ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and is to start taking ferrous sulfate syrup. Which of the following instructions should the nurse give the parent?
Correct Answer: B
Rationale: Dilute the medication with 240 mL (8 oz) of milk. Milk can inhibit iron absorption, so it's not recommended to mix iron supplements with milk. Administer the medication at meal time. Iron supplements are best absorbed when taken with food, specifically vitamin C-rich foods to enhance absorption. This instruction promotes optimal therapeutic effect. Administer the medication at bedtime: Timing with meals is more effective than at bedtime. Offer the medication through a straw. The method of administration is less critical than the timing with meals.
Question 2 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.
Extract:
Question 3 of 5
The nurse is caring for a child who is receiving chemotherapy for the treatment of leukemia and plans to address the expected needs of this client? Select all that apply.
Excessive hair growth |
Increased appetite |
Fatigue |
Possible infections |
Easy bruising |
Correct Answer: C,D,E
Rationale: A. Excessive hair growth: Hair loss, not excessive hair growth, is a common side effect of chemotherapy. B. Increased appetite. Chemotherapy often causes nausea, vomiting, and reduced appetite, not an increase in appetite. C. Fatigue. Fatigue is a common side effect of chemotherapy due to its impact on the body, including reduced blood counts and overall systemic stress. D. Possible infections: Chemotherapy weakens the immune system, increasing the risk of infections. The nurse will monitor the child for signs of infection and implement measures to prevent them, like proper hand hygiene and maintaining a clean environment. E. Easy bruising: Chemotherapy can affect blood clotting, making the child more susceptible to bruising. The nurse will educate the parents and child about precautions to minimize bruising risks.
Extract:
Question 4 of 5
A nurse is assisting with admitting an infant who has diaper dermatitis. Which of the following actions should the nurse plan to take? (Select All that Apply.)
Correct Answer: A,B,C,D
Rationale: A. Change diapers frequently. Frequent diaper changes reduce prolonged contact with moisture, decreasing the risk of dermatitis. B. Allow the buttocks to air-dry. Air-drying helps to keep the skin dry and allows it to heal, preventing further irritation. C. Use commercial baby wipes that are free of alcohol and fragrances to cleanse the area. Alcohol and fragrance-free wipes minimize further irritation to the sensitive skin. D. Apply zinc oxide ointment to the affected area. Zinc oxide creates a protective barrier that helps heal and protect the skin from moisture and irritants. E. Apply talcum powder with every diaper change. Talcum powder is not recommended as it can be inhaled by the infant and may cause respiratory issues.
Question 5 of 5
A nurse is providing teaching to a school-age child who has a diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?
Correct Answer: A
Rationale: I should not take my regular insulin when I am sick.' Regular insulin should not be withheld during illness, as blood glucose levels can increase during times of stress or infection. This statement indicates the child needs further education on managing diabetes during illness. 'I will rotate injections sites within my abdominal area.' Rotating injection sites within a specific area helps to prevent lipodystrophy and ensures consistent absorption of insulin. This statement shows appropriate understanding. 'I will test my blood sugar before meals and at bedtime.' Frequent monitoring of blood glucose is essential in managing type 1 diabetes. This statement indicates correct knowledge of monitoring practices. 'I should eat a snack before I play soccer.' Eating a snack before physical activity helps to prevent hypoglycemia. This statement indicates a proper understanding of diabetes management related to exercise.