ATI LPN Pediatics Exam

ATI LPN Pediatics Exam Related

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Medical History
Nurses notes:
Vital Signs:
Laboratory results:
0900:
Temperature 36.8° C (98.2° F)
Heart rate 80/min
Respiratory rate 22/min
Blood pressure 102/78 mm Hg
SaO2 is 94% on room air

Upon review of the child's electronic medical record (EMR), the nurse should determine the child is at risk for developing which of the following conditions? Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing Increased seizure activity pneumonia liver failure Steven-johnson syndrome pneumothorax due to phenytoin level cough skin rash liver enzymes lung sounds.

  • A. Increased seizure activity
  • B. pneumonia
  • C. liver failure
  • D. Steven-johnson syndrome
  • E. pneumothorax
Correct Answer: A

Rationale: The child's phenytoin level is 6 mcg/mL which is below the therapeutic range of 10-20 mcg/Ml, increasing the risk of more seizures.

You may also like to solve these questions

A nurse is assisting with the care of a school-age child who has respiratory failure due to pneumonia. Which of the following positions should the nurse encourage to allow maximal lung expansion?

  • A. Supine
  • B. Prone
  • C. Upright
  • D. Side-lying
Correct Answer: C

Rationale: Sitting upright or in a high Fowler's position is optimal for lung expansion.

A nurse is talking with a 13-year-old female client who is having her annual health-screening visit. Which of the following comments by the client should concern the nurse?

  • A. My parents treat me like a baby sometimes.
  • B. There's a pimple on my face, and I worry that everyone will notice it.
  • C. I start taking ibuprofen a few days before my period starts.
  • D. None of the kids at my school like me, and I don't like them either.
Correct Answer: D

Rationale: This statement indicates social isolation and potential issues with peer relationships which can be a red flag for emotional distress or depression.

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take?

  • A. Restrain the child's arms.
  • B. Insert a padded tongue blade into the child's mouth.
  • C. Place the child in a side-lying position.
  • D. Elevate the child's legs on a pillow.
Correct Answer: C

Rationale: This helps maintain an open airway and allows for drainage of saliva or vomit reducing the risk of aspiration.

A nurse is caring for a school-age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take?

  • A. Place a warm
  • B. moist heat pack on the cast.
  • C. Position the casted arm in a dependent position.
  • D. Move the casted arm with a firm grasp.
  • E. Administer diphenhydramine to relieve itching.
Correct Answer: D

Rationale: Itching is common under a new cast and diphenhydramine can help manage this symptom without risking damage to the cast

A nurse is collecting data from a 4-year-old child. Which of the following findings should the nurse expect?"

  • A. Heart rate 110/min
  • B. Capillary refill greater than 3 seconds
  • C. Weight gain of 0.9 kg (2 lb) in a year
  • D. Respiratory rate 32/min
Correct Answer: A

Rationale: A heart rate of 110 beats per minute is within the normal range for a 4-year-old child. The typical heart rate for this age is between 80 to 120 beats per minute.

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