ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a school-age child who has hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Lethargy reflects slowed metabolism in hypothyroidism. Diarrhea and tachycardia suggest hyperthyroidism, and hirsutism isn't typical.
Question 2 of 5
A nurse is preparing to administer an enteral feeding to a preschooler who has a nasogastric tube. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Elevating the bed to 45 degrees prevents aspiration and aids digestion. Cold formula causes discomfort, 3 mL/min is too slow, and discarding residuals risks electrolyte loss unless excessive.
Extract:
History and Physical
Vital signs
Lab Results
Cystic fibrosis
Blood-streaked sputum
Foul-smelling fatty stools
Productive cough, crackles throughout lung fields
Question 3 of 5
A nurse is assisting with the care of a 15-year-old adolescent who has Streptococcus pneumonia. How should the nurse interpret the findings 24 hr later?
| Findings 24 Hr Later | Unrelated to diagnosis | Indication of potential improvement | Indication of potential worsening of the condition |
|---|---|---|---|
| Steatorrhea | |||
| Barrel chest | |||
| Respiratory rate 32/min | |||
| WBC count 17,000/mm3 | |||
| Hemoptysis 300 | |||
| Oxygen saturation 45% on 1 L oxygen via nasal cannula |
Correct Answer: A,B,C,D,E,F
Rationale: Steatorrhea and barrel chest relate to cystic fibrosis, not pneumonia. High respiratory rate, WBC, hemoptysis, and low O2 saturation indicate worsening pneumonia.
Extract:
Question 4 of 5
A nurse is preparing a child who has cystic fibrosis for chest physiotherapy. Which of the following times is appropriate for the nurse to administer bronchodilator therapy in relation to chest physiotherapy?
Correct Answer: C
Rationale: Bronchodilators immediately before physiotherapy open airways, enhancing mucus clearance. Other timings reduce effectiveness.
Question 5 of 5
A nurse is caring for a school-age child who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Padding under the head prevents injury during a seizure. Restraining, magnesium, or tongue blades risk harm or are inappropriate.