ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent client who has a fractured right tibia and a cast. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Cool toes indicate possible circulation issues like compartment syndrome, needing urgent reporting. Mild pain, itching, and swelling are less critical.
Question 2 of 5
A nurse is collecting growth and development data from a 5-year-old child during a well-child visit. Which of the following statements by the parent indicates the child's cognitive and language skills require further investigation?
Correct Answer: A
Rationale: At 5, children should use 5-6 word sentences; 3-4 words suggest a language delay needing evaluation. Other skills are age-appropriate.
Extract:
Nurses Notes
0730
3-year-old toddler presents to the clinic with guardian. Guardian reports toddler woke up coughing and had a low-grade fever. Alert and restless in guardian's arms. Respirations easy, no cough noted
0800
Toddler became agitated. Hoarse cry noted with audible, inspiratory stridor, Barking non-productive cough present.
Question 3 of 5
A nurse in a clinic is assisting with the care of a 3-year-old toddler. For each finding, specify if consistent with acute laryngotracheobronchitis or pneumonia.
| Finding | Acute laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Fever | ||
| Stridor | ||
| Type of cough | ||
| Irritability |
Correct Answer: A (Both), B (Laryngotracheobronchitis), C (Laryngotracheobronchitis), D (Both)
Rationale: Fever and irritability occur in both; stridor and barking cough are specific to laryngotracheobronchitis, not pneumonia.
Extract:
Question 4 of 5
A nurse is assisting with the care of a preschooler who sustained a major burn injury 5 days ago. Which of the following findings should the nurse identify as a manifestation of sepsis?
Correct Answer: B
Rationale: Disorientation signals sepsis from systemic infection and poor oxygenation. Sepsis reduces bowel sounds, causes hyperglycemia, and decreases urine output.
Question 5 of 5
A nurse is assisting with the care of an infant who has an upper respiratory infection and requires continuous oxygen saturation monitoring. On which of the following sites should the nurse plan to place the sensor?
Correct Answer: A
Rationale:
Toes provide reliable perfusion for pulse oximetry in infants, unlike fingers or ear lobes, which are less effective.