ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Prone position exposes the iliac crest, ideal for marrow collection. Other positions don't provide access or stability.
Question 2 of 5
A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Feedings every 3 hours balance nutrition and cardiac load. Bolus risks overload, lateral positioning hinders breathing, and diluted formula reduces nutrients.
Question 3 of 5
A nurse is collecting data from an adolescent client 24 hours after surgery. Which of the following findings should the nurse report to the primary health care provider?
Correct Answer: C
Rationale: Increased weight-bearing ability on the affected leg is typically an expected finding, especially as the client begins to recover postoperatively. Enhanced weight-bearing suggests improving strength, mobility, and healing in the affected limb. It does not usually indicate complications. Warmth extending from the left calf to the knee could indicate localized inflammation or infection, but without additional findings like swelling or pain, it's less urgent. A temperature of 38.8° C (101.8° F) suggests a possible systemic infection, such as a postoperative wound infection, and must be reported promptly for evaluation to prevent complications like sepsis. Itching in bilateral antecubital spaces may indicate a mild allergic reaction or irritation but is not urgent unless accompanied by severe symptoms.
Question 4 of 5
The nurse is reviewing collected data. Which finding is consistent with acute laryngotracheobronchitis or pneumonia?
Correct Answer: A
Rationale: Stridor is a high-pitched sound often caused by airway obstruction or inflammation, a hallmark of acute laryngotracheobronchitis, making it a key finding. The cough type, while relevant, lacks specificity to differentiate between laryngotracheobronchitis and pneumonia. Fever is common in both conditions but not distinctive. Irritability is nonspecific and does not confirm either diagnosis.
Question 5 of 5
A nurse is caring for a child who is 3 days postoperative following a below-the-knee amputation of the left leg. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Infection inspection is critical early post-op to ensure healing. Other actions follow.