ATI LPN
Fnp Pediatric Practice Questions Questions
Question 1 of 5
The student nurse has performed a gestational age assessment of an infant and finds the infant to be at 32 weeks. On which set of characteristics is the nurse basing this assessment?
Correct Answer: B
Rationale: The correct answer is B. At 30 to 32 weeks' gestation, the clitoris is prominent, and the labia minora are enlarging. The labia majora are small and widely separated. As gestational age increases, the labia majora increase in size. At 36 to 40 weeks, they almost cover the clitoris. At 40 weeks and beyond, the labia majora cover the labia minora and clitoris.
Choices A, C, and D do not align with the characteristic features seen at 32 weeks of gestation, making them incorrect.
Question 2 of 5
A 3-year-old child has been admitted to your pediatric ward. The doctor gave a provisional diagnosis of respiratory tract infection. After careful assessment and history, a final diagnosis of lower respiratory infection was made. Which of the following signs will confirm the diagnosis?
Correct Answer: C
Rationale: Inability to lie supine is a characteristic sign of lower respiratory infection. This positioning preference is often seen in patients with lower respiratory infections due to discomfort or difficulty breathing when lying flat on their back. While cough and fever are common symptoms associated with respiratory infections, they are not specific to lower respiratory infections. Inability to eat may indicate general illness or discomfort but is not a specific indicator of lower respiratory infection.
Question 3 of 5
Warning signs that indicate dehydration include all EXCEPT:
Correct Answer: B
Rationale: The correct answer is B. Increased urine output is not a warning sign of dehydration; it typically decreases with dehydration. Dehydration often presents with poor skin turgor, tachycardia, and an increased sensation of thirst (eager to drink) as the body tries to compensate for fluid loss.
Choices A, C, and D are all correct warning signs of dehydration. Poor skin turgor is a result of decreased skin elasticity due to fluid loss. Tachycardia, an elevated heart rate, can be a compensatory mechanism to maintain cardiac output in dehydration. Feeling eager to drink is a common symptom of dehydration as the body attempts to restore fluid balance.
Question 4 of 5
Which of the following drinks is recommended for reconstituting oral rehydration salts?
Correct Answer: A
Rationale: The correct answer is A: Water. Water is the ideal fluid to reconstitute oral rehydration salts because it helps in proper hydration without adding unnecessary sugars or acidity that may be present in fruit juice or soda. Using water ensures the salts are properly dissolved and can effectively rehydrate the individual.
Choices B and C are incorrect because fruit juice and soda may contain sugars or acidity that can interfere with the rehydration process and are not recommended for reconstituting oral rehydration salts.
Question 5 of 5
An 18-month-old child presents with fever, nasal flaring, intercostal retractions, and a respiratory rate of 50 bpm. What is the most appropriate nursing diagnosis?
Correct Answer: B
Rationale: In this case, the child is showing signs of respiratory distress, such as nasal flaring, intercostal retractions, and an increased respiratory rate. These are indicative of an ineffective breathing pattern. The child's compromised respiratory function requires immediate attention and intervention, making 'Ineffective breathing pattern' the most appropriate nursing diagnosis.
Choices A, C, and D do not address the respiratory distress the child is experiencing and are not the priority in this situation.