Review ATI LPN Paediatrics Nursing Cohort 65 Exam

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ATI LPN Paediatrics Nursing Cohort 65 Exam

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Total Questions : 48

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Question 1:

A nurse is caring for an adolescent.
The nurse should expect that the adolescent is working on which of the following developmental tasks according to Erikson's developmental stages?

A. Learning to use creative energies. B. Defining a sense of self. C. Building a sense of trust. D. Learning to perform tasks independently.

Answer and Explanation

Choice A:

Learning to use creative energies is associated with the initiative vs. guilt stage, typically seen in preschool-aged children. During this stage, children assert control and power over their environment through directing play and other social interactions.

Choice B:

Defining a sense of self pertains to the identity vs. role confusion stage, which occurs in adolescence. This stage focuses on developing a personal identity and a sense of self. Adolescents explore different roles, beliefs, and values to form a unique identity.

Choice C:

Building a sense of trust is linked with the trust vs. mistrust stage, experienced in infancy. In this stage, infants learn to trust their caregivers and environment if their needs are consistently met, establishing a foundation for future relationships.

Choice D:

Learning to perform tasks independently corresponds to the autonomy vs. shame and doubt stage, typical of toddlers. In this stage, children develop a sense of personal control over physical skills and a sense of independence.

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Question 2:

A nurse is caring for an adolescent.
The nurse should expect that the adolescent is working on which of the following developmental tasks according to Erikson's developmental stages?

A. Learning to use creative energies. B. Defining a sense of self. C. Building a sense of trust. D. Learning to perform tasks independently.

Answer and Explanation

Choice A:

Learning to use creative energies relates to the initiative vs. guilt stage, aimed at preschool children, where they begin asserting power and control over their world through play and social interactions.

Choice B:

Defining a sense of self is a task during the identity vs. role confusion stage in adolescence. Adolescents work on discovering who they are by exploring beliefs, values, and goals to create a consistent and unique identity.

Choice C:

Building a sense of trust is a task during the trust vs. mistrust stage of infancy. Infants need reliable caregiving to develop trust in their environment and the people around them.

Choice D:

Learning to perform tasks independently occurs in the autonomy vs. shame and doubt stage, which is observed in toddlers. This stage is about children gaining confidence in their abilities to perform basic tasks on their own.

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Question 3:

A nurse is caring for a school-age child who has a fracture to the right femur.
Which of the following findings is the nurse's priority?

A. Capillary refill less than 2 seconds. B. Tingling in the right foot. C. Respiratory rate 24/min. D. 2+ right pedal pulse.

Answer and Explanation

Choice A:

Capillary refill less than 2 seconds is a normal finding and suggests adequate perfusion. It is not indicative of a priority concern in this context.

Choice B:

Tingling in the right foot can indicate nerve damage or compromised circulation, which is critical to address in a patient with a fracture. This symptom could suggest complications like compartment syndrome, requiring immediate medical attention.

Choice C:

Respiratory rate of 24/min is slightly elevated but not directly related to the fracture's immediate complications. It requires monitoring but is not the priority.

Choice D:

A 2+ right pedal pulse indicates a normal pulse and adequate circulation in the foot. While important, it does not represent an immediate concern in this context.

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Question 4:

A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia.
Which of the following actions should the nurse take?

A. Discourage the client from ambulating. B. Keep the client's leg in a dependent position. C. Use a hair dryer on a hot setting to dry the cast. D. Perform a neurovascular check of the lower extremities.

Answer and Explanation

Choice A:

Discouraging the client from ambulating is not necessary. In fact, early ambulation is often encouraged to promote circulation and prevent complications, depending on the fracture type and treatment plan.

Choice B:

Keeping the client's leg in a dependent position is not recommended as it can increase swelling and pain. Elevating the leg is typically advised to reduce swelling.

Choice C:

Using a hair dryer on a hot setting to dry the cast is unsafe as it can cause burns and damage the cast. It's better to allow the cast to dry naturally and follow the healthcare provider's instructions.

Choice D:

Performing a neurovascular check of the lower extremities is crucial to assess circulation, sensation, and movement. This helps in identifying any complications such as impaired blood flow or nerve damage.

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Question 5:

Choose the correct growth and development milestones for each age group.

Motor Skill Development by Age.

Please choose only one age group for the milestone for each age.

(One X per row).

A. Walks with one hand held. B. Sits Unsupported. C. Can Turn Pages in a Book. D. Rolls from Front to Back.

Answer and Explanation

No explanation

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Question 6:

The mother of a 4-year-old child tells a nurse that her child is reluctant to go to bed at night.
Which of the following responses should the nurse make?

A. Allow your child an additional 30 minutes of play time before bed. B. Let your child sleep in your bed with you. C. Keep a night light on in your child's room. D. Stay with your child until he is asleep if he begins to cry.

Answer and Explanation

Choice A:

Allowing an additional 30 minutes of play before bedtime can lead to overstimulation and delay the child's ability to settle down for sleep. Consistent bedtime routines are crucial for establishing healthy sleep patterns in children.

Choice B:

Letting the child sleep in the parent's bed can create dependency and difficulty in establishing the child's own sleep routine and space. This practice can disrupt both the parent's and child's sleep in the long term.

Choice C:

Keeping a night light on provides a sense of security and comfort for a child who may be afraid of the dark. This helps the child feel safe and can ease the transition to bedtime.

Choice D:

Staying with the child until they fall asleep, especially if crying, can reinforce the behavior and make it harder for the child to develop self-soothing skills. It can lead to increased dependency on the parent's presence to fall asleep.

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Question 7:

Choose the correct growth and development milestones for each age group.

Motor Skill Development by Age.

Please choose only one age group for the milestone for each age (One X per row).

A. Walks with one hand held. B. Sits Unsupported. C. Can Turn Pages in a Book. D. Rolls from Front to Back.

Answer and Explanation

No explanation

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Question 8:

A nurse is preparing to administer a dexamethasone 1.5 mg/kg/day PO to divide equally every 6 hr to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer per dose?

(Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation

Correct Answer: "3.8" mL

Explanation

Step 1: lb ÷ (2.2 lb/kg) = 10 kg.

Step 2:.5 mg/kg/day × 10 kg = 15 mg/day.

Step 3: mg/day ÷ 4 doses/day = 3.75 mg/dose.

Step 4:.75 mg ÷ 1 mg/mL = 3.75 mL per dose.

The calculated answer is 3.8 mL (rounded to the nearest tenth).

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Question 9:

A nurse is collecting data from an infant at a well-child visit.
The nurse should expect the infant to double his birth weight by which of the following ages?

A. 2-3 months. B. 5-6 months. C. 9 months. D. 12 months.

Answer and Explanation

Choice A:

Infants typically do not double their birth weight by 2-3 months. This milestone is more commonly reached slightly later in infancy.

Choice B:

By 5-6 months, many infants double their birth weight, indicating healthy growth and development. This timeline aligns with common pediatric growth patterns.

Choice C:

While growth continues at a steady pace, most infants have already doubled their birth weight before reaching 9 months. This age generally marks further physical and developmental milestones.

Choice D:

By 12 months, infants have typically more than doubled their birth weight. This age is associated with continued growth, development, and new milestones.

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Question 10:

A nurse is reinforcing teaching with new parents on the proper way to use an infant car seat.
Which of the following statements by the parents should indicate to the nurse a need for further teaching?

A. "I will place the infant safety seat in the middle of the back seat away from the windows.”. B. "We will need to go by the weight and height of our child when deciding to change to a booster seat.”. C. "My baby will be comforted in the back seat by being able to watch me while I drive.”. D. "My husband refuses to use a previously owned car seat unless it has the instructions.”. .

Answer and Explanation

Choice A:

Placing the infant safety seat in the middle of the back seat away from the windows is the safest position, protecting the child from potential impact during accidents and from direct sunlight or objects coming through windows.

Choice B:

Following the child's weight and height is crucial for safely transitioning from an infant car seat to a booster seat. This ensures proper restraint and protection as the child grows.

Choice C:

Allowing a baby to watch the driver while in the back seat indicates a forward-facing position, which is unsafe for infants. Rear-facing positions provide the best protection for an infant's head, neck, and spine.

Choice D:

Using a previously owned car seat with intact instructions can ensure proper installation and use. However, checking the seat's history and condition is crucial to ensure it meets current safety standards.

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ATI LPN Paediatrics Nursing Cohort 65 Exam

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