ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at McBurney's point?
Correct Answer: A
Rationale: McBurney's point is located one-third of the distance along an imaginary line connecting the anterior superior iliac spine (ASIS) to the umbilicus, starting from the ASIS and moving towards the umbilicus. Palpating this area can elicit pain in appendicitis, confirming the diagnosis.
Question 2 of 5
The nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which question to the parent would elicit information about the cause of this disease?
Correct Answer: D
Rationale: Has your child had any diarrhea?' Diarrhea is not typically associated with glomerulonephritis. 'Have you noticed any rashes on your child?' Rashes are not typically associated with glomerulonephritis. 'Did your child sustain any injuries to the kidney area?' Direct kidney trauma is not a common cause of glomerulonephritis in children. 'Did your child recently complain of a sore throat?' Poststreptococcal glomerulonephritis (a common cause of acute glomerulonephritis in children) often follows a streptococcal throat or skin infection. Asking about a recent sore throat can provide important information about a possible streptococcal infection.
Question 3 of 5
A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Have the child sit with her head tilted forward and hold pressure on her nose for 10 min. Tilting the head forward helps prevent blood from flowing down the throat and causing nausea or choking. Applying pressure to the nose for 10 minutes helps to stop the bleeding. Place the child in a sitting position and tilt her head back. Tilted head back can cause blood to flow down the throat and potentially cause aspiration or choking. It's not recommended in managing nosebleeds. Apply ice at the opening of the nares for 5 min and then re-check for bleeding. While cold compresses can help constrict blood vessels, direct pressure and maintaining a forward head position are more effective for stopping nosebleeds. Place the child in a supine position with a pillow under her head. Supine position can cause blood to flow down the throat and is not recommended in managing nosebleeds due to the risk of aspiration.
Question 4 of 5
A nurse is reinforcing teaching with a parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: I will keep my baby in an upright position after feeding.' Keeping the infant upright after feedings helps reduce reflux by utilizing gravity to keep the stomach contents from coming back up into the esophagus. 'I will have to feed my baby formula, rather than breast milk.' Breast milk is actually preferred for infants with reflux as it is digested more quickly than formula, which may reduce reflux episodes. 'My baby's formula can be thickened with oatmeal.' While thickening feeds can help in some cases, it's generally done with rice cereal under the guidance of a healthcare provider. Oatmeal is not typically recommended for thickening formula for young infants. 'I should move my baby into a side-lying position during sleep.' Side-lying position is not recommended for sleep due to the risk of sudden infant death syndrome (SIDS). The baby should be placed on their back to sleep.
Question 5 of 5
A nurse is reinforcing teaching about lice with the parents of a school-age child at a well-child visit. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Encourage your child to avoid sharing hats with other children.' Lice are primarily transmitted through direct head-to-head contact, not by sharing hats or other items. 'Lice can jump from one child to another.' Lice cannot jump; they crawl from one person to another during direct contact. 'Lice do not survive away from the host.' Lice can survive away from a host for a limited period (usually less than a day) but not for extended periods. 'Washing your child's hair daily will prevent lice.' While good hygiene is important, washing hair daily does not necessarily prevent lice infestations.