LPN ATI Child Nursing Study Guide

Free preview · Original latest version

Sample questions from LPN ATI Child Nursing Study Guide

This material has 24 questions with answers and rationales. Here are the first 5.

1. 1.An LPN is preparing a 3-year-old child for a blood draw. Which approach best supports developmentally appropriate, family-centered care?

   • A.Explain the procedure in detail the evening before and ask the parent to wait outside.
   • B.Tell the child the needle will not hurt if the child remains still.
   • C.Give a brief explanation just before the procedure and offer a choice of which comfort item to hold.
   • D.Ask the child whether the blood draw can be performed and cancel it if the child refuses.

   Rationale: A preschooler benefits from a brief, concrete explanation close to the procedure and limited choices that provide control. A familiar comfort item and parental support can reduce distress. Detailed explanations far in advance can increase anxiety, and routinely excluding the parent undermines family-centered care. Promising no pain is misleading. The child can make limited choices but should not be offered the decision to cancel a necessary prescribed procedure.

2. 2.During a health promotion visit, which statement by the parent of a 9-month-old infant indicates a need for further teaching?

   • A.I offer iron-fortified infant cereal along with other age-appropriate foods.
   • B.I mix a little honey into my baby's cereal to sweeten it.
   • C.I keep my baby rear-facing in the car seat within its height and weight limits.
   • D.I brush my baby's erupted teeth using a rice-grain-sized smear of fluoride toothpaste.

   Rationale: Honey should not be given before 12 months because it can contain spores that cause infant botulism. Iron-fortified cereal supports the infant's iron needs. A rear-facing car seat should be used until the child reaches the seat manufacturer's rear-facing limits. Brushing erupted teeth with a rice-grain-sized smear of fluoride toothpaste is appropriate for children younger than 3 years.

3. 3.A child weighing 18 kg has a prescription for acetaminophen 15 mg/kg orally once for postoperative pain. The available liquid contains 160 mg per 5 mL. How many mL should the LPN administer? Round to the nearest tenth.

   • A.1.7 mL
   • B.5.6 mL
   • C.16.9 mL
   • D.8.4 mL

   Rationale: The prescribed dose is 18 kg x 15 mg/kg = 270 mg. The required volume is 270 mg x 5 mL / 160 mg = 8.4375 mL, rounded to 8.4 mL. The 1.7 mL option omits the 5 mL factor. The 5.6 mL option corresponds approximately to 10 mg/kg rather than the prescribed 15 mg/kg. The 16.9 mL option is approximately twice the prescribed volume.

4. 4.An LPN is caring for a school-age child hospitalized with an acute asthma exacerbation. Which finding requires immediate notification of the RN and activation of the facility's emergency response process?

   • A.Markedly diminished breath sounds with increasing drowsiness
   • B.Mild hand tremors after inhaled albuterol
   • C.An occasional cough while speaking in full sentences
   • D.A small amount of thin, clear sputum after coughing

   Answer and rationale are in the full material.

5. 5.A school-age child with type 1 diabetes becomes shaky and sweaty before lunch. The blood glucose is 58 mg/dL. The child is alert and can swallow safely. Which action should the LPN take first according to the prescribed hypoglycemia protocol?

   • A.Administer the scheduled rapid-acting insulin before offering lunch.
   • B.Give peanut butter and wait 1 hour before checking the glucose again.
   • C.Give 4 oz of regular fruit juice and recheck the glucose in 15 minutes.
   • D.Administer intramuscular glucagon instead of giving anything orally.

   Answer and rationale are in the full material.