ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 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 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 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 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 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.