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 to the nurse that the child is dehydrated?
Correct Answer: C
Rationale: Increased pulse compensates for hypovolemia in dehydration. BP decreases, fontanels sink, and veins collapse, not distend, with dehydration.
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
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 4 of 5
A nurse is reinforcing teaching with a parent of an infant who has a new diagnosis of heart failure. Which of the following findings should the nurse include as an expected manifestation of this disease?
Correct Answer: C
Rationale: Tachycardia compensates for reduced cardiac output in heart failure. Pulses weaken, BP drops, and urine output decreases.
Question 5 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.