ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a 10-year-old child who is terminally ill. The child's guardian and younger sibling are at the bedside. Which of the following statements should the nurse make to the guardian?
Correct Answer: C
Rationale: A 10-year-old understands death's permanence, and answering their questions supports them emotionally. Hiding grief or limiting sibling visits isolates the child.
Question 2 of 5
A nurse is caring for a toddler whose guardian reports multiple episodes of diarrhea. The provider suspects Clostridium difficile. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A stool specimen for culture confirms Clostridium difficile by detecting toxins A and B, which cause severe diarrhea. Blood cultures are for systemic infections, 'C. diff test' is vague, and occult blood tests don't diagnose C. difficile.
Question 3 of 5
A nurse is collecting data from a child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: A
Rationale: Furosemide reduces fluid overload, decreasing edema as an effectiveness marker. Increased respiratory rate or potassium levels indicate issues, not success.
Question 4 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 5 of 5
A nurse is reinforcing discharge teaching with the guardian of a preschooler who has a fiberglass arm cast. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: B
Rationale: Keeping the arm elevated limits swelling. Scratching inside, avoiding finger movement, or submerging the cast risks injury, stiffness, or infection.