ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 of 5
The nurse is reviewing the record of a child admitted to the hospital with nephrotic syndrome. Which finding would the nurse expect to note documented in the record?
Correct Answer: B
Rationale: Increased appetite: Increased appetite is not typically associated with nephrotic syndrome, as protein loss can lead to generalized malaise and decreased appetite. Proteinuria: Proteinuria (excessive protein in the urine) is a hallmark finding in nephrotic syndrome due to increased permeability of the glomerular filtration barrier. Weight loss: Weight gain due to edema is more common in nephrotic syndrome than weight loss. Hyperalbuminemia: Nephrotic syndrome is characterized by hypoalbuminemia (low albumin levels) due to loss of albumin through the kidneys.
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
A nurse is collecting data from a 1-year-old child who has Wilms' tumor. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Diarrhea: Diarrhea is not a typical finding associated with Wilms' tumor. Swollen joints: Swollen joints are not associated with Wilms' tumor and would suggest a different condition. Abdominal mass: Wilms' tumor typically presents with an asymptomatic abdominal mass that may be firm, non-tender, and palpable. Jaundice: Jaundice is not typically associated with Wilms' tumor and would suggest liver dysfunction or another underlying cause.
Question 4 of 5
Which physical assessment technique will the nurse omit when caring for a 2-year-old child diagnosed with Wilms' tumor?
Correct Answer: D
Rationale: Percussing ankle and knee reflexes. Safe and non-invasive, and does not risk disturbing the tumor. Assessing for bowel sounds. Routine part of assessment and does not involve manipulating the tumor. Performing range-of-motion exercises on lower extremities. Safe and non-invasive, unrelated to the abdominal tumor. Palpating the abdomen. Palpating the abdomen in a child with Wilms' tumor is avoided to prevent the risk of tumor rupture and subsequent metastasis.
Question 5 of 5
A nurse is providing teaching to a school-age child who has a diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?
Correct Answer: A
Rationale: I should not take my regular insulin when I am sick.' Regular insulin should not be withheld during illness, as blood glucose levels can increase during times of stress or infection. This statement indicates the child needs further education on managing diabetes during illness. 'I will rotate injections sites within my abdominal area.' Rotating injection sites within a specific area helps to prevent lipodystrophy and ensures consistent absorption of insulin. This statement shows appropriate understanding. 'I will test my blood sugar before meals and at bedtime.' Frequent monitoring of blood glucose is essential in managing type 1 diabetes. This statement indicates correct knowledge of monitoring practices. 'I should eat a snack before I play soccer.' Eating a snack before physical activity helps to prevent hypoglycemia. This statement indicates a proper understanding of diabetes management related to exercise.