ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 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: A,B
Rationale: An epinephrine auto-injector is essential for anaphylaxis. Avoiding all nuts prevents cross-reactivity. Peanut allergies don't worsen with exposure and are rarely outgrown.
Question 2 of 5
A nurse is caring for an 18-month-old infant who is 12 hours postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?
Correct Answer: B
Rationale: The FLACC Scale assesses pain in non-verbal infants via behavior, ideal for an 18-month-old. Others require higher cognitive ability.
Question 3 of 5
A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Poor muscle tone is expected due to malnutrition in failure to thrive. Eye contact and stranger anxiety are normal, and weight is typically below the 5th percentile.
Question 4 of 5
A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?
Correct Answer: B
Rationale: HPV is recommended at 11-12 years. Hepatitis A, rotavirus, and Hib are earlier or not routine at this age.
Question 5 of 5
A nurse is collecting data from an infant whose guardian reports worsening symptoms. The infant has a cough productive of very thick white mucus. Upon auscultation, wheezes are heard bilaterally on inspiration and expiration. Moderate substernal and subcostal retractions are noted. Mucous membranes are pink, and a large amount of clear to white nasal discharge is noted. Capillary refill is 2 to 3 seconds. The guardian states the infant has difficulty feeding, often vomits, and has not had a wet diaper for 8 hours. During coughing episodes, mucous membranes are cyanotic, and oxygen saturation decreases. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Administering oxygen therapy addresses hypoxemia from cyanosis and low saturation, the priority to prevent hypoxic injury. Hydration, positioning, and intubation are secondary.