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:
Question 2 of 5
A nurse is caring for an infant who has heart failure and is formula-fed. Which of the following nursing interventions is appropriate to meet the infant's nutritional needs?
Correct Answer: D
Rationale: Feeding at the first hunger sign allows small, frequent meals, reducing heart workload. Firm nipples, thickening, or diluting worsen fatigue or nutrition.
Question 3 of 5
A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as a possible indication of sexual abuse?
Correct Answer: B
Rationale: Withdrawn behavior is a common sign of sexual abuse, reflecting fear or shame. Destructive, manipulative, or perfectionistic behaviors may indicate other issues but aren't primary abuse indicators.
Question 4 of 5
A nurse is reinforcing teaching about the nutritional needs of preschoolers with a group of parents. Which of the following foods should the nurse recommend as a source of complete protein?
Correct Answer: B
Rationale: Eggs provide all nine essential amino acids, making them a complete protein ideal for preschoolers. Beans and peanut butter are incomplete, needing pairing, and broccoli lacks significant protein.
Extract:
Vital signs
Provider Prescriptions
Tympanic temperature 39.2° C (102/5 F)
Heart rate 64/min
Respiratory rate 30/min
Blood pressure 80/30 mm Hg
Oxygen saturation 96% on 0.5 L oxygen via nasal cannula
Weight 7.2 kg (15.9 lb)
Question 5 of 5
A nurse is preparing to administer medications to a 5-month-old infant. The nurse should delay the prescription for ___ due to the ___
Correct Answer: A
Rationale: Digoxin slows heart rate; a 5-month-old's 64 bpm is low (normal 90-160), requiring delay and provider consultation.