ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 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.
Extract:
Question 2 of 5
The nurse is caring for a child who is receiving chemotherapy for the treatment of leukemia and plans to address the expected needs of this client? Select all that apply.
| Excessive hair growth |
| Increased appetite |
| Fatigue |
| Possible infections |
| Easy bruising |
Correct Answer: C,D,E
Rationale: A. Excessive hair growth: Hair loss, not excessive hair growth, is a common side effect of chemotherapy. B. Increased appetite. Chemotherapy often causes nausea, vomiting, and reduced appetite, not an increase in appetite. C. Fatigue. Fatigue is a common side effect of chemotherapy due to its impact on the body, including reduced blood counts and overall systemic stress. D. Possible infections: Chemotherapy weakens the immune system, increasing the risk of infections. The nurse will monitor the child for signs of infection and implement measures to prevent them, like proper hand hygiene and maintaining a clean environment. E. Easy bruising: Chemotherapy can affect blood clotting, making the child more susceptible to bruising. The nurse will educate the parents and child about precautions to minimize bruising risks.
Extract:
Question 3 of 5
The nurse is caring for a hospitalized child newly diagnosed with type 1 diabetes mellitus. At 1100, the child suddenly complains of weakness, headache, and blurred vision. How would the nurse respond?
Correct Answer: A
Rationale: Give the child 1â„2 cup of orange juice to drink. These symptoms indicate hypoglycemia, a common early complication of diabetes treatment. Orange juice contains quick-acting sugars that can rapidly raise blood glucose levels and alleviate symptoms. This is the immediate action to manage the child's symptoms. Call the dietary department and ask that the lunch tray be delivered early. Delayed action compared to treating the immediate hypoglycemia. Contact the physician. While eventually necessary, immediate treatment of hypoglycemia takes precedence. Obtain a blood glucose reading. Important to confirm hypoglycemia but not as urgent as providing immediate treatment.
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 school nurse is completing routine health evaluations for school-age children. Which of the following manifestations should alert the nurse to the possibility of pediculosis capitis?
Correct Answer: A
Rationale: Reports of scalp itchiness: Itchiness of the scalp is a common symptom of pediculosis capitis (head lice), caused by the allergic reaction to lice bites. This should alert the nurse to the possibility of head lice and warrant further examination. Patches of baldness: While bald patches can be seen in certain conditions like alopecia areata, they are not typically associated with pediculosis capitis. Dry patches on the scalp: Dry patches may indicate a condition like seborrheic dermatitis or psoriasis, but they are not indicative of pediculosis capitis. Blisters on the scalp: Blisters are more likely associated with skin infections or conditions like impetigo, not pediculosis capitis.