ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Nurses notes
Vital Signs
Infant presents with difficulty in breathing. Lung sounds clear but with increased work of breathing noted. No cyanosis or retractions observed at this time. Infant appears alert but fatigued.
Question 1 of 5
A nurse is assisting with the care of a 5 month-old infant who was just admitted to the pediatric unit. For each potential provider's prescription, specify if anticipated or contraindicated.
| Provider prescription | Anticipated | Contraindicated |
|---|---|---|
| Maintain infant on continuous pulse oximetry. | ||
| Maintain infant in supine position. | ||
| Offer small, frequent feedings. | ||
| Monitor intake and output. | ||
| Initiate a peripheral IV line. | ||
| Prepare the infant for a chest x-ray. |
Correct Answer: A,B,C,D,E,F
Rationale: Pulse oximetry, supine position, monitoring I&O, IV line, and chest x-ray are anticipated for respiratory distress. Small, frequent feedings are contraindicated due to fatigue and breathing difficulty.
Extract:
History and Physical
Vital signs
Lab Results
Cystic fibrosis
Blood-streaked sputum
Foul-smelling fatty stools
Productive cough, crackles throughout lung fields
Question 2 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:
Nurses Notes
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 3 of 5
The nurse identifies the parent is having difficulty discussing the metastasis of the cancer with their adolescent. The nurse should ___ and ___
Correct Answer: B, D
Rationale: Supporting the parent emotionally and suggesting a delay respects their role and timing, aiding effective communication.
Extract:
Nurses Notes
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
A nurse in a clinic is assisting with the care of a 3-year-old toddler. For each finding, specify if consistent with acute laryngotracheobronchitis or pneumonia.
| Finding | Acute laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Fever | ||
| Stridor | ||
| Type of cough | ||
| Irritability |
Correct Answer: A (Both), B (Laryngotracheobronchitis), C (Laryngotracheobronchitis), D (Both)
Rationale: Fever and irritability occur in both; stridor and barking cough are specific to laryngotracheobronchitis, not pneumonia.
Extract:
Nurses' Notes
0930:
Child brought to the emergency department by their guardian who reports puffiness around their child's eyes, decreased appetite, and one episode of diarrhea. Guardian states, "I don't know what is going on. Last week they had a strep infection that was treated with antibiotics, and now this." Child has a history of heart murmur.
1000:
Upon data collection, the child is lethargic and pale for their genetic background. Lungs clear bilaterally, heart murmur noted, abdomen slightly distended and soft, bowel sounds normoactive Child voided 50 mL of tea-colored urine. The child reports that their head hurts and rates their pain as 10 on the FACES scale. Provider notified.
1030:
Blood obtained for laboratory study as prescribed.
Question 5 of 5
The nurse should identify that the child is at risk for ___ due to ___
Correct Answer: A
Rationale: Post-strep glomerulonephritis causes hematuria (tea-colored urine) and edema, matching findings.