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.
Question 2 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 3 of 5
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Cushing's causes hypertension, weight gain, and moon face due to cortisol excess. Rounded facial features are expected.
Question 4 of 5
A nurse is contributing to the care plan of an infant who has pneumonia. Which of the following toys should the nurse select for the child's play activity?
Correct Answer: A
Rationale: Blocks are safe and quiet. Flash cards, scissors, and beads are unsuitable due to age or choking risks.
Question 5 of 5
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hour ago. Which of the following findings reported by the parent is the nurse's priority?
Correct Answer: D
Rationale: Mild fever and reduced appetite are common. Injection site pain is expected. Swelling around eyelids and mouth suggests anaphylaxis, requiring immediate attention.