ATI LPN
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.
| Options | Unrelated to Diagnosis | Indication of Potential Improvement | Indication 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 collecting data from an adolescent who has hypocalcemia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Tinnitus is unrelated to hypocalcemia. B. BP isn't typically elevated in hypocalcemia. C. Constipation isn't common; neuromuscular issues are. D. Muscle tremors occur due to increased excitability from low calcium.
Question 3 of 5
The nurse identifies the parent is having difficulty discussing the metastasis of the cancer with their adolescent. The nurse should
Correct Answer: C,E
Rationale: A child life specialist can help navigate this discussion. E. Teaching about emotional responses prepares the parent. Others are incorrect: withholding results or emotions hinders trust, and hospice isn't indicated yet.
Extract:
Vital Signs
0730:
3-year-old toddler presents to the clinic with guardian. Guardian reports toddler woke up coughing and had a low-grade fever. Alert and restless in guardian's arms. Respirations easy, no cough noted.
0800:
Toddler became agitated. Hoarse cry noted with audible, inspiratory stridor. Barking, non-productive cough present.
Question 4 of 5
The nurse is reviewing the collected data. For each finding, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than 1 disease process.
| Options | Acute Laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Type of cough | ||
| Irritability | ||
| Fever | ||
| Stridor |
Correct Answer: A,B,C,D
Rationale: Barking cough is specific to croup. B. Irritability can occur in both due to discomfort. C. Fever is common in both infections. D. Stridor is characteristic of croup, not typical in pneumonia.
Extract:
Vital Signs
History and Physical
Laboratory Results
Provider Prescriptions
Medication Administration Record
Weight 30 kg (66 lb)
Temperature 38.6°C (101.5°F)
Heart rate 124/min
Respiratory rate 26/min
Oxygen saturation 95% on 2 L oxygen via nasal cannula
Question 5 of 5
The nurse should clarify the child's prescription of
Correct Answer: B
Rationale: Hyperkalemia (6.2 mEq/L) contraindicates additional potassium; clarification is needed. Others align with respiratory or digestive conditions and don't conflict with findings.