ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Poor muscle tone is expected due to malnutrition in failure to thrive. Eye contact and stranger anxiety are normal, and weight is typically below the 5th percentile.
Question 2 of 5
A nurse is preparing to administer recommended immunizations to an 11-year-old child who is up-to-date with current immunizations. Which of the following immunizations should the nurse plan to administer?
Correct Answer: B
Rationale: HPV is recommended at 11-12 years. Hepatitis A, rotavirus, and Hib are earlier or not routine at this age.
Question 3 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 4 of 5
A nurse is collecting data from a 15-month-old toddler. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Drinking independently from a cup is typical at 15 months, reflecting motor and cognitive skills. Other options exceed or fall short of this age's milestones.
Question 5 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: C
Rationale: Keeping the child home for 7 days after the rash disappears follows rubella isolation guidelines, preventing spread. Other options risk transmission.