ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates dehydration?
Correct Answer: A,B,C,D
Rationale: A sunken anterior fontanel suggests reduced intracranial pressure from dehydration. Increased pulse rate compensates for reduced circulating volume. Dry mucous membranes result from fluid depletion. Irritability occurs due to electrolyte imbalance and hypovolemia, all indicating dehydration.
Question 2 of 5
A nurse is receiving a change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?
Correct Answer: C
Rationale: New lethargy in endocarditis signals potential worsening, requiring urgent assessment. Weak pulses, elevated ESR, and lip erythema are expected or less acute.
Question 3 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: C
Rationale: Rice milk is lactose-free, suitable for intolerance. Increasing lactose worsens symptoms, orange juice is safe, and flavored yogurt still has lactose.
Question 4 of 5
A nurse is collecting data from an infant whose guardian reports worsening symptoms. The infant has a cough productive of very thick white mucus. Upon auscultation, wheezes are heard bilaterally on inspiration and expiration. Moderate substernal and subcostal retractions are noted. Mucous membranes are pink, and a large amount of clear to white nasal discharge is noted. Capillary refill is 2 to 3 seconds. The guardian states the infant has difficulty feeding, often vomits, and has not had a wet diaper for 8 hours. During coughing episodes, mucous membranes are cyanotic, and oxygen saturation decreases. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Administering oxygen therapy addresses hypoxemia from cyanosis and low saturation, the priority to prevent hypoxic injury. Hydration, positioning, and intubation are secondary.
Question 5 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, the standard site for bone marrow collection in children.