ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Nurses' Notes
Vital Signs
Medical History
Provider's Prescriptions
• 1100: Child presents to the ED via stretcher, transported by emergency medical services (EMS). EMS reports the school nurse notified them that the child began having difficulty breathing during lunch and started coughing and wheezing. Child appears anxious, sitting upright, and using accessory muscles to breathe. Lung auscultation reveals bilateral wheezing. Parent reports child has a history of asthma and has been using an albuterol inhaler more frequently over the past week.
Question 1 of 5
A nurse in the emergency department (ED) is assisting with the care of a 10-year-old child. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: A,B,C
Rationale: Asthma exacerbation fits symptoms. Albuterol relieves bronchospasm, oxygen saturation monitors breathing. PEFR and saturation track progress.
Extract:
Question 2 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 3 of 5
A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: Chewing destroys lansoprazole's coating. Sublingual use is incorrect. Four times daily exceeds typical dosing. Administering 30 minutes before breakfast optimizes acid reduction.
Question 4 of 5
A nurse is preparing to collect data from a school-age child. Which of the following areas should the nurse palpate to find the radial pulse?
Correct Answer: A
Rationale: Wrist is the radial pulse site. Elbow is brachial, neck is carotid, upper arm is less specific.
Extract:
Vital Signs
Nurses' Notes
Provider's Prescriptions
• Heart rate: 148/min
• Temperature: 37.6°C (99.6°F) axillary
• Respiratory rate: 28/min
• Oxygen saturation: 98% on room air
Question 5 of 5
A nurse is assisting in the care of an 8-month-old infant in the pediatric unit. Complete the diagram by dragging from the choices below to specify what condition the infant is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the infant's progress.
Correct Answer: A,B,C
Rationale: URI matches mild symptoms. Saline drops and hydration ease congestion. Respiratory rate and saturation monitor breathing.