ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about insulin injections with a client who is newly diagnosed with type I diabetes mellitus. Which of the following information should the nurse include about site selection?
Correct Answer: D
Rationale: Insulin is absorbed most rapidly when injected in the thigh. Insulin is actually absorbed most rapidly in the abdomen, not the thigh. Use cold insulin for injection to minimize site pain. Insulin should be at room temperature for injection to reduce discomfort and avoid altered absorption rates. Cold insulin can increase injection pain. Massage the site after injection to promote absorption. Massaging the injection site can cause unpredictable insulin absorption and is not recommended. Rotate the injection site to keep insulin levels consistent. Rotating the injection sites helps prevent lipodystrophy and ensures consistent insulin absorption. It helps maintain stable blood glucose levels.
Question 2 of 5
A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?
Correct Answer: D
Rationale: Apply cold compresses to the affected areas. Cold can cause vasoconstriction, which may worsen the sickling and pain. Heat packs are generally recommended to promote circulation and relieve pain. Implement pain management on a PRN basis. Pain management should be consistent and proactive rather than PRN (as needed). Regular pain control is essential in managing sickle cell crises. Active range-of-motion (ROM) exercises daily. During a crisis, the child should rest and avoid physical activity to prevent further pain and complications. ROM exercises are more appropriate during non-crisis times for maintaining joint function. Promote hydration with IV and oral fluids. Hydration is crucial during a sickle cell crisis as it helps to decrease blood viscosity, reducing the risk of further sickling and vaso-occlusive events.
Extract:
Nurses Notes
Physical Examination
Vital Signs
Diagnostic Results
Guardians report the child has had a decrease in activity for 2 weeks. Child has been reporting pain in the legs. Guardians state that their child has been napping longer than usual and appears tired throughout the day. Child has had cold symptoms that have been persistent with a fever and congestion for the past 10 days. Guardians have been administering acetaminophen for fever with moderate relief
Question 3 of 5
A nurse is assisting in the care of an adolescent who reports abdominal pain. Complete the following sentence by using the list of options. The nurse should first address the client's ___ followed by the client's ___
Correct Answer: A,F
Rationale: The nurse should first address the client's Pain followed by the client's heart rate. Pain: Priority: Pain is a critical factor that needs immediate attention, especially since the adolescent reports a high pain level of 9/10, which indicates severe discomfort. Unmanaged pain can lead to increased stress, anxiety, and potentially worsen the patient's condition. The adolescent is guarding the abdomen, which indicates severe pain possibly due to an underlying issue such as appendicitis or another serious abdominal pathology. The right lower quadrant pain and positive obturator sign suggest an acute abdomen, which could be life-threatening and requires urgent attention. Heart rate: Priority: After addressing pain, the nurse should focus on the heart rate, which is elevated at 124 beats per minute (tachycardia). Tachycardia in this context could be a response to pain or an indication of infection, dehydration, or another serious underlying condition. Given that the temperature is slightly elevated (38°C or 100.4°F), there is a possibility of an infectious process, which could be contributing to both pain and the elevated heart rate.
Extract:
Question 4 of 5
A nurse is providing teaching to a school-age child who has a diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?
Correct Answer: A
Rationale: I should not take my regular insulin when I am sick.' Regular insulin should not be withheld during illness, as blood glucose levels can increase during times of stress or infection. This statement indicates the child needs further education on managing diabetes during illness. 'I will rotate injections sites within my abdominal area.' Rotating injection sites within a specific area helps to prevent lipodystrophy and ensures consistent absorption of insulin. This statement shows appropriate understanding. 'I will test my blood sugar before meals and at bedtime.' Frequent monitoring of blood glucose is essential in managing type 1 diabetes. This statement indicates correct knowledge of monitoring practices. 'I should eat a snack before I play soccer.' Eating a snack before physical activity helps to prevent hypoglycemia. This statement indicates a proper understanding of diabetes management related to exercise.
Question 5 of 5
A nurse is preparing to administer acetaminophen 10/mg/kg PO to a preschool child for fever. The child weighs 22 lb. Available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: First, convert the child's weight from pounds to kilograms: 22 lb ÷ 2.2 = 10 kg. Calculate the dose: 10 kg × 10 mg/kg = 100 mg. Next, calculate how many mL of acetaminophen liquid (160 mg/5 mL) is needed for 100 mg: 100mg ÷ 160mg/5ml = 100 × 5/160 = 3.125ml. Rounded to the nearest tenth, administer 3.1 mL (since the medication is typically measured in tenths).