ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a 4-year-old client admitted to the pediatric unit for respiratory distress. Which of the following findings should be addressed immediately?
Correct Answer: A
Rationale: Stridor during inspiration indicates an upper airway obstruction, requiring immediate attention to prevent severe hypoxia or respiratory failure. A wet, productive cough suggests a lower respiratory issue but is less urgent. A fever of 38.5°C (101.3°F) is concerning but not immediately life-threatening. Irritability is nonspecific and less critical than stridor.
Question 2 of 5
A nurse is collecting data from an adolescent client 24 hours after admission. Which of the following findings should be reported immediately?
Correct Answer: D
Rationale: Oxygen saturation of 95% is acceptable and not urgent. Barrel chest indicates a chronic condition, not an immediate threat. A respiratory rate of 32/min suggests tachypnea but is less critical than hemoptysis of 300 mL, which indicates significant bleeding requiring immediate intervention to prevent airway obstruction or shock.
Question 3 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates dehydration?
Correct Answer: A,B,C,D
Rationale: A sunken anterior fontanel suggests reduced intracranial pressure from dehydration. Increased pulse rate compensates for reduced circulating volume. Dry mucous membranes result from fluid depletion. Irritability occurs due to electrolyte imbalance and hypovolemia, all indicating dehydration.
Question 4 of 5
A client reports “difficulty breathing and coughing up blood.†During the assessment, which of the following findings would require urgent intervention?
Correct Answer: D
Rationale: Steatorrhea is unrelated to acute respiratory issues. Barrel chest is a chronic finding, not urgent. Oxygen saturation of 95% is adequate. Hemoptysis of 300 mL is critical, indicating severe hemorrhage requiring immediate intervention to prevent airway compromise or shock.
Question 5 of 5
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Minimizing physical contact respects sensory sensitivities common in autism, reducing distress. Semiprivate rooms increase stimuli, eye contact during agitation may provoke anxiety, and leaving the TV on risks overstimulation, all of which are inappropriate.