Practice Question
A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?
Answer Choices:
Correct Answer:
"Bring your infant into the clinic today to be seen."
Rationale:
🔥 Projectile vomiting with hunger in a 2-month-old can indicate hypertrophic pyloric stenosis, a surgical emergency.
🔥 This condition causes a gastric outlet obstruction and requires prompt diagnostic evaluation, typically an ultrasound.
🔥 Telling the parent to come to the clinic ensures timely diagnosis and prevents severe dehydration or electrolyte imbalance.
🔥 Other suggestions like changing formula or giving ORS may delay essential care and are not appropriate first-line responses.
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This question is from ATI LPN Pediatrics which contains 50 questions.
More Questions from This Exam
A school nurse is completing routine health evaluations for school-age children. Which of the following manifestations should alert the nurse to the possibility of pediculosis capitis?
Answer Choices:
A. Reports of scalp itchiness
B. Patches of baldness
C. Dry patches on the scalp
D. Blisters on the scalp
A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?
Answer Choices:
A. Apply cold compresses to the affected areas.
B. Implement pain management on a PRN basis.
C. Active range-of-motion (ROM) exercises daily.
D. Promote hydration with IV and oral fluids.
A nurse is reinforcing teaching with a parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?
Answer Choices:
A. "I will keep my baby in an upright position after feeding."
B. "I will have to feed my baby formula, rather than breast milk."
C. "My baby's formula can be thickened with oatmeal."
D. "I should move my baby into a side-lying position during sleep."
A nurse is reinforcing teaching with a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
Answer Choices:
A. Test the urine for ketones.
B. Withhold insulin dose if feeling nauseous.
C. Notify the provider if blood glucose levels are over 350 mg/dL.
D. Limit fluid intake during meal time.
What instruction will the nurse give to parents about preventing the spread and reinfection of pinworms?
Answer Choices:
A. Wash bed linens in cold water.
B. Clean the bathroom with bleach solution.
C. Keep children's nails short.
D. Dress child in loose-fitting underwear.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Pediatrics
- Answer Choices: 4