ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse evaluates the findings for this newborn. Indicate whether each finding is consistent with Hypoglycemia, Neonatal Sepsis, Neonatal Abstinence Syndrome.
| Options | Hypoglycemia | Neonatal Sepsis | Neonatal Abstinence Syndrome |
|---|---|---|---|
| Jitteriness | |||
| Poor feeding | |||
| Petechiae on the chest | |||
| Blood glucose 35 mg/dL | |||
| High-pitched cry |
Correct Answer: A,B,C,D,E
Rationale: Jitteriness fits all three. Poor feeding fits all. Petechiae is sepsis-specific. Low glucose is hypoglycemia. High-pitched cry is NAS.
Extract:
History and Physical
Vital Signs
Physical Examination Results
Diagnostic Results
Provider's Prescriptions
Nurse's Notes
A male newborn weighing 4337 grams (9 lb 9 oz) was delivered via cesarean section approximately 1 hour ago at 39 weeks gestation due to cephalopelvic disproportion. Apgar scores were 8 at 1 minute and 9 at 5 minutes. Vitamin K was administered in the left vastus lateralis shortly after birth. No known maternal infections or complications were noted during the pregnancy. The mother tested negative for Group B Streptococcus, syphilis, and HIV. The newborn's gestational age assessment is consistent with full-term development.
Question 2 of 5
A nurse is caring for a newborn in the neonatal unit. Which of the following actions should the nurse take to address the newborn's condition? Select all that apply.
Correct Answer: A,B,D
Rationale: Dextrose corrects hypoglycemia, skin-to-skin aids thermoregulation, monitoring glucose ensures stability. Phototherapy and antibiotics are unrelated to hypoglycemia.
Extract:
Question 3 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: Redness at the injection site is a common and expected local reaction following immunization. It typically resolves on its own without intervention. A temperature of 37.7°C (99.9°F) is a mild fever and a common response to immunizations as the body mounts an immune response. Hives on the child's neck is the priority finding because it can indicate an allergic reaction, which may progress to anaphylaxis, a severe, life-threatening condition requiring immediate intervention. Prolonged crying can be a sign of discomfort or pain but is not as urgent as signs of an allergic reaction.
Question 4 of 5
A nurse is preparing to administer medications to a 5-month-old infant. Tympanic temperature 39.2°C (102.6°F). Heart rate 84/min. Respiratory rate 30/min. Blood pressure 80/30 mmHg. Oxygen saturation 96% on 0.5 L oxygen via nasal cannula. Weight 7.2 kg (15.9 lb). The nurse should clarify the prescription for which medication?
Correct Answer: A
Rationale: Ibuprofen should be clarified before administration to a 5-month-old infant as it is not recommended for infants younger than 6 months due to risks of nephrotoxicity and gastrointestinal irritation. Acetaminophen is safe for infants to reduce fever. Heart rate and temperature are vital signs, not medications, and do not require clarification as prescriptions.
Question 5 of 5
A nurse is assisting with the care of a school-age child who is terminally ill. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: Collecting vital signs every 2 hours may increase stress without providing comfort. Avoiding death discussions limits open communication. Encouraging sibling involvement fosters emotional support and family unity, beneficial for end-of-life care. Passive range of motion is secondary to comfort measures.