Questions 63

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ATI PN Pediatrics Nursing Exam 2023 Questions

Extract:


Question 1 of 5

A nurse is assisting with the care of a 15-year-old adolescent who has Streptococcus pneumonia. The nurse is collecting data on the adolescent 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the admitting diagnosis, an indication of potential improvement, or an indication of potential worsening condition.

OptionsUnrelated to DiagnosisIndication of Potential ImprovementIndication of Potential Worsening condition
WBC count 17,000/mm3
Steatorrhea
Oxygen saturation 95% on 1 L oxygen via nasal cannula
Barrel chest
Hemoptysis 300 mL
Respiratory rate 32/min

Correct Answer: A,B,C,D.E,F

Rationale: A: Improvement, B: Unrelated, C: Improvement, D: Unrelated, E: Worsening, F: Improvement. A. WBC drop from 22,000 to 17,000/mm3 shows improvement. B. Steatorrhea is unrelated, linked to cystic fibrosis, not pneumonia. C. 95% on less oxygen indicates improvement. D. Barrel chest is chronic, unrelated to acute pneumonia. E. Hemoptysis of 300 mL suggests worsening. F. Respiratory rate drop suggests improvement.

Question 2 of 5

A nurse is monitoring the vital signs of a 6-year-old child following a surgical procedure. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: Heart rate below normal range (60-100) needs reporting. A, B, D are normal.

Question 3 of 5

A nurse is assisting with the care of a preschooler who is postoperative following tetralogy of Fallot correction. Which of the following manifestations indicates the child is possibly experiencing decreased cardiac output?

Correct Answer: C

Rationale: Diminished pulses suggest poor perfusion. A, B, D are normal findings.

Question 4 of 5

A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?

Correct Answer: B

Rationale: Hard-boiled egg is safe and nutritious. A, C, D are choking hazards.

Question 5 of 5

A nurse is preparing to administer an enteral feeding to a preschooler who has a nasogastric tube. Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: 45-degree elevation prevents aspiration. A, B, D risk tolerance or safety issues.

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