ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is assisting with the care of a school-age child who is terminally ill. Which of the following interventions should the nurse perform?
Correct Answer: C
Rationale: Collecting vital signs every 2 hours may increase stress without providing comfort. Avoiding death discussions limits open communication. Encouraging sibling involvement fosters emotional support and family unity, beneficial for end-of-life care. Passive range of motion is secondary to comfort measures.
Question 2 of 5
A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Massaging risks irritation. Aspiration is unnecessary. Consent ensures legal and ethical administration.
Extract:
History and Physical
Vital Signs
Physical Examination Results
Diagnostic Results
Provider's Prescriptions
Nurses’ Notes
A male newborn weighing 4337 grams (9 lb 9 oz) was delivered via cesarean section approximately 1 hour ago at 39 weeks gestation due to cephalopelvic disproportion. Apgar scores were 8 at 1 minute and 9 at 5 minutes. Vitamin K was administered in the left vastus lateralis shortly after birth. No known maternal infections or complications were noted during the pregnancy. The mother tested negative for Group B Streptococcus, syphilis, and HIV. The newborn's gestational age assessment is consistent with full-term development.
Question 3 of 5
A nurse is caring for a newborn in the neonatal unit. Complete the diagram by dragging from the choices below to specify what condition the newborn is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the newborn's progress.
| Condition: A. Neonatal Abstinence Syndrome (NAS) B. Hypoglycemia C. Neonatal Sepsis D. Hyperbilirubinemia |
| Actions: A. Administer intravenous dextrose as prescribed. B. Encourage breastfeeding to promote glucose stability. C. Administer phototherapy. D. Administer calcium gluconate. E. Perform gastric lavage for feeding intolerance. |
| Parameters: A. Blood glucose levels. B. Serum bilirubin levels. C. Oxygen saturation. D. Muscle tone and reflexes. E. Serum calcium levels. |
Correct Answer: B,A,D
Rationale: Hypoglycemia fits low glucose. Dextrose and breastfeeding correct it. Glucose levels and tone track recovery.
Extract:
Question 4 of 5
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: TV risks overstimulation. Minimal contact respects sensory needs. Shared rooms and forced eye contact may distress.
Question 5 of 5
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: RSV causes rhinorrhea, not vesicles, barrel chest, or clubbing.