ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse observes circumoral cyanosis in an infant who is choking. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Delivering back blows with the infant face down is the initial step in the infant choking protocol to dislodge the obstruction. Other actions are inappropriate for active choking scenarios.
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?
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 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 4 of 5
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Rhinorrhea, or a runny nose, is a common early symptom of RSV, which often starts with cold-like symptoms before progressing to respiratory distress. Barrel chest and clubbing are associated with chronic conditions, not acute RSV, and vesicles are linked to other infections like chickenpox.
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?
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.