ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for an 18-month-old infant who is 12 hr postoperative following a myringotomy. Which of the following pain rating scales should the nurse use?
Correct Answer: D
Rationale: The FLACC scale assesses pain in nonverbal children like an 18-month-old using behavioral indicators. Other scales require cognitive abilities beyond this age, such as understanding numbers or colors.
Question 2 of 5
A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?
Correct Answer: A
Rationale: A hot spot on the cast may indicate localized infection, as it suggests warmth from underlying inflammation or infection, which requires prompt assessment. Edema, itching, and pain are common with casts but not specific to infection unless accompanied by other signs.
Question 3 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: B
Rationale: Elevated total protein in CSF supports bacterial meningitis due to increased blood-brain barrier permeability. Decreased WBCs, elevated glucose, and low pressure contradict typical findings.
Question 4 of 5
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?
Correct Answer: A
Rationale: New lethargy in endocarditis suggests possible worsening or complications like embolism, requiring urgent assessment. Other findings are expected or less immediately critical.
Question 5 of 5
A nurse is caring for a child who has had diarrhea for 3 days. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A stool culture identifies the cause of diarrhea (e.g., infection), guiding treatment. Weekly weighing, NPO status, or apple juice (which worsens diarrhea) are inappropriate for acute management.