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 parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?
Correct Answer: A
Rationale: A hot spot on the cast may indicate localized infection, as it suggests warmth from underlying inflammation or infection, which requires prompt assessment. Edema, itching, and pain are common with casts but not specific to infection unless accompanied by other signs.
Question 3 of 5
A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The HbA1c test measures average blood glucose levels over 2-3 months by assessing glucose-bound hemoglobin, making it a key tool for diabetes management. It does not test ketones, total hemoglobin, or oxygen levels.
Question 4 of 5
A nurse is discussing allergies with the guardians of a school-age child prior to administration of the influenza vaccine. The nurse should identify that a prior anaphylactic reaction to which of the following is a contraindication to this immunization?
Correct Answer: C
Rationale: The influenza vaccine contains trace egg proteins, and a severe egg allergy (anaphylaxis) is a contraindication due to potential allergic reactions. Neomycin and gelatin allergies may affect other vaccines, but not typically influenza, and gluten is unrelated.
Question 5 of 5
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The posterior iliac crest is the typical site for bone marrow aspiration in children, and the prone position provides safe, stable access. Other positions do not effectively expose this site for the procedure.