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Practice Question

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:

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.

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This question is from ATI PN Pediatrics Nursing 2023 (V) which contains 56 questions.

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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.
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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.
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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.”.
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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.
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D. Upper thigh.
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A nurse is preparing to administer cephalexin 50 mg/kg/day in divided doses every 8 hours to a child who weighs 33 lb. The amount available is cephalexin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) .

Answer Choices:

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From Exam
ATI PN Pediatrics Nursing 2023 (V)

56 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: PEDIATRICS PN
  • Answer Choices: 4
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