ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?
Correct Answer: D
Rationale: Increased pulse (tachycardia) is a common sign of dehydration as the heart compensates for reduced fluid volume to maintain perfusion. Dehydration typically causes hypotension, not increased blood pressure, and a sunken fontanel, not a flat one, in younger children.
Question 4 of 5
A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?
Correct Answer: A
Rationale: A hot spot on the cast may indicate localized infection, as it suggests warmth from underlying inflammation or infection, which requires prompt assessment. Edema, itching, and pain are common with casts but not specific to infection unless accompanied by other signs.
Question 5 of 5
A nurse is reinforcing teaching about the purpose of the HbA1c test with an adolescent who has type 1 diabetes mellitus. Which of the following statements by the adolescent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The HbA1c test measures average blood glucose levels over 2-3 months by assessing glucose-bound hemoglobin, making it a key tool for diabetes management. It does not test ketones, total hemoglobin, or oxygen levels.