ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lowering room temperature aids fever comfort. Ice baths risk cold stress, excessive acetaminophen risks toxicity, and aspirin risks Reye's syndrome.
Question 2 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates to the nurse that the child is dehydrated?
Correct Answer: C
Rationale: Increased pulse compensates for hypovolemia in dehydration. BP decreases, fontanels sink, and veins collapse, not distend, with dehydration.
Question 3 of 5
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Minimizing contact respects sensory needs, reducing distress. TV, shared rooms, and eye contact during agitation increase overstimulation and anxiety.
Question 4 of 5
The nurse is assisting in planning care for a child. Which of the following interventions should the nurse plan to include?
Correct Answer: A,C
Rationale: Daily weights monitor fluid status, critical for acute changes. Seizure precautions ensure safety for at-risk children. BP every 8 hours, sodium restriction, and bed rest are not universally needed unless specified.
Question 5 of 5
A nurse is collecting data from a school-age child who has erythema infectiosum (fifth disease). The nurse should expect the rash to appear on which area of the child's body first?
Correct Answer: A
Rationale: Fifth disease begins with a 'slapped cheek' facial rash due to parvovirus B19, before spreading elsewhere.