ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
A nurse is collecting data from an infant. Which of the following is a clinical manifestation of pyloric stenosis?
Correct Answer: A
Rationale: Projectile vomiting after feedings: Projectile vomiting after feedings, especially occurring a short time after feeding, is a classic sign of pyloric stenosis due to obstruction at the pylorus. Absent bowel sounds: Absent bowel sounds may occur in more advanced cases of bowel obstruction but are not specific to pyloric stenosis. Increased sodium level: Increased sodium level is not typically associated with pyloric stenosis. Golf ball-size mass over the left quadrant: A palpable mass in the left quadrant is not a typical finding in pyloric stenosis.
Question 2 of 5
A nurse is reinforcing teaching with a client who is prescribed ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: I expect the color of my urine to be amber.' Ferrous sulfate does not typically affect the color of urine. This statement indicates a misunderstanding of the medication's effects. 'I will expect dark, tarry stools.' Ferrous sulfate can cause stools to become dark or black, which is a common and expected side effect due to the iron content. This indicates the client understands a normal side effect of the medication. 'I will not get as many infections.' Ferrous sulfate is used to treat iron deficiency anemia and does not directly influence the incidence of infections. This indicates a lack of understanding of the medication's purpose. 'I will take extra care to protect against increased bruising.' Increased bruising is not associated with ferrous sulfate. This indicates a misunderstanding of the medication's side effects.
Question 3 of 5
A nurse is caring for a child who has a nosebleed. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Have the child sit with her head tilted forward and hold pressure on her nose for 10 min. Tilting the head forward helps prevent blood from flowing down the throat and causing nausea or choking. Applying pressure to the nose for 10 minutes helps to stop the bleeding. Place the child in a sitting position and tilt her head back. Tilted head back can cause blood to flow down the throat and potentially cause aspiration or choking. It's not recommended in managing nosebleeds. Apply ice at the opening of the nares for 5 min and then re-check for bleeding. While cold compresses can help constrict blood vessels, direct pressure and maintaining a forward head position are more effective for stopping nosebleeds. Place the child in a supine position with a pillow under her head. Supine position can cause blood to flow down the throat and is not recommended in managing nosebleeds due to the risk of aspiration.
Question 4 of 5
A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Increased appetite: Intussusception typically causes abdominal pain and discomfort, leading to a decreased appetite rather than increased. Jaundice: Jaundice is not a typical manifestation of intussusception. Drooling: Drooling is not associated with intussusception. Mucus in stools: Intussusception can cause mucus and bloody stools due to the irritation and inflammation in the intestine as it telescopes into itself.
Question 5 of 5
A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Rehydrate. Rehydration is critical in managing severe diarrhea to prevent dehydration and electrolyte imbalance, which can be life-threatening. Assess fluid balance. Assessing fluid balance is important but comes after initiating rehydration to ensure ongoing monitoring and adjustment of the fluid therapy. Maintain fluid therapy. Maintaining fluid therapy is essential but should follow the initial step of rehydration. Introduce a regular diet. Introducing a regular diet should only be considered after the child's fluid and electrolyte balance is restored.