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: A
Rationale: Fifth disease begins with a 'slapped cheek' facial rash due to parvovirus B19, before spreading elsewhere.
Question 2 of 5
A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lowering room temperature aids fever comfort. Ice baths risk cold stress, excessive acetaminophen risks toxicity, and aspirin risks Reye's syndrome.
Question 3 of 5
A nurse is collecting data from an adolescent client 24 hours after admission. Which of the following findings should be reported immediately?
Correct Answer: D
Rationale: Oxygen saturation of 95% is acceptable and not urgent. Barrel chest indicates a chronic condition, not an immediate threat. A respiratory rate of 32/min suggests tachypnea but is less critical than hemoptysis of 300 mL, which indicates significant bleeding requiring immediate intervention to prevent airway obstruction or shock.
Question 4 of 5
A nurse is caring for an 18-month-old infant who is 12 hours postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?
Correct Answer: B
Rationale: The FLACC Scale assesses pain in non-verbal infants via behavior, ideal for an 18-month-old. Others require higher cognitive ability.
Question 5 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.