ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a 2-year-old child who has pneumonia and a temperature of 39.4° C (103° F). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Lowering room temperature aids fever comfort. Ice baths risk cold stress, excessive acetaminophen risks toxicity, and aspirin risks Reye's syndrome.
Question 2 of 5
A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hour after their curfew. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Reassuring it's not their fault reduces guilt, supporting emotional recovery. Judging parents, promising confidentiality (against reporting laws), or speculating risks distress.
Question 3 of 5
A nurse is collecting data from an adolescent client 24 hours after admission. Which of the following findings should be reported immediately?
Correct Answer: D
Rationale: Oxygen saturation of 95% is acceptable and not urgent. Barrel chest indicates a chronic condition, not an immediate threat. A respiratory rate of 32/min suggests tachypnea but is less critical than hemoptysis of 300 mL, which indicates significant bleeding requiring immediate intervention to prevent airway obstruction or shock.
Question 4 of 5
A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Poor muscle tone is expected due to malnutrition in failure to thrive. Eye contact and stranger anxiety are normal, and weight is typically below the 5th percentile.
Question 5 of 5
A nurse is reinforcing teaching with a group of first-time parents about injury prevention for infants. Which of the following information should the nurse include?
Correct Answer: C
Rationale: One-piece pacifiers with loops reduce choking risks. Adjustable rails, walkers, and plastic coverings increase injury risks.