ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Rounded facial features ('moon face') are a hallmark of Cushing's syndrome due to cortisol-induced fat deposition. Weight gain, hypertension, and sleep disturbances are more typical than the other options.
Question 2 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 3 of 5
A nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Suctioning in 3-4 second increments minimizes airway trauma and hypoxia. A snug catheter, saline instillation, and clean technique are incorrect or risky for tracheostomy care.
Question 4 of 5
A nurse is assisting with the collection of a bone marrow specimen from a preschooler. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The posterior iliac crest is the typical site for bone marrow aspiration in children, and the prone position provides safe, stable access. Other positions do not effectively expose this site for the procedure.
Question 5 of 5
A nurse is assisting with the care of several clients. The nurse should identify that which of the following client conditions requires contact precautions?
Correct Answer: C
Rationale: Clostridium difficile spreads via contact with contaminated surfaces, necessitating contact precautions. Others require droplet precautions due to respiratory transmission.