ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is collecting data from a school-age child who has erythema infectiosum (fifth disease). The nurse should expect the rash to appear on which area of the child's body first?
Correct Answer: A
Rationale: Fifth disease starts with a 'slapped cheek' rash on the face.
Question 2 of 5
A nurse is collecting data from an infant who has respiratory syncytial virus (RSV). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: RSV causes rhinorrhea, not vesicles, barrel chest, or clubbing.
Extract:
Nurses' Notes
Vital Signs
Medical History
Provider's Prescriptions
• 1100: Child presents to the ED via stretcher, transported by emergency medical services (EMS). EMS reports the school nurse notified them that the child began having difficulty breathing during lunch and started coughing and wheezing. Child appears anxious, sitting upright, and using accessory muscles to breathe. Lung auscultation reveals bilateral wheezing. Parent reports child has a history of asthma and has been using an albuterol inhaler more frequently over the past week.
Question 3 of 5
A nurse in the emergency department (ED) is assisting with the care of a 10-year-old child. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: A,B,C
Rationale: Asthma exacerbation fits symptoms. Albuterol relieves bronchospasm, oxygen saturation monitors breathing. PEFR and saturation track progress.
Extract:
Vital Signs
Nurses' Notes
Provider's Prescriptions
• Heart rate: 148/min
• Temperature: 37.6°C (99.6°F) axillary
• Respiratory rate: 28/min
• Oxygen saturation: 98% on room air
Question 4 of 5
A nurse is assisting in the care of an 8-month-old infant in the pediatric unit. Complete the diagram by dragging from the choices below to specify what condition the infant is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the infant's progress.
Correct Answer: A,B,C
Rationale: URI matches mild symptoms. Saline drops and hydration ease congestion. Respiratory rate and saturation monitor breathing.
Extract:
History and Physical
Vital Signs
Physical Examination Results
Diagnostic Results
Provider's Prescriptions
Nurses’ Notes
A male newborn weighing 4337 grams (9 lb 9 oz) was delivered via cesarean section approximately 1 hour ago at 39 weeks gestation due to cephalopelvic disproportion. Apgar scores were 8 at 1 minute and 9 at 5 minutes. Vitamin K was administered in the left vastus lateralis shortly after birth. No known maternal infections or complications were noted during the pregnancy. The mother tested negative for Group B Streptococcus, syphilis, and HIV. The newborn's gestational age assessment is consistent with full-term development.
Question 5 of 5
A nurse is caring for a newborn in the neonatal unit. Complete the diagram by dragging from the choices below to specify what condition the newborn is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the newborn's progress.
| Condition: A. Neonatal Abstinence Syndrome (NAS) B. Hypoglycemia C. Neonatal Sepsis D. Hyperbilirubinemia |
| Actions: A. Administer intravenous dextrose as prescribed. B. Encourage breastfeeding to promote glucose stability. C. Administer phototherapy. D. Administer calcium gluconate. E. Perform gastric lavage for feeding intolerance. |
| Parameters: A. Blood glucose levels. B. Serum bilirubin levels. C. Oxygen saturation. D. Muscle tone and reflexes. E. Serum calcium levels. |
Correct Answer: B,A,D
Rationale: Hypoglycemia fits low glucose. Dextrose and breastfeeding correct it. Glucose levels and tone track recovery.