ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse in an urgent care clinic is collecting data from a group of clients. Which of the following findings should alert the nurse to the possibility of child maltreatment?
Correct Answer: B
Rationale: Multiple shin bruises in an 18-month-old may suggest abuse, needing further assessment. Bedwetting, stranger anxiety, and separation protests are normal.
Question 2 of 5
A nurse is caring for a child and suspects the child has experienced physical maltreatment. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Reassuring the child it's not their fault reduces guilt and builds trust. Other statements may imply blame, judgment, or break mandatory reporting ethics.
Question 3 of 5
A nurse is reinforcing teaching about laboratory testing with an adolescent who has suspected juvenile idiopathic arthritis. Which of the following laboratory tests should the nurse include?
Correct Answer: D
Rationale: ESR measures inflammation, key in diagnosing and monitoring juvenile idiopathic arthritis. Other tests assess unrelated functions.
Extract:
Nurses' Notes
0930:
Child brought to the emergency department by their guardian who reports puffiness around their child's eyes, decreased appetite, and one episode of diarrhea. Guardian states, "I don't know what is going on. Last week they had a strep infection that was treated with antibiotics, and now this." Child has a history of heart murmur.
1000:
Upon data collection, the child is lethargic and pale for their genetic background. Lungs clear bilaterally, heart murmur noted, abdomen slightly distended and soft, bowel sounds normoactive Child voided 50 mL of tea-colored urine. The child reports that their head hurts and rates their pain as 10 on the FACES scale. Provider notified.
1030:
Blood obtained for laboratory study as prescribed.
Question 4 of 5
The nurse should identify that the child is at risk for ___ due to ___
Correct Answer: A
Rationale: Post-strep glomerulonephritis causes hematuria (tea-colored urine) and edema, matching findings.
Extract:
Question 5 of 5
A nurse is preparing to administer amoxicillin 80 mg/kg/day to divide equally every 8 hr to a preschooler who weighs 33 lb. Available is amoxicillin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: 33 lb / 2.2 = 15 kg; 80 mg/kg/day × 15 kg = 1200 mg/day; 1200 mg / 3 doses = 400 mg/dose; 400 mg / (250 mg/5 mL) = 8 mL.