ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is collecting data from a school-age child who has erythema infectiosum (fifth disease). The nurse should expect the rash to appear on which area of the child's body first?
Correct Answer: C
Rationale: Erythema infectiosum starts with a 'slapped cheek' rash on the face due to parvovirus B19's effect on facial capillaries, before spreading to extremities or trunk.
Question 2 of 5
A client reports “difficulty breathing and coughing up blood.†During the assessment, which of the following findings would require urgent intervention?
Correct Answer: D
Rationale: Steatorrhea is unrelated to acute respiratory issues. Barrel chest is a chronic finding, not urgent. Oxygen saturation of 95% is adequate. Hemoptysis of 300 mL is critical, indicating severe hemorrhage requiring immediate intervention to prevent airway compromise or shock.
Question 3 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: B
Rationale: Minimizing contact respects sensory needs, reducing distress. TV, shared rooms, and eye contact during agitation increase overstimulation and anxiety.
Question 4 of 5
A nurse is caring for a child who is 3 days postoperative following a below-the-knee amputation of the left leg. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Infection inspection is critical early post-op to ensure healing. Other actions follow.
Question 5 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: A
Rationale: Oral rehydration prevents dehydration in shigella. High sodium worsens imbalance, antidiarrheals prolong infection, and antivirals are ineffective against bacteria.