ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Nurses Notes
Physical Examination
Vital Signs
Diagnostic Results
Guardians report the child has had a decrease in activity for 2 weeks. Child has been reporting pain in the legs. Guardians state that their child has been napping longer than usual and appears tired throughout the day. Child has had cold symptoms that have been persistent with a fever and congestion for the past 10 days. Guardians have been administering acetaminophen for fever with moderate relief
Question 1 of 5
A nurse is assisting in the care of an adolescent who reports abdominal pain. Complete the following sentence by using the list of options. The nurse should first address the client's ___ followed by the client's ___
Correct Answer: A,F
Rationale: The nurse should first address the client's Pain followed by the client's heart rate. Pain: Priority: Pain is a critical factor that needs immediate attention, especially since the adolescent reports a high pain level of 9/10, which indicates severe discomfort. Unmanaged pain can lead to increased stress, anxiety, and potentially worsen the patient's condition. The adolescent is guarding the abdomen, which indicates severe pain possibly due to an underlying issue such as appendicitis or another serious abdominal pathology. The right lower quadrant pain and positive obturator sign suggest an acute abdomen, which could be life-threatening and requires urgent attention. Heart rate: Priority: After addressing pain, the nurse should focus on the heart rate, which is elevated at 124 beats per minute (tachycardia). Tachycardia in this context could be a response to pain or an indication of infection, dehydration, or another serious underlying condition. Given that the temperature is slightly elevated (38°C or 100.4°F), there is a possibility of an infectious process, which could be contributing to both pain and the elevated heart rate.
Extract:
Question 2 of 5
A nurse is reinforcing teaching with the guardian of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: When patches are present, it indicates that your infant has a systemic infection.' Seborrheic dermatitis is a benign, non-infectious condition and does not indicate systemic infection. 'You can use petrolatum to help soften and remove patches from your infant's scalp.' Petrolatum can help soften and loosen scales in seborrheic dermatitis, making them easier to remove gently. This can help manage the condition effectively. 'You should avoid washing your infant's hair while patches are present on the scalp.' Gentle washing with a mild shampoo can help manage seborrheic dermatitis. Avoiding washing altogether is not necessary unless advised by a healthcare provider. 'When patches are present, you should keep your infant away from others.' Seborrheic dermatitis is not contagious, so there is no need to keep the infant away from others.
Question 3 of 5
A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. Which of the following information should the nurse include about site selection?
Correct Answer: D
Rationale: Insulin is absorbed most rapidly when injected in the thigh. Insulin is actually absorbed most rapidly in the abdomen, not the thigh. Use cold insulin for injection to minimize site pain. Insulin should be at room temperature for injection to reduce discomfort and avoid altered absorption rates. Cold insulin can increase injection pain. Massage the site after injection to promote absorption. Massaging the injection site can cause unpredictable insulin absorption and is not recommended. Rotate the injection site to keep insulin levels consistent. Rotating the injection sites helps prevent lipodystrophy and ensures consistent insulin absorption. It helps maintain stable blood glucose levels.
Question 4 of 5
A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Maintain a saline-lock. Maintaining a saline lock is important for potential intravenous access, but it is not the most urgent priority compared to actions that directly monitor the child's condition and help manage the disease. Educate the parents about potential complications. Parental education is important for long-term management and understanding of the condition, but it is not the most immediate priority in the acute phase of the illness. Place the child on a no-salt-added diet. A no-salt-added diet is important to help manage fluid retention and hypertension, which are common in acute glomerulonephritis. However, while important, it does not take immediate priority over assessing the child's fluid status. Check the child's weight daily. Monitoring daily weight is crucial in acute glomerulonephritis, as it helps assess fluid balance and detect early signs of fluid retention or worsening kidney function, which are key concerns in this condition. This makes it a priority action.
Question 5 of 5
What instruction will the nurse give to parents about preventing the spread and reinfection of pinworms?
Correct Answer: C
Rationale: Wash bed linens in cold water. Washing bed linens in cold water is ineffective for killing pinworm eggs. Hot water should be used to properly sanitize linens and kill the eggs. Clean the bathroom with bleach solution. While cleaning the bathroom with bleach can help reduce contamination, it is not a primary or effective measure for preventing pinworm spread and reinfection in a household setting. Keep children's nails short. Keeping nails short reduces the likelihood of the child scratching the perianal area, where pinworm eggs are deposited, and then ingesting the eggs through hand-to-mouth contact. This helps prevent the spread and reinfection of pinworms. Dress child in loose-fitting underwear. Loose-fitting underwear does not specifically help in preventing the spread or reinfection of pinworms. Tight-fitting underwear may actually be better to prevent the spread of eggs to other surfaces.