ATI LPN
ATI LPN Pediatrics nursing 2023 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 typically starts with a 'slapped cheek' rash on the face before spreading elsewhere, a characteristic progression of this viral infection.
Question 2 of 5
A nurse in an urgent care clinic is collecting data from a preschooler who reports painful urination. Which of the following findings should the nurse identify as a possible manifestation of a urinary tract infection?
Correct Answer: B
Rationale: Fever (increased temperature) is a common UTI sign due to immune response. Edema, moist membranes, and twitching are unrelated or indicate hydration/neurological issues.
Question 3 of 5
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Rounded facial features ('moon face') are a hallmark of Cushing's syndrome due to cortisol-induced fat deposition. Weight gain, hypertension, and sleep disturbances are more typical than the other options.
Question 4 of 5
A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hr after their curfew. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reassuring the adolescent that the abuse is not their fault supports emotional safety and trust, critical in abuse cases. Confidentiality must yield to mandatory reporting, and assumptions or judgments are unhelpful.
Question 5 of 5
A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Rice milk is lactose-free, making it a suitable alternative to cow's milk for lactose intolerance. Yogurt may still contain lactose, increasing lactose is counterproductive, and calcium-fortified juice is beneficial.