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ATI LPN · Pediatrics Nursing · LPN Pediatrics

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which of the following parameters is the LEAST reliable when assessing the perfusion status of a 2-year-old child?

A. Capillary refill time
B. Presence of peripheral pulses
C. Skin color and temperature
D. Systolic blood pressure

Expert Explanatory Rationale

Correct Answer: Systolic blood pressure

Question 2 of 5

Which of the following signs or symptoms is more common in children than adults following an isolated head injury?

A. Changes in pupillary reaction
B. Tachycardia and diaphoresis
C. Nausea and vomiting
D. Altered mental status

Expert Explanatory Rationale

Correct Answer: Nausea and vomiting

Question 3 of 5

You are called to a local park for a 7-year-old boy with respiratory distress. During your assessment, you find that the patient is wheezing and has widespread hives and facial edema. What should you suspect has occurred?

A. Poison oak exposure
B. Allergic reaction
C. Heat illness
D. Acute asthma attack

Expert Explanatory Rationale

Correct Answer: Allergic reaction

Question 4 of 5

You are dispatched to a residence for a 4-year-old female who is sick. Your assessment reveals that she has increased work of breathing and is making a high-pitched sound during inhalation. Her mother tells you that she has been running a high fever for the past 24 hours. Your MOST immediate concern should be:

A. determining if the child has a history of croup.
B. preparing to treat her for a febrile seizure.
C. assessing the need for ventilation assistance.
D. taking her temperature to see how high it is.

Expert Explanatory Rationale

Correct Answer: assessing the need for ventilation assistance.

Question 5 of 5

A 7-year-old child has an altered mental status, high fever, and a generalized rash. You perform your assessment and administer supplemental oxygen. En route to the hospital, you should be MOST alert for:

A. hypotension.
B. combativeness.
C. convulsions.
D. respiratory distress.

Expert Explanatory Rationale

Correct Answer: convulsions.

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