ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison ivy 1 hr ago. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Flushing with cold water removes poison ivy oil (urushiol) from the skin, preventing or reducing rash severity. Other actions are secondary to this initial step.
Question 2 of 5
A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Lansoprazole is most effective 30 minutes before meals, reducing acid production. Sublingual use, frequent dosing, and chewing disrupt its intended action.
Question 3 of 5
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Rhinorrhea, or a runny nose, is a common early symptom of RSV, which often starts with cold-like symptoms before progressing to respiratory distress. Barrel chest and clubbing are associated with chronic conditions, not acute RSV, and vesicles are linked to other infections like chickenpox.
Question 4 of 5
A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?
Correct Answer: B
Rationale: Elevated total protein in CSF supports bacterial meningitis due to increased blood-brain barrier permeability. Decreased WBCs, elevated glucose, and low pressure contradict typical findings.
Question 5 of 5
A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Tretinoin increases sun sensitivity, requiring sunscreen with SPF 15 or higher. Morning application, dime-sized amounts, and applying too soon after washing are incorrect.