ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a school-age child who has autism and is scheduled for surgery. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: TV risks overstimulation. Minimal contact respects sensory needs. Shared rooms and forced eye contact may distress.
Question 2 of 5
A nurse is caring for a toddler who has been vomiting for the past 8 hours. Which of the following findings indicates to the nurse that the child is dehydrated?
Correct Answer: A
Rationale: Tachycardia indicates dehydration. BP may drop, veins collapse, and fontanel sinks in dehydration.
Question 3 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 4 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 5 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.