ATI LPN Pediatrics nursing 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?

A. You should position your child on their back during administration of the medication. B. You should add the medication to your child's formula prior to feeding. C. You should put small bits of ice on your child's tongue prior to administering the medication. D. You should place the medication along the side of your child's tongue during administration.

Correct Answer: D

Rationale: Placing medication along the tongue's side aids swallowing and prevents gagging, ensuring safe administration. Back positioning risks aspiration, mixing with formula risks incomplete dosing, and ice is impractical.

Question 2 of 5

A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?

A. It is not your fault that this happened. B. You should have told someone about this sooner. C. I promise I won't tell anyone about this. D. This should not have happened to you.

Correct Answer: A

Rationale: Reassuring the child it's not their fault supports emotional safety and trust, vital in suspected abuse cases. Blaming or promising secrecy contradicts care and reporting duties.

Question 3 of 5

A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?

A. I should administer this medication 30 minutes before breakfast. B. I should place the capsule under my child's tongue. C. I will administer this medication four times per day. D. I will have my child chew the capsule completely.

Correct Answer: A

Rationale: Lansoprazole is most effective 30 minutes before meals, reducing acid production. Sublingual use, frequent dosing, and chewing disrupt its intended action.

Question 4 of 5

A nurse is assisting with the care of a school-age child who has shigella. Which of the following actions should the nurse take?

A. Give antidiarrheal agents every 4 hr. B. Provide a diet high in sodium. C. Administer antiviral medication. D. Maintain oral rehydration therapy.

Correct Answer: D

Rationale: Oral rehydration therapy prevents dehydration from shigella-induced diarrhea. Antidiarrheals worsen infection, high sodium is unneeded, and antivirals are ineffective against bacteria.

Question 5 of 5

A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?

A. Provide feedings every 3 hr. B. Dilute formula to half strength. C. Place the infant in lateral position during feeding. D. Implement bolus gavage feedings.

Correct Answer: A

Rationale: Frequent feedings every 3 hours help infants with heart failure avoid fatigue while ensuring nutrition. Diluting formula reduces calories, lateral positioning risks aspiration, and gavage is unnecessary unless oral feeding fails.

ATI LPN Pediatrics nursing 2023 | Nurselytic

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