ATI LPN
PN Pediatric Nursing Online Practice B Questions
Question 1 of 5
Which intervention is most important when feeding an infant with pyloric stenosis?
Correct Answer: B
Rationale: Frequent burping (B) during feedings removes gas in pyloric stenosis, reducing vomiting risk. Quick feedings (A), discouraging parents (C), or stopping for vomiting (D) worsen outcomes. Document: 'The infant should be burped… to remove any gas accumulated in the stomach.'
Question 2 of 5
Which physical evaluation technique should not be used when caring for a child diagnosed with a Wilm's tumor?
Correct Answer: B
Rationale: Palpating the abdomen (B) risks dislodging a Wilms’ tumor, spreading malignancy. Other techniques (A, C, D) are safe. Document: 'Palpation of the abdomen could disturb the tumor and cause the malignancy to spread.'
Question 3 of 5
The nurse suggests a measure that might be helpful for the child with enuresis, such as:
Correct Answer: C
Rationale: Reducing fluids after dinner (C) minimizes enuresis by lowering bladder volume. Shocking (A) is unsafe, waking (B) disrupts sleep, and fiber (D) is unrelated. Document: 'Liquids after dinner should be limited.'
Question 4 of 5
The nurse caring for a 5 month old with viral influenza suspects the development of Reye's syndrome when the child:
Correct Answer: A
Rationale: Effortless vomiting (A) is an early Reye’s syndrome sign post-viral infection, linked to aspirin use. Normal breathing (B), sleeping (C), or rash (D) are not specific. Document: 'The onset of [Reye’s] is effortless vomiting.'
Question 5 of 5
An infant is admitted with a diagnosis of respiratory syncytial virus (RSV) infection. The type of transmission based solution precaution the nurse would set up would be Select ONE that apply:
Correct Answer: C
Rationale: RSV requires droplet (B) for cough/sneeze spread and contact (C) for fomite transmission. Standard (A) is insufficient, airborne (D) is for smaller particles. Document: 'Contact isolation… to prevent fomite spread… droplet precautions… [for] droplets.'