ATI LPN
Pediatric Ot Practice Questions Questions
Question 1 of 5
Children with intussusception may have bowel movements containing blood and mucus with no feces. These are termed:
Correct Answer: A
Rationale: Intussusception, where the intestine telescopes into itself, causes bloody, mucousy stools without feces, resembling 'currant jelly' . Mucoid stools lack blood, steatorrhea is fatty and pale, and occult blood is hidden, not overt like in intussusception.
Question 2 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 3 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 4 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.'
Question 5 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.'