ATI LPN
ATI PN Pediatrics nursing 2023 III Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a vaccine to a toddler. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Massaging risks irritation. Aspiration is unnecessary. Consent ensures legal and ethical administration.
Question 2 of 5
A nurse in a clinic is speaking with a parent of a 1-year-old toddler who received her scheduled immunizations 1 hour ago. Which of the following findings reported by the parent is the nurse's priority?
Correct Answer: D
Rationale: Mild fever and reduced appetite are common. Injection site pain is expected. Swelling around eyelids and mouth suggests anaphylaxis, requiring immediate attention.
Question 3 of 5
A nurse is collecting data from an infant. Which of the following areas should the nurse palpate to check for an inguinal hernia?
Correct Answer: A
Rationale: Palpating the groin area detects inguinal hernias, where intestines protrude through abdominal muscles. The abdomen, lower back, and upper thigh are not specific sites for this condition.
Extract:
History and Physical
Vital Signs
Physical Examination Results
Diagnostic Results
Provider's Prescriptions
Nurses’ Notes
A male newborn weighing 4337 grams (9 lb 9 oz) was delivered via cesarean section approximately 1 hour ago at 39 weeks gestation due to cephalopelvic disproportion. Apgar scores were 8 at 1 minute and 9 at 5 minutes. Vitamin K was administered in the left vastus lateralis shortly after birth. No known maternal infections or complications were noted during the pregnancy. The mother tested negative for Group B Streptococcus, syphilis, and HIV. The newborn's gestational age assessment is consistent with full-term development.
Question 4 of 5
A nurse is caring for a newborn in the neonatal unit. Complete the diagram by dragging from the choices below to specify what condition the newborn is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the newborn's progress.
| Condition: A. Neonatal Abstinence Syndrome (NAS) B. Hypoglycemia C. Neonatal Sepsis D. Hyperbilirubinemia |
| Actions: A. Administer intravenous dextrose as prescribed. B. Encourage breastfeeding to promote glucose stability. C. Administer phototherapy. D. Administer calcium gluconate. E. Perform gastric lavage for feeding intolerance. |
| Parameters: A. Blood glucose levels. B. Serum bilirubin levels. C. Oxygen saturation. D. Muscle tone and reflexes. E. Serum calcium levels. |
Correct Answer: B,A,D
Rationale: Hypoglycemia fits low glucose. Dextrose and breastfeeding correct it. Glucose levels and tone track recovery.
Extract:
Question 5 of 5
For each finding, click to specify if the finding is consistent with Acute laryngotracheobronchitis or pertussis. Each finding may support more than one disease process or none at all.
| Options | Acute laryngotracheobronchitis | Pertussis |
|---|---|---|
| Characteristics of cough | ||
| Age | ||
| Temperature |
Correct Answer: A,B,C
Rationale: A. Barking cough fits laryngotracheobronchitis; whooping fits pertussis. B. Pertussis is more common in certain ages, notably infants. C. Fever aligns with laryngotracheobronchitis inflammation.