ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Reassuring the child it's not their fault supports emotional safety and trust, vital in suspected abuse cases. Blaming or promising secrecy contradicts care and reporting duties.
Question 4 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 5 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.