ATI LPN
Pediatric Ot Practice Questions Questions
Question 1 of 5
A mother tells the nurse that her child has started sucking his thumb during his hospitalization. Which term should the nurse use for documenting to describe this behavior?
Correct Answer: D
Rationale: Thumb-sucking during stress is regression , a return to earlier behaviors, common in hospitalized children.
Question 2 of 5
The nurse interviewing parents of an infant with pyloric stenosis would expect them to report which of the following conditions?
Correct Answer: B
Rationale: Projectile vomiting (B) is the hallmark of pyloric stenosis due to pyloric obstruction. Diarrhea (A), poor appetite (C), and constipation (D) are not primary symptoms. Document: 'Vomiting is the outstanding symptom… described as projectile vomiting.'
Question 3 of 5
A child with type 1 diabetes received her insulin at 7:30 AM. At 10:30, she is complaining of being hungry, thirsty and drowsy. Which intervention should the nurse perform first? Select one that apply:
Correct Answer: A
Rationale: Hypoglycemia (hunger, thirst, drowsiness post-insulin) requires testing blood sugar (A) and giving juice (B) to raise glucose. Napping (C) or walking (D) delays treatment. Document: 'The immediate remedy is to give orange juice… Test her blood sugar and follow sliding scale.'
Question 4 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 5 of 5
The assessment that would lead the nurse to suspect that a newborn infant has a ventricular septal defect is:
Correct Answer: A
Rationale: A loud, harsh murmur with systolic tremor (A) is classic for ventricular septal defect due to blood shunting. Cyanosis (B) is variable, BP difference (C) is coarctation, and machinery murmur (D) is PDA. Document: 'A loud, harsh murmur combined with a systolic thrill is characteristic.'