ATI LPN Pediatrics nursing 2023

Extract:

Question 1 of 5

A nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take?

A. Select a catheter that fits snugly into the tracheostomy tube. B. Instill 2 mL of 0.9% sodium chloride prior to suctioning. C. Apply suction in 3 to 4 second increments. D. Use clean technique when performing suctioning.

Correct Answer: C

Rationale: Suctioning in 3-4 second increments minimizes airway trauma and hypoxia. A snug catheter, saline instillation, and clean technique are incorrect or risky for tracheostomy care.

Question 2 of 5

A nurse is collecting data from a 2-year-old toddler during a well-child visit. For which of the following findings should the nurse notify the provider?

A. Complete eruption of six teeth B. Use of two-word or three-word phrases C. Builds a tower of six to seven cubes D. Picks up object without falling

Correct Answer: A

Rationale: Only six teeth at age 2 indicates a developmental delay, as most children have 16 teeth by this age. Other findings align with normal 2-year-old milestones.

Question 3 of 5

A nurse is assisting with the care of an adolescent client who is in skeletal traction for the treatment of a fractured femur. Which of the following actions should the nurse take?

A. Perform passive range-of-motion exercises to the affected extremity every 2 hr. B. Apply protective padding to the end of the pin sites. C. Reduce intake of foods containing fiber while nonambulatory. D. Gently lift the traction weights off the floor when repositioning the client.

Correct Answer: B

Rationale: Padding pin sites prevents pressure injuries and infection, crucial in traction care. ROM frequency, fiber reduction, and lifting weights are incorrect or contraindicated.

Question 4 of 5

A nurse is caring for a school-age child who has a new prescription for continuous pulse oximetry monitoring. Which of the following actions should the nurse take?

A. Reposition the probe every 2 hr. B. Tape the wire to the palm of the hand. C. Apply the sensor to the index fingernail. D. Warm the skin prior to probe placement.

Correct Answer: D

Rationale: Warming the skin improves circulation for accurate pulse oximetry readings, especially in children. Frequent repositioning, taping to the palm, or nail placement are less effective or incorrect.

Question 5 of 5

A nurse is collecting data from a 9-month-old infant. Which of the following developmental findings should the nurse expect?

A. Crude pincer grasp B. Shakes head for 'no' C. Uses two-word phrases D. Builds a four-block tower

Correct Answer: A

Rationale: A crude pincer grasp is a milestone at 9 months, reflecting fine motor development. Shaking head for 'no,' two-word phrases, and four-block towers occur later in development.

ATI LPN Pediatrics nursing 2023 | Nurselytic

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