissors, and flashcards require advanced skills beyond this age and may pose safety risks.

Question 4 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?

A. Hypersomnia B. Hypotension C. Rapid weight loss D. Rounded facial features

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.

Question 5 of 5

A nurse is reinforcing teaching with a parent of a toddler who has conjunctivitis. Which of the following instructions should the nurse include in the teaching?

A. Remove secretions by wiping from the outer corner of the eye to the inner canthus. B. Clean the eye with a moist cloth. C. Keep the eye covered with a compress. D. Apply eye ointment in the morning.

Correct Answer: B

Rationale: Cleaning the eye with a moist cloth removes secretions safely, reducing irritation. Wiping outward to inward risks contamination, and compresses or morning-only ointment are less effective or appropriate.

ATI LPN Pediatrics nursing 2023 | Nurselytic

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