ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is preparing a child who has suspected bacterial meningitis for a lumbar puncture. Which of the following cerebrospinal fluid findings supports the diagnosis?
Correct Answer: D
Rationale: Bacterial meningitis increases CSF pressure, WBCs, and protein while decreasing glucose. Elevated protein supports the diagnosis.
Question 2 of 5
A nurse is reinforcing teaching with an adolescent who has a prescription for tretinoin topical for the treatment of acne. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Waiting longer ensures dry skin. Amount varies by area. Sunscreen prevents photosensitivity, critical with tretinoin. Night application is standard.
Question 3 of 5
A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?
Correct Answer: A
Rationale: Lethargy in endocarditis signals potential worsening, requiring urgent assessment. Other findings are expected or chronic.
Question 4 of 5
A nurse is reinforcing teaching with a parent of a child who has gastroesophageal reflux disease and a new prescription for lansoprazole capsules. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: Chewing destroys lansoprazole's coating. Sublingual use is incorrect. Four times daily exceeds typical dosing. Administering 30 minutes before breakfast optimizes acid reduction.
Question 5 of 5
A nurse is contributing to the plan of care for an infant who has heart failure. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Bolus feedings risk aspiration. Feedings every 3 hours balance nutrition and heart load. Lateral positioning risks aspiration. Diluting formula causes nutritional deficits.