ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
A nurse is caring for a child who is suspected to have Enterobius vermicularis (pinworms). Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Test the stool for occult blood: Testing for occult blood in the stool is not relevant for diagnosing pinworms. Perform a tape test: The tape test involves applying transparent tape to the perianal area to collect pinworm eggs, which is the appropriate diagnostic method for Enterobius vermicularis. Initiate IV fluids: IV fluids are not indicated for the diagnosis or treatment of pinworms unless the child is severely dehydrated, which isn't suggested by the scenario. Collect stool specimens for culture: Stool culture is not used to diagnose pinworms; the tape test is more appropriate.
Question 2 of 5
A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Increased appetite: Intussusception typically causes abdominal pain and discomfort, leading to a decreased appetite rather than increased. Jaundice: Jaundice is not a typical manifestation of intussusception. Drooling: Drooling is not associated with intussusception. Mucus in stools: Intussusception can cause mucus and bloody stools due to the irritation and inflammation in the intestine as it telescopes into itself.
Question 3 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.
Question 4 of 5
A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Rehydrate. Rehydration is critical in managing severe diarrhea to prevent dehydration and electrolyte imbalance, which can be life-threatening. Assess fluid balance. Assessing fluid balance is important but comes after initiating rehydration to ensure ongoing monitoring and adjustment of the fluid therapy. Maintain fluid therapy. Maintaining fluid therapy is essential but should follow the initial step of rehydration. Introduce a regular diet. Introducing a regular diet should only be considered after the child's fluid and electrolyte balance is restored.
Question 5 of 5
A mother is concerned about what might have caused a heat rash on her infant. The nurse observes tiny pinhead-sized reddened papules on the infant's neck and axilla. What does the nurse explain as the most likely cause of this rash?
Correct Answer: D
Rationale: Sun exposure: Sun exposure typically causes sunburn rather than tiny pinhead-sized papules. Allergic reaction: Allergic reactions often present with different types of lesions or hives, not typically tiny papules. Infection: Infections might cause different types of lesions or pustules rather than the described tiny papules. Heat and moisture: Heat rash (miliaria) results from blocked sweat ducts, leading to tiny red papules due to overheating and trapped sweat, commonly occurring in areas like the neck and axilla.