ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Question 1 of 5
A nurse is collecting data from an adolescent client 24 hours after surgery. Which of the following findings should the nurse report to the primary health care provider?
Correct Answer: C
Rationale: Increased weight-bearing ability on the affected leg is typically an expected finding, especially as the client begins to recover postoperatively. Enhanced weight-bearing suggests improving strength, mobility, and healing in the affected limb. It does not usually indicate complications. Warmth extending from the left calf to the knee could indicate localized inflammation or infection, but without additional findings like swelling or pain, it's less urgent. A temperature of 38.8° C (101.8° F) suggests a possible systemic infection, such as a postoperative wound infection, and must be reported promptly for evaluation to prevent complications like sepsis. Itching in bilateral antecubital spaces may indicate a mild allergic reaction or irritation but is not urgent unless accompanied by severe symptoms.
Question 2 of 5
The nurse is reviewing collected data. Which finding is consistent with acute laryngotracheobronchitis or pneumonia?
Correct Answer: A
Rationale: Stridor is a high-pitched sound often caused by airway obstruction or inflammation, a hallmark of acute laryngotracheobronchitis, making it a key finding. The cough type, while relevant, lacks specificity to differentiate between laryngotracheobronchitis and pneumonia. Fever is common in both conditions but not distinctive. Irritability is nonspecific and does not confirm either diagnosis.
Question 3 of 5
A nurse is assessing a 4-year-old client admitted to the pediatric unit for respiratory distress. Which of the following findings should be addressed immediately?
Correct Answer: A
Rationale: Stridor during inspiration indicates an upper airway obstruction, requiring immediate attention to prevent severe hypoxia or respiratory failure. A wet, productive cough suggests a lower respiratory issue but is less urgent. A fever of 38.5°C (101.3°F) is concerning but not immediately life-threatening. Irritability is nonspecific and less critical than stridor.
Question 4 of 5
A nurse is collecting data from an adolescent client 24 hours after admission. Which of the following findings should be reported immediately?
Correct Answer: D
Rationale: Oxygen saturation of 95% is acceptable and not urgent. Barrel chest indicates a chronic condition, not an immediate threat. A respiratory rate of 32/min suggests tachypnea but is less critical than hemoptysis of 300 mL, which indicates significant bleeding requiring immediate intervention to prevent airway obstruction or shock.
Question 5 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates dehydration?
Correct Answer: A,B,C,D
Rationale: A sunken anterior fontanel suggests reduced intracranial pressure from dehydration. Increased pulse rate compensates for reduced circulating volume. Dry mucous membranes result from fluid depletion. Irritability occurs due to electrolyte imbalance and hypovolemia, all indicating dehydration.