Video Library
LPN Paediatrics nursing exam 4
ATI LPN Paediatrics nursing exam 4
Total Questions : 43
Showing 10 questions Sign up for moreA nurse is preparing to administer 0.9% 1L to infuse over 8 hr. The drop factor of the manual IV tubing set is 15 gtts/ml. The nurse should set the manual IV infusion to deliver howmany gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
Flowrate(gtt/min)= Total volume /Time×Dropfactor(gtt/mL)
Given:
- Total volume = 1000 mL (1 L)
- Time = 8 hours × 60 minutes = 480 minutes
- Drop factor = 15 gtt/mL
- Flowrate(gtt/min)= 1000 /480×15= 31.25(gtt/mL)
Answer: 31 gtt/min (rounded to the nearest whole number)
A 5-year-old child is admitted to the hospital with acute glomerulonephritis. In taking the child’s history, what does the nurse recognize as the probable cause?
Explanation
A. Recovery from German measles 2 months ago: German measles (rubella) is not associated with glomerulonephritis.
B. Dysuria: While dysuria is a symptom of urinary tract infections, it does not directly cause glomerulonephritis.
C. A sore throat 2 weeks ago: Acute glomerulonephritis often follows a streptococcal infection, such as strep throat, typically within 1-3 weeks.
D. A history of allergy: Allergies are not a causative factor for glomerulonephritis.
A nurse is assisting in the care of a preschool aged child in the emergency department.
Complete the following sentence by using the list of options.
The nurse should anticipate a provider prescription for an
Explanation
Correct answers: IV fluid bolus and electrolyte replacement
IV fluid bolus: The child shows signs of dehydration (dry mucous membranes, sluggish skin recoil, dark urine, tachycardia).
Electrolyte replacement: The child has hypokalemia (K = 3.2 mEq/L), which needs correction.
A nurse is reinforcing teaching with the parents of a child who has a urinary tract infection (UTI). Which of the following should the nurse include? Select all that apply.
Explanation
A. Report recurrence of urinary frequency: Urinary frequency can indicate unresolved or recurrent UTI.
B. Avoid bubble bath: Bubble baths can irritate the urethra and increase the risk of UTIs.
C. Empty bladder completely with each void: Incomplete bladder emptying can promote bacterial growth.
D. Wipe perineal area back to front: The correct method is wiping front to back to prevent bacterial contamination from the anal area.
E. Wear nylon underpants: Cotton underpants are recommended to allow better airflow and reduce moisture, which promotes bacterial growth.
A nurse is reinforcing teaching with a parent of a 1 month old infant who is to undergo the initial surgery to treat Hirschsprung’s disease. Which of the following statements should indicate to the nurse that the parent understands the goal of the surgery.
Explanation
A. "The operation will straighten out the kink in the intestine.": Hirschsprung’s disease involves a lack of nerve cells in the colon, not a physical kink.
B. "I want to learn how to use the feeding tube as soon as possible.": Feeding tubes are not a standard part of treatment for Hirschsprung’s disease.
C. "I’m glad my child will have bowel movements now.": While the surgery will help bowel function, the initial goal is creating an ostomy to divert stool.
D. "I’m glad that the ostomy is only temporary.": The initial surgery often involves a temporary ostomy to allow the colon to heal before definitive repair.
A child with nephrotic syndrome is being treated with prednisone to reduce proteinuria and edema. The nurse is aware that prednisone belongs to what medication classification?
Explanation
A. ACE inhibitor: ACE inhibitors are used to manage hypertension or proteinuria but are not the classification for prednisone.
B. Loop diuretics: Loop diuretics (e.g., furosemide) manage edema but are unrelated to prednisone.
C. Corticosteroids: Prednisone is a corticosteroid that reduces inflammation and suppresses the immune response, which helps decrease proteinuria in nephrotic syndrome.
D. NSAIDs: NSAIDs are anti-inflammatory but are not used for treating nephrotic syndrome as they do not reduce proteinuria or edema.
A nurse is contributing to the plan of care of a 14-month old toddler who is 24 hr postoperative following a cleft palate repair. Which of the following interventions should the nurse include in the plan.
Explanation
A. Suction the toddler's nose and mouth every hour: Suctioning can damage surgical sites and should be avoided.
B. Give the toddler a hard-tipped sippy cup to drink liquids: Hard-tipped sippy cups can disrupt the surgical repair. Use alternative feeding methods.
C. Provide soft foods for the toddler: The child should only receive liquids postoperatively to prevent injury to the repair.
D. Maintain elbow restraints on the toddler: Elbow restraints prevent the toddler from putting their hands in their mouth or disrupting the surgical site.
A nurse is caring for a toddler who has intussusception. Which of the following manifestations should the nurse expect?
Explanation
A. Jaundice: Jaundice is not associated with intussusception.
B. Drooling: Drooling is not a sign of intussusception.
C. Mucus in stools: Intussusception can cause "currant jelly stools," which are stools with mucus and blood due to intestinal obstruction.
D. Increased appetite: Children with intussusception typically have decreased appetite and may experience vomiting.
A nurse is assisting with the admission of a 2-year-old toddler who has acute gastroenteritis. Which of the following actions should the nurse take first?
Explanation
A. Collect a stool sample from the toddler: This is important but not the priority. Dehydration status must be assessed first.
B. Determine if the toddler is voiding: Assessing for urination helps evaluate hydration status and guides fluid replacement.
C. Initiate isotonic fluids with 20 mEq/L potassium chloride: Potassium should not be added until kidney function and voiding are confirmed.
D. Request evaluation of the toddler’s serum electrolytes: This is important but comes after assessing hydration and kidney function.
A nurse is caring for a child who has watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?
Explanation
A. Offer chicken broth: Chicken broth is high in sodium and lacks appropriate electrolytes for rehydration.
B. Assist with starting an infusion of a hypertonic solution: Hypertonic solutions are not appropriate for rehydration and can worsen dehydration.
C. Assist with initiating oral rehydration therapy: Oral rehydration therapy is the recommended first-line treatment for dehydration caused by diarrhea.
D. Keep NPO until diarrhea stops: Keeping the child NPO can exacerbate dehydration and is not evidence-based management for diarrhea.
You just viewed 10 questions out of the 43 questions on the ATI LPN Paediatrics nursing exam 4 Exam. Subscribe to our Premium Package to obtain access on all the questions and have unlimited access on all Exams. Subscribe Now
