ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?
Correct Answer: D
Rationale: Increased pulse (tachycardia) is a common sign of dehydration as the heart compensates for reduced fluid volume to maintain perfusion. Dehydration typically causes hypotension, not increased blood pressure, and a sunken fontanel, not a flat one, in younger children.
Question 2 of 5
A nurse is reinforcing teaching with the guardian of a 1-year-old infant about administering a liquid oral medication. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Placing medication along the tongue's side aids swallowing and prevents gagging, ensuring safe administration. Back positioning risks aspiration, mixing with formula risks incomplete dosing, and ice is impractical.
Question 3 of 5
A nurse is collecting data on a 1-month-old infant during a well-child visit. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: A respiratory rate of 64/min is normal for a 1-month-old (30-60 breaths/min). Rooting reflex should be present, head lag is expected but not primary, and yellow sclera suggests jaundice needing evaluation.
Question 4 of 5
A nurse is caring for a child who has had diarrhea for 3 days. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A stool culture identifies the cause of diarrhea (e.g., infection), guiding treatment. Weekly weighing, NPO status, or apple juice (which worsens diarrhea) are inappropriate for acute management.
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: D
Rationale: Tretinoin increases sun sensitivity, necessitating sunscreen with SPF 15 or higher. A pea-sized amount, nighttime application, and waiting 20-30 minutes post-wash are the correct methods.