LPN ATI Child Nursing

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Sample questions from LPN ATI Child Nursing

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

1. 1.At change of shift on a pediatric unit, the nurse receives report on four clients. Which client should the practical nurse report to the RN first?

   • A.A 7-year-old with asthma who has audible wheezing and an SpO2 of 89% after using a prescribed rescue inhaler
   • B.A 5-year-old who has a temperature of 38.1 C (100.6 F) and is drinking fluids
   • C.A 12-year-old who is waiting for discharge instructions after an uncomplicated appendectomy
   • D.A 10-year-old with a fractured wrist who rates pain as 6 on a 0-to-10 scale

   Rationale: The 7-year-old has persistent respiratory distress and hypoxemia despite using a rescue inhaler, which requires prompt reporting to the RN and further intervention. Pain, a mild fever in a child who is drinking, and routine discharge coordination are important but less urgent. The practical nurse should prioritize a threat to breathing and report significant changes promptly.

2. 2.During a home visit, a parent of a 4-year-old with a new prescription for oral amoxicillin asks how to help coordinate the child's care. Which instructions should the practical nurse reinforce? Select all that apply.

   • A.Stop the medication as soon as the child's fever is gone.
   • B.Use leftover antibiotics from a previous illness if a dose is spilled.
   • C.Contact the prescribing clinic if the child develops a rash or trouble breathing.
   • D.Give each dose using the measuring device supplied with the medication.
   • E.Keep a written record of doses and share it with the child's health care team.

   Rationale: A supplied measuring device supports accurate dosing, and reporting a rash or breathing difficulty helps the team respond to a possible adverse reaction. A dose record helps prevent missed or duplicated doses and supports communication among caregivers and clinicians. The medication should be taken for the prescribed duration, not stopped when fever resolves, and leftover antibiotics should not be substituted for the current prescription.

3. 3.The parent of a 2-year-old asks which information to bring to a scheduled developmental follow-up after the child was referred for delayed speech. Which response is most helpful?

   • A.Practice new words with the child immediately before the visit so the child can demonstrate them.
   • B.Ask the daycare to provide a diagnosis before attending the follow-up.
   • C.Wait until the appointment to discuss concerns so the clinician can observe the child without preparation.
   • D.Bring examples of the child's communication at home, including gestures and words used.

   Rationale: Concrete examples of the child's communication across everyday situations can help the health care team coordinate appropriate evaluation and services. Waiting to share concerns or practicing just before the visit may not reflect the child's usual skills. A daycare can provide useful observations, but it should not be asked to diagnose the child.

4. 4.A school nurse calls the pediatric clinic about a 15-year-old who has missed several appointments for type 1 diabetes. Which action by the practical nurse is appropriate?

   • A.Give the school nurse the adolescent's full medical history so the school can manage the diabetes.
   • B.Document that missed appointments are the family's responsibility and end the call.
   • C.Ask the school nurse to send the adolescent's glucose records through an approved secure channel after confirming appropriate consent.
   • D.Tell the school nurse to change the insulin dose based on the glucose records.

   Answer and rationale are in the full material.

5. 5.At an outpatient clinic, a 17-year-old reports feeling dizzy after starting a prescribed medication and says, "I do not want my parent to know." What should the practical nurse do first?

   • A.Tell the adolescent to stop taking the medication until the next appointment.
   • B.Assess and document the reported symptom, then promptly notify the RN or provider according to clinic procedure.
   • C.Call the parent immediately and disclose the adolescent's statement.
   • D.Promise that no information about the visit will ever be shared with anyone.

   Answer and rationale are in the full material.