ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a 24-month-old child. Which of the following developmental characteristics should the nurse consider when planning care for the child?
Correct Answer: D
Rationale: Parallel play is typical at 24 months, where toddlers play beside but not with others. Questioning, sharing, and imaginary friends develop later.
Extract:
Nurses Notes 1800
Left leg is in splint with elastic bandage. Left leg is elevated on two pillows Child rates pain as 7 on the FACES pain scale Bilateral pedal pulses are equal present, and strong. Toes are warm bilaterally with brisk capillary refill Left toes are swollen Child is able to move left toes upon request but is reluctant to move them and states, it hurts when I move them Left foot skin color is slightly lighter than the right foot. Informed consent signed by child's parent for open reduction internal fixation of left femur fracture after discussion with provider
Child remains NPO prior to surgery
A 20-gauge IV is infusing in the left antecubital with 5 dextrose
in 0.45% sodium chloride in fusing at 63 mls per continuous Infusion.
2000
Left leg is in splint with elastic bandage. Left leg is elevated on two pillows. Child is now crying and inconsolable. Rates pale as 10 on the FACES pain scale
Pedal pulse in the left leg is 1. Left toes are cool to touch.
capillary refill is greater than 3 seconds, toes remain swollen. Child refuses to move left toes due to pain. Reports sensation of pins and needles in left foot. Left foot skin color is slightly lighter than the right foot
Question 2 of 5
A nurse is assisting in the care of a 6 year old child who preoperative for repair of a fractured femur. For each finding, specify whether no change or worsening.
| Options | No changes in condition | Sign of potential worsening |
|---|---|---|
| Skin temperature | ||
| Capillary refill | ||
| Pedal pulse | ||
| Sensation | ||
| Swelling |
Correct Answer: A,B,C,D,E
Rationale: A (Worsening), B (Worsening), C (Worsening), D (Worsening), E (No change)
Extract:
Nurses Notes
0730
3-year-old toddler presents to the clinic with guardian. Guardian reports toddler woke up coughing and had a low-grade fever. Alert and restless in guardian's arms. Respirations easy, no cough noted
0800
Toddler became agitated. Hoarse cry noted with audible, inspiratory stridor, Barking non-productive cough present.
Question 3 of 5
The nurse identifies the parent is having difficulty discussing the metastasis of the cancer with their adolescent. The nurse should ___ and ___
Correct Answer: B, D
Rationale: Supporting the parent emotionally and suggesting a delay respects their role and timing, aiding effective communication.
Extract:
Question 4 of 5
A nurse at an urgent care clinic is caring for a child who hit her head on the playground 30 min ago. Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: Asymmetric pupils suggest brain injury or pressure, a priority over normal discharge, reflex, or a minor laceration.
Question 5 of 5
A nurse is preparing a child who has cystic fibrosis for chest physiotherapy. Which of the following times is appropriate for the nurse to administer bronchodilator therapy in relation to chest physiotherapy?
Correct Answer: C
Rationale: Bronchodilators immediately before physiotherapy open airways, enhancing mucus clearance. Other timings reduce effectiveness.