ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is planning care for a toddler who was admitted for acute diarrhea. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: IV fluid therapy is the priority for severe dehydration in acute diarrhea when oral intake fails, restoring fluid balance quickly.
Question 2 of 5
A nurse is caring for a 10-year-old child who is terminally ill. The child's guardian and younger sibling are at the bedside. Which of the following statements should the nurse make to the guardian?
Correct Answer: C
Rationale: A 10-year-old understands death's permanence, and answering their questions supports them emotionally. Hiding grief or limiting sibling visits isolates the child.
Extract:
Nurses' Notes
0930:
Child brought to the emergency department by their guardian who reports puffiness around their child's eyes, decreased appetite, and one episode of diarrhea. Guardian states, "I don't know what is going on. Last week they had a strep infection that was treated with antibiotics, and now this." Child has a history of heart murmur.
1000:
Upon data collection, the child is lethargic and pale for their genetic background. Lungs clear bilaterally, heart murmur noted, abdomen slightly distended and soft, bowel sounds normoactive Child voided 50 mL of tea-colored urine. The child reports that their head hurts and rates their pain as 10 on the FACES scale. Provider notified.
1030:
Blood obtained for laboratory study as prescribed.
Question 3 of 5
The nurse should identify that the child is at risk for ___ due to ___
Correct Answer: A
Rationale: Post-strep glomerulonephritis causes hematuria (tea-colored urine) and edema, matching findings.
Extract:
Question 4 of 5
A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?
Correct Answer: A
Rationale: A hard-boiled egg is safe and nutritious, avoiding choking risks posed by raw carrots, grapes, and popcorn, which are hazards for toddlers due to their size and texture.
Question 5 of 5
A nurse in an urgent care clinic is contributing to the plan of care for a group of clients. The nurse should identify that which of the following clients will require parental consent prior to receiving treatment?
Correct Answer: C
Rationale: A biopsy typically requires parental consent for a 14-year-old, unlike STI testing, contraception, or prenatal care, which minors can often access independently.