ATI LPN Pediatrics nursing 2023

Extract:

Question 1 of 5

A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?

A. A school-age child who has endocarditis and a new onset of lethargy B. A toddler who has Kawasaki disease and erythema of the lips C. A school-age child who has rheumatic fever and an increased erythrocyte sedimentation rate D. A toddler who has coarctation of the aorta and weak pedal pulses

Correct Answer: A

Rationale: New lethargy in endocarditis suggests possible worsening or complications like embolism, requiring urgent assessment. Other findings are expected or less immediately critical.

Question 2 of 5

A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?

A. You should drink rice milk instead of cow's milk. B. You should eat flavored yogurt instead of plain yogurt. C. You should gradually increase lactose products in your diet. D. You should limit your intake of calcium-fortified orange juice.

Correct Answer: A

Rationale: Rice milk is lactose-free, making it a suitable alternative to cow's milk for lactose intolerance. Yogurt may still contain lactose, increasing lactose is counterproductive, and calcium-fortified juice is beneficial.

Question 3 of 5

A nurse is reinforcing teaching with the guardian of a school-age child who has a severe peanut allergy. Which of the following information should the nurse include?

A. The child's allergy will become more severe with prolonged exposure. B. The child should refrain from eating any type of nut. C. The child will likely outgrow the allergy in adolescence. D. The child should carry an epinephrine auto-injector.

Correct Answer: D

Rationale: Carrying an epinephrine auto-injector is critical for managing potential anaphylaxis in peanut allergies, which often persist and require emergency preparedness.

Question 4 of 5

A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?

A. Remove the toddler's outer clothing. B. Discourage the toddler from sitting in the parent's lap. C. Allow the toddler to inspect the stethoscope. D. Perform traumatic procedures first.

Correct Answer: C

Rationale: Allowing the toddler to inspect the stethoscope reduces anxiety and builds trust, enhancing cooperation during the visit. Other actions may increase distress or discomfort.

Question 5 of 5

A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hr after their curfew. Which of the following responses should the nurse make?

A. I won't tell anyone else about this unless you say it's okay. B. Your parent was wrong to hit you for coming home late. C. I'm guessing your other parent did not do anything to stop this from happening. D. It is not your fault that this happened to you.

Correct Answer: D

Rationale: Reassuring the adolescent that the abuse is not their fault supports emotional safety and trust, critical in abuse cases. Confidentiality must yield to mandatory reporting, and assumptions or judgments are unhelpful.

ATI LPN Pediatrics nursing 2023 | Nurselytic

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