ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
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 1 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 2 of 5
A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?
Correct Answer: D
Rationale: Bacterial meningitis increases CSF pressure, WBCs, and protein while decreasing glucose. Elevated protein supports the diagnosis.
Question 3 of 5
A nurse is collecting data from a school-age child who has erythema infectiosum (fifth disease). The nurse should expect the rash to appear on which area of the child's body first?
Correct Answer: A
Rationale: Fifth disease starts with a 'slapped cheek' rash on the face.
Question 4 of 5
A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Flavored yogurt has lactose. Calcium-fortified juice is safe. Increasing lactose risks symptoms. Rice milk is lactose-free.
Question 5 of 5
A nurse is contributing to the care plan of an infant who has pneumonia. Which of the following toys should the nurse select for the child's play activity?
Correct Answer: A
Rationale: Blocks are safe and quiet. Flash cards, scissors, and beads are unsuitable due to age or choking risks.