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 is preparing to perform a heel stick using a spring-loaded automatic puncture device on a 1-week-old infant. In which of the following locations should the nurse puncture the infant's foot?
Correct Answer: A
Rationale: The lateral heel is safest for a heel stick, minimizing nerve and vessel damage compared to the central heel or medial aspect, which risk complications.
Question 3 of 5
A nurse is caring for a preschooler who is terminally ill. Which of the following reactions to death should the nurse expect?
Correct Answer: C
Rationale: Preschoolers often perceive death as a form of punishment due to magical thinking. They may believe that death happens because of something they did wrong or something they caused, reflecting a child's egocentric thinking. They generally do not understand the permanence of death, which typically develops around age 6, nor do they focus on isolation or physical changes as older children might.
Question 4 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: C
Rationale: Children with autism can be very sensitive to sensory input, including physical touch. Minimizing physical contact helps reduce sensory overload and the child's anxiety, which is critical during stressful events like surgery. Eye contact may increase agitation, a semiprivate room could heighten distress, and a television at night might disrupt sleep.
Question 5 of 5
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Rhinorrhea, or a runny nose, is a common early symptom of RSV, which often starts with cold-like symptoms before progressing to respiratory distress. Barrel chest and clubbing are associated with chronic conditions, not acute RSV, and vesicles are linked to other infections like chickenpox.