ATI LPN Pediatrics Exam I

Question 1 of 5

A nurse is preparing to administer morphine 15 mg subcutaneously. The amount available is morphine injection 10 mg/mL. How many mL should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: B

Rationale: Volume = Desired dose / concentration in mg/ml. Concentration per ml = 10mg/ml. Desired dose = 15mg. Volume = 15mg / 10mg/ml = 1.5ml.
Therefore, the nurse should administer 1.5ml of morphine.

Question 2 of 5

A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?

A. Use a hair dryer on a hot setting to dry the cast.B. Discourage the client from ambulating.C. Keep the client's leg in a dependent position.D. Perform a neurovascular check of the lower extremities.

Correct Answer: D

Rationale: Using a hair dryer on a hot setting can cause burns and discomfort. Discouraging ambulation completely can lead to complications like muscle atrophy. A dependent position increases swelling risk. A neurovascular check assesses circulation, sensation, and movement to detect complications like compartment syndrome.

Question 3 of 5

The nurse notes documentation that a child with meningitis is exhibiting a positive Kernig's sign. Which observation is a characteristic of this sign?

A. Petechial and purpuric rashes are noted on the child's trunkB. Neck flexion causes adduction and flexion movements of the lower extremitiesC. The child is not able to extend the leg when the thigh is flexed anteriorly at the hipD. The child complains of muscle and joint pain

Correct Answer: C

Rationale: Kernig's sign is resistance or pain when extending the leg at the knee with the thigh flexed at the hip, due to meningeal irritation. Rashes relate to meningococcal meningitis, not Kernig's. Neck flexion causing leg movement is Brudzinski's sign. Muscle/joint pain isn't specific to Kernig's.

Question 4 of 5

A nurse enters a school age child's room to administer morning medications and finds the client sitting in a chair having a seizure. After lowering the client to the floor, which of the following actions should the nurse take first?

A. Apply oxygen by nasal cannula.B. Administer an anticonvulsant medication.C. Turn the client to a lateral position.D. Check the client's oxygen saturation.

Correct Answer: C

Rationale: Turning the client to a lateral position prevents aspiration and maintains an open airway, the priority during a seizure. Oxygen and saturation checks are secondary to safety. Anticonvulsants are not given during an active seizure.

Question 5 of 5

The nurse is planning to teach parents about prevention of Reye's syndrome. What information would the nurse include in this teaching?

A. Get the child tested for Reye's syndrome if the child exhibits fever, vomiting, and lethargy.B. Use aspirin instead of acetaminophen for children with viral illness.C. Avoid giving salicylate-containing medications to a child who has viral symptoms.D. Advise parents to have their children immunized against Reye's syndrome.

Correct Answer: C

Rationale: Reye's syndrome is linked to aspirin use during viral illnesses. Avoiding salicylates (like aspirin) in children with viral symptoms is key to prevention. There's no specific test or vaccine for Reye's, and aspirin isn't preferred over acetaminophen.

ATI LPN Pediatrics Exam I | Nurselytic

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