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ATI PN Pediatrics Nursing 2023 (V)

LPN - Nursing Exam(s) 56 Questions 🔒 Premium Content

PN Pediatrics

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Q1: A nurse is monitoring a 6-month-old infant 20 minutes after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?

Answer Choices:

A. Redness at the injection site.
B. Temperature 37.7°C (99.9°F).
C. Hives on the child's neck.
D. Prolonged crying.
Correct Answer: Temperature 37.7°C (99.9°F).
Rationale:

💠 Hives are an early sign of an allergic reaction and can quickly progress to anaphylaxis.

💠 Anaphylaxis is a life-threatening emergency and must be addressed immediately.

💠 Monitoring after immunization is essential to detect hypersensitivity reactions early.

💠 Redness or mild fever are common, non-urgent vaccine side effects.

💠 Early recognition of allergic signs enables rapid administration of epinephrine and airway support.

Q2: A nurse is preparing to administer medications to a 5-month-old infant. Tympanic temperature 39.2°C (102.6°F). Heart rate 84/min. Respiratory rate 30/min. Blood pressure 80/30 mmHg. Oxygen saturation 96% on 0.5 L oxygen via nasal cannula. Weight 7.2 kg (15.9 lb). The nurse should clarify the prescription for which medication?

Answer Choices:

A. Ibuprofen.
B. Acetaminophen.
C. Heart rate.
D. Temperature.
Correct Answer: Ibuprofen.
Rationale:

🖤 Ibuprofen is not recommended for infants under 6 months due to risk of renal damage.

🖤 Infants have immature kidneys, increasing their risk of nephrotoxicity.

🖤 Acetaminophen is preferred for fever management in young infants because of its safer profile.

🖤 Administering ibuprofen may also cause gastric irritation and bleeding in infants.

🖤 Clarifying the order ensures safe pharmacologic management in this vulnerable age group.

Q3: A nurse is assisting with the care of a school-age child who is terminally ill. Which of the following interventions should the nurse perform?

Answer Choices:

A. Collect vital signs every 2 hours as the child's condition deteriorates.
B. Reinforce with the family that they should avoid discussing death with the child.
C. Encourage the family to involve siblings when caring for the child.
D. Perform passive range of motion to the child's extremities every 4 hours.
Correct Answer: Encourage the family to involve siblings when caring for the child.
Rationale:

🤎 Including siblings fosters emotional support and helps them feel connected during the child's illness.

🤎 It provides the terminally ill child with a sense of family unity and comfort.

🤎 Open sibling involvement encourages healthy coping and memory-making.

🤎 Avoiding discussions or excluding siblings may increase anxiety and emotional distress.

🤎 Family-centered care enhances grief processing and long-term emotional healing.

Q4: A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?

Answer Choices:

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

⏺ This response helps relieve self-blame and guilt often felt by abused children.

⏺ It reassures the child they are not responsible for the actions of others.

⏺ Avoids judgment and provides a safe, affirming environment for disclosure.

⏺ Promoting emotional security builds trust and rapport with the child.

⏺ It aligns with best practices in trauma-informed care and mandated reporting.

Q5: A nurse is collecting data from an infant. Which of the following areas should the nurse palpate to check for an inguinal hernia?

Answer Choices:

A. Groin area.
B. Abdomen.
C. Lower back.
D. Upper thigh.
Correct Answer: Groin area.
Rationale:

🔅 The groin is the correct anatomical location to assess for an inguinal hernia.

🔅 A bulge in this area indicates intestinal protrusion through the abdominal wall.

🔅 Abdominal palpation is helpful but not specific for this type of hernia.

🔅 Inguinal hernias may become incarcerated if not detected early.

🔅 Proper assessment prevents bowel obstruction and emergency complications.

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Exam Details
Total Questions: 56 practice questions
Category: LPN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: PEDIATRICS PN
Last Updated: Dec 01, 2025
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