ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Question 1 of 5
The nurse is assisting in planning care for a child. Which of the following interventions should the nurse plan to include?
Correct Answer: A,C
Rationale: Daily weights monitor fluid status, critical for acute changes. Seizure precautions ensure safety for at-risk children. BP every 8 hours, sodium restriction, and bed rest are not universally needed unless specified.
Question 2 of 5
A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Gravity flow is safe and effective. Crushing sustained-release, minimal flushing, or mixing medications risk efficacy and safety.
Question 3 of 5
A nurse is reinforcing teaching about food choices with a parent of a child who has celiac disease. Which of the following responses by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: Rice pudding is gluten-free, safe for celiac disease. Malt, rye, and barley contain gluten, causing harm.
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 monitoring a 6-month-old infant 20 minutes after administering a hepatitis B immunization. Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: Hives on the neck may indicate an allergic reaction, potentially anaphylactic, requiring immediate action. Crying, redness, and mild fever are common and less urgent.