ATI LPN
PN Pediatric Nursing Online Practice B Questions
Question 1 of 5
Which nursing action is most appropriate to reduce stress while preparing a 5-year-old pediatric patient for surgery?
Correct Answer: C
Rationale: Parental presence until sedation reduces stress for a 5-year-old, leveraging attachment. Jewelry is unsafe, quick explanations may overwhelm, and a firm voice increases anxiety.
Question 2 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 3 of 5
Upon observation, the nurse documents that the child has white patches on the tongue, inner lips, gums, and oral mucosa. The nurse expects that this symptom will respond well to:
Correct Answer: B
Rationale: White oral patches suggest thrush, treated effectively with nystatin (B), an antifungal. Povan (A) treats pinworms, Tylenol (C) relieves pain, and soaks (D) are ineffective. Document: 'A thrush infection responds well to… nystatin.'
Question 4 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 5 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.'