ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about lice with the parents of a school-age child at a well-child visit. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Encourage your child to avoid sharing hats with other children.' Lice are primarily transmitted through direct head-to-head contact, not by sharing hats or other items. 'Lice can jump from one child to another.' Lice cannot jump; they crawl from one person to another during direct contact. 'Lice do not survive away from the host.' Lice can survive away from a host for a limited period (usually less than a day) but not for extended periods. 'Washing your child's hair daily will prevent lice.' While good hygiene is important, washing hair daily does not necessarily prevent lice infestations.
Question 2 of 5
A nurse is reinforcing teaching with the guardian of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: When patches are present, it indicates that your infant has a systemic infection.' Seborrheic dermatitis is a benign, non-infectious condition and does not indicate systemic infection. 'You can use petrolatum to help soften and remove patches from your infant's scalp.' Petrolatum can help soften and loosen scales in seborrheic dermatitis, making them easier to remove gently. This can help manage the condition effectively. 'You should avoid washing your infant's hair while patches are present on the scalp.' Gentle washing with a mild shampoo can help manage seborrheic dermatitis. Avoiding washing altogether is not necessary unless advised by a healthcare provider. 'When patches are present, you should keep your infant away from others.' Seborrheic dermatitis is not contagious, so there is no need to keep the infant away from others.
Question 3 of 5
A nurse is reinforcing teaching with the guardian of a child who has a urinary tract infection. Which of the following instructions should the nurse include? SELECT ALL THAT APPLY
Correct Answer: A,B,E
Rationale: A. Empty bladder completely with each void: Ensuring the bladder is completely emptied helps to reduce the risk of residual urine, which can promote bacterial growth and increase the risk of UTIs. B. Avoid bubble baths: Bubble baths can irritate the urethra and promote bacterial growth, increasing the risk of UTIs. Avoiding them helps in prevention. C. Increase fiber intake: Increasing fiber intake is not directly related to UTI prevention and is more relevant to digestive health. D. Wear nylon underpants: Nylon underpants can trap moisture and create a warm environment that supports bacterial growth. Cotton underwear is recommended instead. E. Watch for manifestations of infection: Being vigilant for signs of infection such as fever, pain, or changes in urination patterns is crucial for early detection and treatment of UTIs.
Question 4 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 5 of 5
A nurse is teaching the parents of a child who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: B
Rationale: Dry mucous membranes. Associated with dehydration, not hypoglycemia. Diaphoresis. Sweating (diaphoresis) is a common symptom of hypoglycemia due to the body's response to low blood glucose levels. Polyuria. Associated with hyperglycemia, where there is an excess of glucose leading to increased urine output. Fruity breath odor. Indicates ketosis, which is a sign of hyperglycemia and diabetic ketoacidosis, not hypoglycemia.