ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a school-age child who has acute glomerulonephritis. The child has peripheral edema and is producing 35 mL of urine per hour. Which of the following diets should the nurse anticipate the provider will prescribe?
Correct Answer: D
Rationale: Regular diet, no added salt: A regular diet with no added salt does not adequately address the sodium restriction needed to manage edema in acute glomerulonephritis. Low-carbohydrate, low-protein diet: Restricting carbohydrates and proteins is not typically necessary in acute glomerulonephritis unless there are specific complications. Low-protein, low-potassium diet: While protein restriction may be necessary in chronic kidney disease, it is not typically the primary focus in managing acute glomerulonephritis. Low-sodium, fluid-restricted: A low-sodium diet helps to reduce fluid retention and manage edema in acute glomerulonephritis. Fluid restriction may also be necessary to manage fluid balance.
Question 3 of 5
A nurse is collecting data from a child who has nephrotic syndrome. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Hypertension: Hypertension is not typically associated with nephrotic syndrome unless there are underlying kidney complications. Polyuria: Polyuria (increased urine output) is not typically seen in nephrotic syndrome, which is characterized by proteinuria and edema. Orange-tinged urine: Orange-tinged urine suggests the presence of blood or bilirubin, which is not typically associated with nephrotic syndrome. Periorbital edema: Periorbital edema (swelling around the eyes) is a common manifestation of nephrotic syndrome due to fluid retention.
Question 4 of 5
A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Increased appetite: Intussusception typically causes abdominal pain and discomfort, leading to a decreased appetite rather than increased. Jaundice: Jaundice is not a typical manifestation of intussusception. Drooling: Drooling is not associated with intussusception. Mucus in stools: Intussusception can cause mucus and bloody stools due to the irritation and inflammation in the intestine as it telescopes into itself.
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.