ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is collecting data from an infant whose guardian reports worsening symptoms. The infant has a cough productive of very thick white mucus. Upon auscultation, wheezes are heard bilaterally on inspiration and expiration. Moderate substernal and subcostal retractions are noted. Mucous membranes are pink, and a large amount of clear to white nasal discharge is noted. Capillary refill is 2 to 3 seconds. The guardian states the infant has difficulty feeding, often vomits, and has not had a wet diaper for 8 hours. During coughing episodes, mucous membranes are cyanotic, and oxygen saturation decreases. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Administering oxygen therapy addresses hypoxemia from cyanosis and low saturation, the priority to prevent hypoxic injury. Hydration, positioning, and intubation are secondary.
Question 2 of 5
A nurse is caring for a child who is 3 days postoperative following a below-the-knee amputation of the left leg. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Inspecting for infection is the priority to prevent complications. Teaching, exercises, and positioning are secondary.
Question 3 of 5
A nurse is reviewing potential provider orders for a client with respiratory syncytial virus (RSV). Which of the following orders should the nurse anticipate?
Correct Answer: A,B,D
Rationale: Specimen confirms RSV, suctioning prevents aspiration, and oxygen maintains saturation. Albuterol and percussion are not standard RSV treatments.
Question 4 of 5
The nurse is assisting in planning care for the child. Which of the following interventions should the nurse plan to include?
Correct Answer: C
Rationale: Daily weights monitor fluid status, but seizure precautions are critical for safety in children at risk of seizures, involving padded rails and emergency readiness. BP every 8 hours and sodium restriction are not universally required unless specified.
Question 5 of 5
A nurse is preparing to administer medications to a child via a nasogastric tube. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Gravity flow is safe and effective. Crushing sustained-release, minimal flushing, or mixing medications risk efficacy and safety.