ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Nurses Notes 1800
Left leg is in splint with elastic bandage. Left leg is elevated on two pillows Child rates pain as 7 on the FACES pain scale Bilateral pedal pulses are equal present, and strong. Toes are warm bilaterally with brisk capillary refill Left toes are swollen Child is able to move left toes upon request but is reluctant to move them and states, it hurts when I move them Left foot skin color is slightly lighter than the right foot. Informed consent signed by child's parent for open reduction internal fixation of left femur fracture after discussion with provider
Child remains NPO prior to surgery
A 20-gauge IV is infusing in the left antecubital with 5 dextrose
in 0.45% sodium chloride in fusing at 63 mls per continuous Infusion.
2000
Left leg is in splint with elastic bandage. Left leg is elevated on two pillows. Child is now crying and inconsolable. Rates pale as 10 on the FACES pain scale
Pedal pulse in the left leg is 1. Left toes are cool to touch.
capillary refill is greater than 3 seconds, toes remain swollen. Child refuses to move left toes due to pain. Reports sensation of pins and needles in left foot. Left foot skin color is slightly lighter than the right foot
Question 1 of 5
A nurse is assisting in the care of a 6 year old child who preoperative for repair of a fractured femur. For each finding, specify whether no change or worsening.
| Options | No changes in condition | Sign of potential worsening |
|---|---|---|
| Skin temperature | ||
| Capillary refill | ||
| Pedal pulse | ||
| Sensation | ||
| Swelling |
Correct Answer: A,B,C,D,E
Rationale: A (Worsening), B (Worsening), C (Worsening), D (Worsening), E (No change)
Extract:
Question 2 of 5
A nurse is caring for a toddler who had a plaster spica cast applied 6 hr ago. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Checking toe color and temperature assesses circulation, critical to detect complications like compartment syndrome early after cast application.
Question 3 of 5
A nurse is reviewing the medical records of a group of clients. Which of the following findings should the nurse report to local authorities?
Correct Answer: C
Rationale: Spiral fractures in non-ambulatory infants suggest abuse, requiring mandatory reporting. Sibling rivalry, incontinence, and bedbugs don't mandate reporting.
Question 4 of 5
A nurse is caring for a 10-year-old child who is terminally ill. The child's guardian and younger sibling are at the bedside. Which of the following statements should the nurse make to the guardian?
Correct Answer: C
Rationale: A 10-year-old understands death's permanence, and answering their questions supports them emotionally. Hiding grief or limiting sibling visits isolates the child.
Question 5 of 5
A nurse is caring for an adolescent client who has a fractured right tibia and a cast. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Cool toes indicate possible circulation issues like compartment syndrome, needing urgent reporting. Mild pain, itching, and swelling are less critical.