ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for an infant who has heart failure and is formula-fed. Which of the following nursing interventions is appropriate to meet the infant's nutritional needs?
Correct Answer: D
Rationale: Feeding at the first hunger sign allows small, frequent meals, reducing heart workload. Firm nipples, thickening, or diluting worsen fatigue or nutrition.
Question 2 of 5
A nurse is preparing to administer three medications to a child who is receiving continuous enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Diluting viscous medications with water prevents clogging and ensures delivery. Flushing with formula, adding to the bag, or combining medications risks interactions or blockages.
Question 3 of 5
A nurse is planning care for a 24-month-old child. Which of the following developmental characteristics should the nurse consider when planning care for the child?
Correct Answer: D
Rationale: Parallel play is typical at 24 months, where toddlers play beside but not with others. Questioning, sharing, and imaginary friends develop later.
Question 4 of 5
A nurse is collecting data from an adolescent who has hypocalcemia. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Muscle tremors result from increased neuromuscular excitability in hypocalcemia. Constipation and hypertension suggest hypercalcemia.
Extract:
Nurses Notes 1800
Left leg is in splint with elastic bandage. Left leg is elevated on two pillows Child rates pain as 7 on the FACES pain scale Bilateral pedal pulses are equal present, and strong. Toes are warm bilaterally with brisk capillary refill Left toes are swollen Child is able to move left toes upon request but is reluctant to move them and states, it hurts when I move them Left foot skin color is slightly lighter than the right foot. Informed consent signed by child's parent for open reduction internal fixation of left femur fracture after discussion with provider
Child remains NPO prior to surgery
A 20-gauge IV is infusing in the left antecubital with 5 dextrose
in 0.45% sodium chloride in fusing at 63 mls per continuous Infusion.
2000
Left leg is in splint with elastic bandage. Left leg is elevated on two pillows. Child is now crying and inconsolable. Rates pale as 10 on the FACES pain scale
Pedal pulse in the left leg is 1. Left toes are cool to touch.
capillary refill is greater than 3 seconds, toes remain swollen. Child refuses to move left toes due to pain. Reports sensation of pins and needles in left foot. Left foot skin color is slightly lighter than the right foot
Question 5 of 5
A nurse is assisting in the care of a 6 year old child who preoperative for repair of a fractured femur. For each finding, specify whether no change or worsening.
| Options | No changes in condition | Sign of potential worsening |
|---|---|---|
| Skin temperature | ||
| Capillary refill | ||
| Pedal pulse | ||
| Sensation | ||
| Swelling |
Correct Answer: A,B,C,D,E
Rationale: A (Worsening), B (Worsening), C (Worsening), D (Worsening), E (No change)