Questions 76

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ATI LPN Pediatics Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a school-age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Itching is common under a new cast and diphenhydramine can help manage this symptom without risking damage to the cast

Question 2 of 5

A nurse is caring for a 7-year-old client who has an upper respiratory infection and a history of type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?

Correct Answer: B

Rationale: Checking blood sugar only twice a day is insufficient during illness especially for a child with type 1 diabetes. Blood glucose levels can fluctuate significantly due to infection and more frequent monitoring (at least 4 times a day or as recommended) is necessary.

Question 3 of 5

A nurse is caring for a 6-month-old child. The child's provider has ordered a diphtheria, tetanus, and pertussis (DTaP) vaccine to be administered. Which of the following should cause the nurse to question the administration of this vaccine?

Correct Answer: D

Rationale: A high fever following a previous dose of DTaP may indicate a severe reaction.

Question 4 of 5

A nurse is caring for an adolescent. The nurse should expect that the adolescent is working on which of the following developmental tasks?

Correct Answer: A

Rationale: Adolescence is characterized by the search for identity and defining a sense of self. Erikson identifies this stage as "Identity vs. Role Confusion where individuals explore and form their own identity separate from their family and childhood roles.

Question 5 of 5

A nurse is reinforcing teaching about methylphenidate (Ritalin) with the parents of a school-age child who has ADHD. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Methylphenidate is a stimulant and giving it too late in the day can cause insomnia.

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