ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Question 1 of 5
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
Correct Answer: C
Rationale: Preschoolers often perceive death as a form of punishment due to magical thinking. They may believe that death happens because of something they did wrong or something they caused, reflecting a child's egocentric thinking. They generally do not understand the permanence of death, which typically develops around age 6, nor do they focus on isolation or physical changes as older children might.
Question 2 of 5
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Children with autism can be very sensitive to sensory input, including physical touch. Minimizing physical contact helps reduce sensory overload and the child's anxiety, which is critical during stressful events like surgery. Eye contact may increase agitation, a semiprivate room could heighten distress, and a television at night might disrupt sleep.
Question 3 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 4 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?
Correct Answer: D
Rationale: Increased pulse (tachycardia) is a common sign of dehydration as the heart compensates for reduced fluid volume to maintain perfusion. Dehydration typically causes hypotension, not increased blood pressure, and a sunken fontanel, not a flat one, in younger children.
Question 5 of 5
A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?
Correct Answer: A
Rationale: A hot spot on the cast may indicate localized infection, as it suggests warmth from underlying inflammation or infection, which requires prompt assessment. Edema, itching, and pain are common with casts but not specific to infection unless accompanied by other signs.