ATI LPN
LPN Pediatrics
1. Why should small children ride in the backseat of a vehicle?
- A. They are much less likely to be ejected from the vehicle.
- B. The back of the front seat will provide a cushion during a crash.
- C. They can experience severe injury or death if the airbag deploys.
- D. Their legs are highly prone to injury from striking the dashboard.
Correct answer: C
Rationale: Small children should ride in the backseat of a vehicle primarily to avoid severe injury or death that may occur if the airbag deploys. In the event of a crash, the force of an airbag deployment can be dangerous for a child seated in the front seat. Placing them in the backseat reduces the risk of serious harm from airbag impact and is a safer seating position for young passengers.
2. The healthcare provider is assessing a newborn who is 2 hours old. Which finding requires immediate intervention?
- A. Acrocyanosis
- B. Respiratory rate of 60 breaths per minute
- C. Grunting with nasal flaring
- D. Heart rate of 140 beats per minute
Correct answer: C
Rationale: Grunting with nasal flaring is a concerning sign of respiratory distress in a newborn that can indicate inadequate oxygenation. This finding requires immediate intervention to ensure the newborn's respiratory status is stabilized and to prevent further complications. Prompt assessment and appropriate intervention are crucial in such cases to prevent respiratory compromise and potential deterioration. Acrocyanosis, which is bluish discoloration of the extremities, is a common finding in newborns and usually resolves on its own. A respiratory rate of 60 breaths per minute and a heart rate of 140 beats per minute are within normal ranges for a newborn and do not indicate immediate intervention is needed.
3. A patient has been diagnosed with hypothyroidism; the nurse tells the patient not to eat goitrogens. Which of the following is an example of a goitrogen?
- A. Orange
- B. Tomatoes
- C. Cabbage
- D. Grapes
Correct answer: C
Rationale: Cabbage is an example of a goitrogen. Goitrogens are substances that can interfere with thyroid function by inhibiting the uptake of iodine. Cabbage contains compounds that can have this effect and should be consumed in moderation by individuals with hypothyroidism.
4. As a nurse caring for Asana, a 9-year-old girl with the stature of a 4-year-old due to growth hormone deficiency, which of the following will be your priority during follow-up visits?
- A. Vital signs monitoring
- B. Height and weight monitoring
- C. Bone age studies
- D. Dietary assessment
Correct answer: B
Rationale: Height and weight monitoring are essential for evaluating the growth progress in a child with growth hormone deficiency. Regular monitoring helps assess the effectiveness of treatment and ensures appropriate growth trajectory for the child.
5. What is the pattern of fever in enteric fever?
- A. Intermittent fever
- B. Relapsing fever
- C. Pel-Ebstein fever
- D. Continuous fever
Correct answer: D
Rationale: Enteric fever, caused by Salmonella typhi or paratyphi, is characterized by a continuous fever pattern. The fever typically persists without significant fluctuations, distinguishing it from diseases with intermittent or relapsing fever patterns. Pel-Ebstein fever, a cyclic pattern of fever seen in Hodgkin's lymphoma, is not associated with enteric fever. Relapsing fever is a characteristic of diseases like Borrelia recurrentis infection. Intermittent fever is seen in conditions like malaria.
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