ATI LPN
Pediatric Dosing Practice Questions Questions
Question 1 of 5
A patient who is using herbal product, what instruction would the nurse give to the patient?
Correct Answer: B
Rationale: Patients should inform their healthcare provider of herbal use (B) due to potential interactions or risks, especially in pregnancy. Cheaper brands (A), label claims (C), or high doses (D) can be unsafe. Document: 'The question of whether or not to continue [herbal products] during pregnancy… must be discussed with the health care provider.'
Question 2 of 5
What signs and symptoms would indicate that a child with diabetes need to be given insulin. Select ONE that apply:
Correct Answer: B
Rationale: Hyperglycemia needing insulin shows fruity breath, red lips (B), and confusion/fatigue (C) from ketoacidosis. Diaphoresis/tremors (A) and pallor/headache (D) suggest hypoglycemia. Document: 'Ketoacidosis is characterized by fruity breath… fatigue, [and] disorientation.'
Question 3 of 5
The nurse would caution parents that massage should not be considered as an alternative therapy for a child with:
Correct Answer: C
Rationale: Massage risks cervical spine injury in Down syndrome (C) due to instability. Fractures (A), diabetes (B), and eating disorders (D) have no such contraindication. Document: 'Children with Down syndrome… may be injured by massage therapy.'
Question 4 of 5
The physical assessment technique that the nurse would omit in caring for a 2-year-old who has a Wilms' tumor is:
Correct Answer: B
Rationale: Abdominal palpation (B) risks spreading Wilms’ tumor cells. Other techniques (A, C, D) are safe. Document: 'Palpation of the abdomen could disturb the tumor and cause the malignancy to spread.'
Question 5 of 5
Diuresis has not occurred on a child with nephrotic syndrome after a month on corticosteroids. What protocol can the nurse encourage to bring about diuresis?
Correct Answer: D
Rationale: Cyclophosphamide (D), an immunosuppressant, induces diuresis in steroid-resistant nephrotic syndrome. Ibuprofen (A), furosemide (B), and ciprofloxacin (C) don’t address the underlying issue. Document: 'A potent antisuppressant such as Cytoxan can bring about diuresis.'