ATI PN Pediatrics Nursing 2023 II

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?

A. Administer oxygen therapy. B. Encourage oral hydration. C. Place the infant in an upright position. D. Prepare for emergency intubation.

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 collecting data from a 15-month-old toddler. Which of the following findings should the nurse expect?

A. Turns two pages in a book at a time. B. Throws a ball overhead without falling. C. Drinks independently from a cup. D. Refers to themselves by their first name.

Correct Answer: C

Rationale: Drinking independently from a cup is typical at 15 months, reflecting motor and cognitive skills. Other options exceed or fall short of this age's milestones.

Question 3 of 5

A nurse is evaluating teaching about infection control with the caregiver of a school-age child who has rubella. Which of the following statements by the caregiver indicates an understanding of the teaching?

A. I will take my child for a walk in the hallway today.' B. I will contact my pregnant friend who visited my child a day before the rash appeared.' C. I won't send my child to school for seven days after the rash disappears.' D. I will keep my child's door closed when I visit.'

Correct Answer: C

Rationale: Keeping the child home for 7 days after the rash disappears follows rubella isolation guidelines, preventing spread. Other options risk transmission.

Question 4 of 5

A nurse is collecting data from a 15-month-old toddler. Which of the following findings should the nurse expect?

A. Turns two pages in a book at a time. B. Throws a ball overhead without falling. C. Drinks independently from a cup. D. Refers to themselves by their first name.

Correct Answer: C

Rationale: Drinking independently aligns with 15-month milestones. Turning pages, overhead throwing, and self-naming develop later or earlier.

Question 5 of 5

A nurse is caring for a 16-year-old adolescent who requires consent for treatment of an STI. Which of the following individuals can give informed consent?

A. The adolescent. B. The adolescent's guidance counselor. C. The medical care provider. D. An adult relative.

Correct Answer: A

Rationale: Adolescents can consent to STI treatment in many jurisdictions to ensure access and confidentiality, appropriate for a 16-year-old.

ATI PN Pediatrics Nursing 2023 II | Nurselytic

Nurselytic

ATI LPN

ATI LPN