ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting growth and development data from a 5-year-old child during a well-child visit. Which of the following statements by the parent indicates the child's cognitive and language skills require further investigation?
Correct Answer: A
Rationale: At 5, children should use 5-6 word sentences; 3-4 words suggest a language delay needing evaluation. Other skills are age-appropriate.
Question 2 of 5
A nurse is reinforcing teaching with the guardian of a toddler who has conjunctivitis. Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: B
Rationale: Using a separate washcloth prevents infection spread, critical for contagious conjunctivitis. Other methods risk worsening or misapply treatment.
Question 3 of 5
A nurse in a family practice clinic is collecting data from a school-age child. Which of the following behavioral findings should the nurse identify as a possible indication of sexual abuse?
Correct Answer: B
Rationale: Withdrawn behavior is a common sign of sexual abuse, reflecting fear or shame. Destructive, manipulative, or perfectionistic behaviors may indicate other issues but aren't primary abuse indicators.
Extract:
History and Physical
Vital signs
Lab Results
Cystic fibrosis
Blood-streaked sputum
Foul-smelling fatty stools
Productive cough, crackles throughout lung fields
Question 4 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 5 of 5
A nurse is reinforcing teaching about laboratory testing with an adolescent who has suspected juvenile idiopathic arthritis. Which of the following laboratory tests should the nurse include?
Correct Answer: D
Rationale: ESR measures inflammation, key in diagnosing and monitoring juvenile idiopathic arthritis. Other tests assess unrelated functions.