ATI LPN
Pediatric Ot Practice Questions Questions
Question 1 of 5
A child has vesicles that have ruptured around the mouth and nose to form a thick honey-colored crust. The nurse suspects that this is:
Correct Answer: C
Rationale: Impetigo (C) features vesicles rupturing into honey-colored crusts, a bacterial infection. Miliaria (A) is heat rash, corporis pedis (B) is a typo (likely tinea), and scabies (D) causes itching burrows. Document: 'Impetigo consists of moist… vesicles… [forming] thick honey-colored crusts.'
Question 2 of 5
A nurse is reviewing the physician's orders for a child with rheumatic fever who is suspected of having a viral infection. The nurse notes that acetylsalicylic acid (aspirin) is prescribed for the child. Which of the following nursing actions is appropriate? Select one That Apply:
Correct Answer: C
Rationale: Aspirin in viral infection risks Reye’s syndrome; consult RN (B) and use acetaminophen (C) if approved. Aspirin for fever (A) or pain (D) is unsafe here. Document: 'Concerns… include aspirin toxicity… [use] acetaminophen… with permission.'
Question 3 of 5
What is the correct management?
Correct Answer: D
Rationale: For a 1-year-old (10 kg) with anaphylaxis (urticaria, wheeze post-peanut ingestion), the correct adrenaline dose is 0.15 mL of 1:1000 IM (0.15 mg), per guidelines (0.01 mg/kg). Choice A (0.1 mL 1:1000) is 0.1 mg, underdosing. Choice B (0.1 mL 1:10,000) is 0.01 mg, far too low. Choice C (1 mL 1:10,000) is 0.1 mg, still inadequate. Choice D (0.1 mL 1:10,000 SC) is incorrect dose and route (IM preferred). None match the standard, but typically 0.15 mL 1:1000 IM is correct.
Question 4 of 5
The characteristic skin lesions of Pseudomonas are:
Correct Answer: D
Rationale: Ecthyma gangrenosum is the classic Pseudomonas lesion, featuring necrotic ulcers, especially in immunocompromised patients (IDSA). Erythema multiforme is immune-related, nodules are nonspecific, pustular melanosis is neonatal, and cellulitis lacks specificity.
Question 5 of 5
The daily amount of intralipid required in preterm infants to prevent essential fatty acid deficiency is:
Correct Answer: B
Rationale: Standard is 0.5-1 g/kg/day of intralipid, not mg/kg (ASPEN). Assuming a typo, 0.5 g/kg aligns with A’s intent as the minimal dose to prevent deficiency.