ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 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 2 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 3 of 5
The school nurse is performing pediculosis capitis (head lice) assessments. Which assessment finding indicates that a child has a 'positive' head check for lice?
Correct Answer: B
Rationale: Maculopapular lesions behind the ears: Maculopapular lesions are not characteristic of head lice infestation. White sacs attached to the hair shafts in the occipital area: White sacs (nits) attached to hair shafts are characteristic of head lice infestation. White flaky particles throughout the entire scalp region: White flaky particles are more suggestive of dry scalp or dandruff, not head lice. Lesions in the scalp that extend to the hairline or neck: Lesions extending to the hairline or neck could indicate secondary infection but are not specific to head lice infestation.
Question 4 of 5
The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?
Correct Answer: B
Rationale: Require that the child have antibiotic coverage. This answer is incorrect because immunizations do not typically require antibiotic coverage. Should be delayed. Prednisone can suppress the immune response, potentially reducing the effectiveness of vaccines.
Therefore, immunizations should be delayed until the child has completed the course of prednisone and their immune system has recovered. Can interfere with the treatment for nephrosis. While prednisone can be part of nephrotic syndrome treatment, immunizations are not known to interfere directly with this treatment. Can be given in smaller, divided doses. This answer is incorrect because the issue isn't about the size or frequency of the vaccine doses but rather about the timing relative to the child's immunosuppressive treatment.
Question 5 of 5
A mother is concerned about what might have caused a heat rash on her infant. The nurse observes tiny pinhead-sized reddened papules on the infant's neck and axilla. What does the nurse explain as the most likely cause of this rash?
Correct Answer: D
Rationale: Sun exposure: Sun exposure typically causes sunburn rather than tiny pinhead-sized papules. Allergic reaction: Allergic reactions often present with different types of lesions or hives, not typically tiny papules. Infection: Infections might cause different types of lesions or pustules rather than the described tiny papules. Heat and moisture: Heat rash (miliaria) results from blocked sweat ducts, leading to tiny red papules due to overheating and trapped sweat, commonly occurring in areas like the neck and axilla.