ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Rigid abdomen: A rigid abdomen is not typically associated with Hirschsprung disease unless there is severe obstruction and distension. Ribbonlike, foul-smelling stools: Hirschsprung disease causes obstruction of the colon, leading to constipation and ribbonlike, foul-smelling stools proximal to the affected segment. Projectile vomiting: Projectile vomiting is not typically associated with Hirschsprung disease but may occur in other conditions causing bowel obstruction. Chronic hunger: Chronic hunger is not a typical finding in Hirschsprung disease and is more indicative of metabolic or endocrine disorders.
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 2 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 3 of 5
A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Rigid abdomen: A rigid abdomen is not typically associated with Hirschsprung disease unless there is severe obstruction and distension. Ribbonlike, foul-smelling stools: Hirschsprung disease causes obstruction of the colon, leading to constipation and ribbonlike, foul-smelling stools proximal to the affected segment. Projectile vomiting: Projectile vomiting is not typically associated with Hirschsprung disease but may occur in other conditions causing bowel obstruction. Chronic hunger: Chronic hunger is not a typical finding in Hirschsprung disease and is more indicative of metabolic or endocrine disorders.
Question 4 of 5
The nurse is caring for a hospitalized child newly diagnosed with type 1 diabetes mellitus. At 1100, the child suddenly complains of weakness, headache, and blurred vision. How would the nurse respond?
Correct Answer: A
Rationale: Give the child 1â„2 cup of orange juice to drink. These symptoms indicate hypoglycemia, a common early complication of diabetes treatment. Orange juice contains quick-acting sugars that can rapidly raise blood glucose levels and alleviate symptoms. This is the immediate action to manage the child's symptoms. Call the dietary department and ask that the lunch tray be delivered early. Delayed action compared to treating the immediate hypoglycemia. Contact the physician. While eventually necessary, immediate treatment of hypoglycemia takes precedence. Obtain a blood glucose reading. Important to confirm hypoglycemia but not as urgent as providing immediate treatment.
Question 5 of 5
A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?
Correct Answer: D
Rationale: Offer chicken broth: Chicken broth alone may not provide adequate electrolyte replacement and hydration needed for managing diarrhea-related dehydration. Keep NPO until the diarrhea subsides: NPO status is generally not necessary unless the child is unable to tolerate oral fluids. ORT is preferred to maintain hydration. Start hypertonic IV solution: Hypertonic IV solutions are not typically used for routine management of dehydration from diarrhea in children. ORT is safer and effective. Assist with initiating oral rehydration therapy: Oral rehydration therapy (ORT) is the primary intervention for managing dehydration due to diarrhea in children. It helps replace lost fluids and electrolytes and is the recommended first-line treatment.