ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
A school-age child in an emergency department has a 2-day history of nausea and vomiting and reports severe right lower quadrant pain. A nurse is preparing the child for an appendectomy. Which of the following statements by the child should the nurse find most concerning?
Correct Answer: D
Rationale: I'm tired and want to take a nap.' Common in sick children and not necessarily concerning in this context. 'I am scared and I want to go home.' Emotional response, typical in children facing surgery. 'I am hungry and thirsty.' Normal sensations and not indicative of the severity of the condition. 'My belly doesn't hurt anymore.' This statement suggests potential rupture or perforation of the appendix, which can lead to peritonitis and is a surgical emergency. A sudden relief of pain can indicate a worsening condition rather than improvement.
Question 2 of 5
What is an appropriate intervention for the edematous child with reduced mobility related to nephrotic syndrome?
Correct Answer: C
Rationale: Keep edematous areas moist and covered. Keeping edematous areas moist and covered can worsen edema by trapping moisture and heat, leading to increased swelling. Reach the child to minimize body movement. Minimizing body movement is not appropriate as it can lead to muscle weakness and stiffness. Encouraging gentle movement and position changes is beneficial. Change the child's position frequently. Changing the child's position frequently helps prevent complications such as pressure ulcers and improves circulation, which can aid in reducing edema. Keep the head of the child's bed flat. Elevating the head of the bed can help reduce edema by promoting venous return and reducing fluid accumulation in dependent areas.
Question 3 of 5
A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: Solution: 300mg ÷ 250mg/5ml = 300 × 5/250 = 6 ml. The nurse should administer 6 mL of amoxicillin oral solution to deliver the prescribed 300 mg dose.
Question 4 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 5 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.