ATI LPN
ATI LPN Pediatrics Care of Newborn Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with the guardian of an adolescent who has ADHD and a prescription for methylphenidate. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: B
Rationale: Using charts supports organization in ADHD. Methylphenidate may cause weight loss, changing study areas disrupts routine, and it requires regular dosing, not as-needed.
Question 2 of 5
A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?
Correct Answer: A
Rationale: Spiral fractures in toddlers are concerning for abuse, as they often result from twisting forces not typical in a fall from a swing. Bruises on shins, head injuries from biking, and a black eye from a fight are more consistent with common childhood injuries.
Question 3 of 5
A nurse is reinforcing teaching with a school-age child who has mild persistent asthma and has a new prescription for therapy with montelukast. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Montelukast prevents bronchospasms by reducing airway inflammation. It is not a corticosteroid, not for acute attacks, and is typically taken in the evening.
Question 4 of 5
A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Monitoring capillary refill is critical to assess circulation and detect complications like compartment syndrome post-cast application. Supporting the cast, checking skin, and instructing the child are important but secondary to ensuring circulation.
Question 5 of 5
A nurse is caring for a toddler who has a respiratory illness and a temperature of 39.3° C (102.7° F). Which of the following actions should the nurse take to reduce the toddler's temperature?
Correct Answer: C
Rationale: Removing extra clothing allows heat loss safely. Tepid baths risk shivering, aspirin risks Reye's syndrome, and cooling blankets are for severe cases.