ATI LPN
Providing Personal Care and Comfort Questions
Question 1 of 5
The nurse notes that a 2 year-old child recovering from a tonsillectomy has an temperature of 98.2 degrees Fahrenheit at 8:00 AM. At 10:00 AM the child's parent reports that the child 'feels very warm' to touch. The first action by the nurse should be to
Correct Answer: C
Rationale: Reassessing the temperature is the first action. A parent's report of 'feels very warm' suggests possible fever post-tonsillectomy, requiring objective confirmation before intervention, per pediatric nursing standards. Reassurance without data is premature, fluids don't address the cause, and acetaminophen requires fever verification to avoid masking symptoms. C ensures accurate assessment, guiding subsequent care.
Question 2 of 5
A child is sent to the school nurse by a teacher who has a written note that fifth disease is suspected. Which characteristic would the nurse expect to find?
Correct Answer: B
Rationale: Erythema on the cheeks with a 'slapped face' appearance is characteristic of fifth disease (parvovirus B19), per pediatric nursing. Vesicles suggest varicella, rose pink macules fit roseola, and Koplik spots indicate measles. B confirms the suspected diagnosis.
Question 3 of 5
The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina?
Correct Answer: A
Rationale: My pain is deep in my chest behind my breast bone' suggests acute angina. Substernal pain is classic, per cardiac assessment. Sitting or breathing worsening pain leans toward pleuritic causes, and stomach suggests GI issues. A aligns with angina's hallmark.
Question 4 of 5
Hospital staff requests that the parents with a Greek heritage of a hospitalized infant remove the amulet from around the child's neck. The parents refuse. The nurse understands that the parents may be concerned about
Correct Answer: B
Rationale: Evil eye or envy of others is the likely concern for Greek parents with an amulet. This cultural belief protects against harm, per transcultural nursing. Development , spirits , and balance are less specific. B respects cultural context.
Question 5 of 5
The nurse will administer liquid medicine to a 9 month-old child. Which of the following methods is appropriate?
Correct Answer: B
Rationale: Administering with a syringe next to the tongue is appropriate for a 9-month-old. It ensures accurate dosing and safety, per pediatric administration. Cup risks spilling, mixing alters intake, and spoon is less precise. B is age-appropriate.