ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Nurses Notes
0730
3-year-old toddler presents to the clinic with guardian. Guardian reports toddler woke up coughing and had a low-grade fever. Alert and restless in guardian's arms. Respirations easy, no cough noted
0800
Toddler became agitated. Hoarse cry noted with audible, inspiratory stridor, Barking non-productive cough present.
Question 1 of 5
A nurse in a clinic is assisting with the care of a 3-year-old toddler. For each finding, specify if consistent with acute laryngotracheobronchitis or pneumonia.
| Finding | Acute laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Fever | ||
| Stridor | ||
| Type of cough | ||
| Irritability |
Correct Answer: A (Both), B (Laryngotracheobronchitis), C (Laryngotracheobronchitis), D (Both)
Rationale: Fever and irritability occur in both; stridor and barking cough are specific to laryngotracheobronchitis, not pneumonia.
Extract:
Question 2 of 5
A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as a possible indication of sexual abuse?
Correct Answer: B
Rationale: Withdrawn behavior is a common sign of sexual abuse, reflecting fear or shame. Destructive, manipulative, or perfectionistic behaviors may indicate other issues but aren't primary abuse indicators.
Question 3 of 5
A nurse is caring for an infant who has heart failure and is formula-fed. Which of the following nursing interventions is appropriate to meet the infant's nutritional needs?
Correct Answer: D
Rationale: Feeding at the first hunger sign allows small, frequent meals, reducing heart workload. Firm nipples, thickening, or diluting worsen fatigue or nutrition.
Question 4 of 5
A nurse is preparing to administer liquid ibuprofen to a school-age child. The prescription reads 200 mg every 8 hr. The amount available is 100 mg/5 mL. How many mL of ibuprofen should the nurse administer over a 24-hr period? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale: 200 mg/100 mg per 5 mL = 10 mL per dose; 3 doses in 24 hr = 30 mL total.
Question 5 of 5
A nurse is collecting data from an adolescent who has hypocalcemia. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Muscle tremors result from increased neuromuscular excitability in hypocalcemia. Constipation and hypertension suggest hypercalcemia.