ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
History and Physical
Vital signs
Lab Results
Cystic fibrosis
Blood-streaked sputum
Foul-smelling fatty stools
Productive cough, crackles throughout lung fields
Question 1 of 5
A nurse is assisting with the care of a 15-year-old adolescent who has Streptococcus pneumonia. How should the nurse interpret the findings 24 hr later?
| Findings 24 Hr Later | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening of the condition |
|---|---|---|---|
| Steatorrhea | |||
| Barrel chest | |||
| Respiratory rate 32/min | |||
| WBC count 17,000/mm3 | |||
| Hemoptysis 300 | |||
| Oxygen saturation 45% on 1 L oxygen via nasal cannula |
Correct Answer: A,B,C,D,E,F
Rationale: Steatorrhea and barrel chest relate to cystic fibrosis, not pneumonia. High respiratory rate, WBC, hemoptysis, and low O2 saturation indicate worsening pneumonia.
Extract:
Question 2 of 5
A nurse is preparing to administer liquid ibuprofen to a school-age child. The prescription reads 200 mg every 8 hr. The amount available is 100 mg/5 mL. How many mL of ibuprofen should the nurse administer over a 24-hr period? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: C
Rationale: 200 mg/100 mg per 5 mL = 10 mL per dose; 3 doses in 24 hr = 30 mL total.
Question 3 of 5
A nurse is reinforcing teaching about laboratory testing with an adolescent who has suspected juvenile idiopathic arthritis. Which of the following laboratory tests should the nurse include?
Correct Answer: D
Rationale: ESR measures inflammation, key in diagnosing and monitoring juvenile idiopathic arthritis. Other tests assess unrelated functions.
Question 4 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.
Question 5 of 5
A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Rice milk is lactose-free, suitable for lactose intolerance. Yogurt flavor doesn't reduce lactose, juice is a good calcium source, and increasing lactose causes symptoms.