ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
Correct Answer: C
Rationale: Preschoolers often perceive death as a form of punishment due to magical thinking. They may believe that death happens because of something they did wrong or something they caused, reflecting a child's egocentric thinking. They generally do not understand the permanence of death, which typically develops around age 6, nor do they focus on isolation or physical changes as older children might.
Question 2 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: C
Rationale: Children with autism can be very sensitive to sensory input, including physical touch. Minimizing physical contact helps reduce sensory overload and the child's anxiety, which is critical during stressful events like surgery. Eye contact may increase agitation, a semiprivate room could heighten distress, and a television at night might disrupt sleep.
Question 3 of 5
A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: An ice collar reduces swelling and pain post-tonsillectomy. Straws, coughing, and acidic juices risk bleeding or irritation at the surgical site.
Question 4 of 5
A nurse is assisting with the care of a school-age child who has shigella. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Oral rehydration therapy prevents dehydration from shigella-induced diarrhea. Antidiarrheals worsen infection, high sodium is unneeded, and antivirals are ineffective against bacteria.
Question 5 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.