ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is contributing to the plan of care for a child who has a urinary tract infection. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: Evaluate the child's self-esteem. Self-esteem evaluation is important in general nursing care but is not a specific intervention for managing urinary tract infections. Encourage frequent voiding. Frequent voiding helps to flush out bacteria from the urinary tract and prevents stasis, which can reduce the risk of urinary tract infections. Administer an antidiuretic. Antidiuretics reduce urine output and are not typically used in the treatment of urinary tract infections, which require adequate urine flow to flush out bacteria. Restrict fluids. Adequate hydration is important in managing urinary tract infections to promote urine flow and help flush out bacteria. Fluid restriction is not appropriate unless otherwise indicated.
Question 3 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 4 of 5
A nurse is reinforcing teaching with a parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: I will keep my baby in an upright position after feeding.' Keeping the infant upright after feedings helps reduce reflux by utilizing gravity to keep the stomach contents from coming back up into the esophagus. 'I will have to feed my baby formula, rather than breast milk.' Breast milk is actually preferred for infants with reflux as it is digested more quickly than formula, which may reduce reflux episodes. 'My baby's formula can be thickened with oatmeal.' While thickening feeds can help in some cases, it's generally done with rice cereal under the guidance of a healthcare provider. Oatmeal is not typically recommended for thickening formula for young infants. 'I should move my baby into a side-lying position during sleep.' Side-lying position is not recommended for sleep due to the risk of sudden infant death syndrome (SIDS). The baby should be placed on their back to sleep.
Question 5 of 5
A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at McBurney's point?
Correct Answer: A
Rationale: McBurney's point is located one-third of the distance along an imaginary line connecting the anterior superior iliac spine (ASIS) to the umbilicus, starting from the ASIS and moving towards the umbilicus. Palpating this area can elicit pain in appendicitis, confirming the diagnosis.