ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a 4-month-old infant who has intussusception. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Bloody 'currant jelly' stools are classic in intussusception due to intestinal ischemia. Edema, polyuria, and ascites aren't typical.
Extract:
Vital signs
Provider Prescriptions
Tympanic temperature 39.2° C (102/5 F)
Heart rate 64/min
Respiratory rate 30/min
Blood pressure 80/30 mm Hg
Oxygen saturation 96% on 0.5 L oxygen via nasal cannula
Weight 7.2 kg (15.9 lb)
Question 2 of 5
A nurse is preparing to administer medications to a 5-month-old infant. The nurse should delay the prescription for ___ due to the ___
Correct Answer: A
Rationale: Digoxin slows heart rate; a 5-month-old's 64 bpm is low (normal 90-160), requiring delay and provider consultation.
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 3 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)
Extract:
Question 4 of 5
A nurse is preparing to administer amoxicillin 80 mg/kg/day to divide equally every 8 hr to a preschooler who weighs 33 lb. Available is amoxicillin oral suspension 250 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: B
Rationale: 33 lb / 2.2 = 15 kg; 80 mg/kg/day × 15 kg = 1200 mg/day; 1200 mg / 3 doses = 400 mg/dose; 400 mg / (250 mg/5 mL) = 8 mL.
Question 5 of 5
A nurse is reinforcing teaching with a group of parents about adolescent suicide. Which of the following findings poses the highest risk of suicide completion in adolescents?
Correct Answer: B
Rationale: Bipolar disorder heightens suicide risk due to mood swings and impulsivity. Other factors contribute but aren't as directly linked.