ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A client reports “difficulty breathing and coughing up blood.†During the assessment, which of the following findings would require urgent intervention?
Correct Answer: D
Rationale: Steatorrhea is unrelated to acute respiratory issues. Barrel chest is a chronic finding, not urgent. Oxygen saturation of 95% is adequate. Hemoptysis of 300 mL is critical, indicating severe hemorrhage requiring immediate intervention to prevent airway compromise or shock.
Question 2 of 5
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Minimizing physical contact respects sensory sensitivities common in autism, reducing distress. Semiprivate rooms increase stimuli, eye contact during agitation may provoke anxiety, and leaving the TV on risks overstimulation, all of which are inappropriate.
Question 3 of 5
A nurse is collecting data from a school-age child who has erythema infectiosum (fifth disease). The nurse should expect the rash to appear on which area of the child's body first?
Correct Answer: C
Rationale: Erythema infectiosum starts with a 'slapped cheek' rash on the face due to parvovirus B19's effect on facial capillaries, before spreading to extremities or trunk.
Question 4 of 5
A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The dorsogluteal muscle risks sciatic nerve injury in toddlers; the anterolateral thigh is preferred. Massaging may cause irritation. Consent is essential for legal and ethical compliance. Aspiration is unnecessary per current guidelines.
Question 5 of 5
The nurse is assisting in planning care for the child. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: Daily weights monitor fluid status, but seizure precautions are critical for safety in children at risk of seizures, involving padded rails and emergency readiness. BP every 8 hours and sodium restriction are not universally required unless specified.