LPN ATI Child Nursing Exam

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Sample questions from LPN ATI Child Nursing Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In the pediatric unit, a 7-year-old who had an appendectomy 6 hours ago has increasing abdominal pain and a firm, distended abdomen. Which action should the practical nurse take?

   • A.Document the finding and reassess the abdomen in 2 hours.
   • B.Offer a warm pack and encourage the child to walk.
   • C.Report the change promptly to the RN.
   • D.Give the next prescribed analgesic dose early.

   Rationale: Increasing pain with a firm, distended abdomen after surgery may signal a complication and requires prompt reporting to the RN. Waiting to reassess could delay evaluation, and walking or applying heat is not appropriate before the change is reported. The practical nurse should not independently change the medication schedule.

2. 2.At a community clinic, the parent of a 5-year-old reports that the child takes an over-the-counter cold medicine in addition to a prescribed medication. Which action should the practical nurse take?

   • A.Ask the parent to bring the product label and report the information to the RN or provider.
   • B.Reassure the parent that over-the-counter medicines do not interact with prescriptions.
   • C.Tell the parent to stop the prescribed medication until the cold resolves.
   • D.Recommend doubling the prescribed medication if symptoms worsen.

   Rationale: Obtaining the product information and relaying it to the RN or provider supports safe medication reconciliation. The practical nurse should not direct the parent to stop or increase a prescribed medication. Over-the-counter products can interact with prescriptions, so reassurance without review is unsafe.

3. 3.Refer to the client's chart. Which findings should the practical nurse report promptly to the RN because they indicate worsening respiratory status? Select all that apply.

   • A.The child is speaking in full sentences at 1000.
   • B.Intercostal retractions are newly present at 1000.
   • C.The child is increasingly drowsy and difficult to engage.
   • D.SpO2 decreased from 95% on room air to 89% despite prescribed oxygen.
   • E.The parent reports that the child used a rescue inhaler once yesterday.

   Rationale: The fall in SpO2 from 95% to 89%, new retractions, and increasing drowsiness are signs of worsening respiratory status and require prompt reporting. Speaking in full sentences suggests less respiratory distress than inability to speak, although continued monitoring is appropriate. One rescue inhaler use yesterday is not, by itself, an acute change requiring the same urgent response.

4. 4.During a school health visit, a 10-year-old with repeated absences reports having trouble seeing the classroom board. Which action is appropriate for the practical nurse?

   • A.Diagnose a visual impairment and recommend corrective lenses.
   • B.Ask the teacher to excuse the child from all classroom work.
   • C.Tell the child to sit closer to the board without informing anyone.
   • D.Notify the school RN and help arrange follow-up vision screening according to school policy.

   Answer and rationale are in the full material.

5. 5.A parent asks the practical nurse to sign consent for a procedure for a 6-year-old because the parent needs to leave the unit. Which response is appropriate?

   • A.Sign the consent because the parent has given verbal permission.
   • B.Explain that the authorized parent or legal guardian must provide consent and notify the RN.
   • C.Ask the child to sign because the child is the patient.
   • D.Ask another family member in the waiting room to sign.

   Answer and rationale are in the full material.