ATI LPN
ATI PN Pediatrics Proctored Exam 2020 Questions
Question 1 of 5
Which parent statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?
Correct Answer: C
Rationale: Monitoring for skin irritation is essential in colostomy care to prevent breakdown. Changing with every diaper is excessive, bleeding is abnormal, and adhesive enhancers are not routine unless prescribed.
Question 2 of 5
The nurse knows which of the following is the first step in newborn airway clearance?
Correct Answer: C
Rationale: Suctioning is the first step in newborn airway clearance per resuscitation guidelines, clearing obstructions safely.
Question 3 of 5
While admitting an uncircumcised 4-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; she is unable to replace it over the head of the penis. What should she do?
Correct Answer: B
Rationale: Paraphimosis (tight foreskin impeding blood flow) requires immediate physician notification (B) to prevent tissue damage. Forcing the skin (A), waiting (C), or warm compresses (D) delay critical intervention. Document: 'Notify the physician immediately of the occurrence of paraphimosis… [it] can impede the blood flow.'
Question 4 of 5
A 7-month-old has been admitted to the hospital with a diagnosis of acute gastroenteritis. The priority goal of the infant's care is to prevent which of the following?
Correct Answer: C
Rationale: Preventing fluid and electrolyte imbalance (C) is the priority in gastroenteritis due to dehydration risk. Nutrition (A), skin (B), and malabsorption (D) are secondary. Document: 'The priority goal… is preventing fluid and electrolyte imbalance.'
Question 5 of 5
The nurse discussed ideas with a mother on how to prevent her daughter from having recurrent urinary tract infections. Which of the following statements indicates the mother needs additional information?
Correct Answer: C
Rationale: Bubble baths (C) irritate the urethra, increasing UTI risk, indicating misunderstanding. Front-to-back wiping (A), cotton underwear (B), and fluids/frequent voiding (D) prevent UTIs. Document: 'Oils in bubble baths… are known to irritate the urethra.'