ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 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?
Correct Answer: A
Rationale: Isolation for 7 days after rash disappearance prevents rubella spread. Walking, contacting pregnant friends, or just closing the door risks transmission.
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: C
Rationale: Increased pulse compensates for hypovolemia in dehydration. BP decreases, fontanels sink, and veins collapse, not distend, with dehydration.
Question 3 of 5
A nurse is assessing a 4-year-old client admitted to the pediatric unit for respiratory distress. Which of the following findings should be addressed immediately?
Correct Answer: A
Rationale: Stridor during inspiration indicates an upper airway obstruction, requiring immediate attention to prevent severe hypoxia or respiratory failure. A wet, productive cough suggests a lower respiratory issue but is less urgent. A fever of 38.5°C (101.3°F) is concerning but not immediately life-threatening. Irritability is nonspecific and less critical than stridor.
Question 4 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 5 of 5
A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hour after their curfew. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Reassuring it's not their fault reduces guilt, supporting emotional recovery. Judging parents, promising confidentiality (against reporting laws), or speculating risks distress.