ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
The nurse is collecting data on a child recently diagnosed with glomerulonephritis. Which question to the parent would elicit information about the cause of this disease?
Correct Answer: D
Rationale: Has your child had any diarrhea?' Diarrhea is not typically associated with glomerulonephritis. 'Have you noticed any rashes on your child?' Rashes are not typically associated with glomerulonephritis. 'Did your child sustain any injuries to the kidney area?' Direct kidney trauma is not a common cause of glomerulonephritis in children. 'Did your child recently complain of a sore throat?' Poststreptococcal glomerulonephritis (a common cause of acute glomerulonephritis in children) often follows a streptococcal throat or skin infection. Asking about a recent sore throat can provide important information about a possible streptococcal infection.
Question 2 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 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 contributing to the plan of care for a child who has a urinary tract infection. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: Evaluate the child's self-esteem. Self-esteem evaluation is important in general nursing care but is not a specific intervention for managing urinary tract infections. Encourage frequent voiding. Frequent voiding helps to flush out bacteria from the urinary tract and prevents stasis, which can reduce the risk of urinary tract infections. Administer an antidiuretic. Antidiuretics reduce urine output and are not typically used in the treatment of urinary tract infections, which require adequate urine flow to flush out bacteria. Restrict fluids. Adequate hydration is important in managing urinary tract infections to promote urine flow and help flush out bacteria. Fluid restriction is not appropriate unless otherwise indicated.
Question 5 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.