ATI LPN
ATI LPN Pediatrics II Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Rigid abdomen: A rigid abdomen is not typically associated with Hirschsprung disease unless there is severe obstruction and distension. Ribbonlike, foul-smelling stools: Hirschsprung disease causes obstruction of the colon, leading to constipation and ribbonlike, foul-smelling stools proximal to the affected segment. Projectile vomiting: Projectile vomiting is not typically associated with Hirschsprung disease but may occur in other conditions causing bowel obstruction. Chronic hunger: Chronic hunger is not a typical finding in Hirschsprung disease and is more indicative of metabolic or endocrine disorders.
Question 3 of 5
The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on prednisone?
Correct Answer: B
Rationale: Require that the child have antibiotic coverage. This answer is incorrect because immunizations do not typically require antibiotic coverage. Should be delayed. Prednisone can suppress the immune response, potentially reducing the effectiveness of vaccines.
Therefore, immunizations should be delayed until the child has completed the course of prednisone and their immune system has recovered. Can interfere with the treatment for nephrosis. While prednisone can be part of nephrotic syndrome treatment, immunizations are not known to interfere directly with this treatment. Can be given in smaller, divided doses. This answer is incorrect because the issue isn't about the size or frequency of the vaccine doses but rather about the timing relative to the child's immunosuppressive treatment.
Question 4 of 5
A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and is to start taking ferrous sulfate syrup. Which of the following instructions should the nurse give the parent?
Correct Answer: B
Rationale: Dilute the medication with 240 mL (8 oz) of milk. Milk can inhibit iron absorption, so it's not recommended to mix iron supplements with milk. Administer the medication at meal time. Iron supplements are best absorbed when taken with food, specifically vitamin C-rich foods to enhance absorption. This instruction promotes optimal therapeutic effect. Administer the medication at bedtime: Timing with meals is more effective than at bedtime. Offer the medication through a straw. The method of administration is less critical than the timing with meals.
Question 5 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.