A 5monthold with severe diarrhea on IV fluids requ

ATI LPN

ATI LPN Test Bank

A 5-month-old with severe diarrhea on IV fluids requires the nurse to observe flow rate to

A. Avoid fluid in tissue B. Prevent cardiac overload C. Prevent increased urine D. Replace all lost fluids

Correct Answer: B

Rationale: Preventing cardiac overload B is key in infants, per document p16, 5.

A 3-year-old with otitis media should be positioned

A. Flat on back B. Head elevated C. Prone D. Side-lying

Correct Answer: B

Rationale: Head elevated B promotes drainage, per document p24, 2.

The nurse should suspect tetanus if a child has

A. Fever B. Muscle stiffness C. Rash D. Vomiting

Correct Answer: B

Rationale: Muscle stiffness B is a hallmark of tetanus, per document p30, 4.

A child with sickle cell anemia should avoid

A. Cold B. Dehydration C. Stress D. All of the above

Correct Answer: D

Rationale: All D trigger crisis, per document p37, .

The priority nursing action for a child with a seizure is

A. Administer anticonvulsants B. Ensure safety C. Monitor breathing D. Restrain limbs

Correct Answer: B

Rationale: Ensuring safety B by lowering to the floor is the priority, per document p44, .

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