ATI LPN
ATI PN Pediatrics Nursing 2023 II Questions
Extract:
Question 1 of 5
A nurse is receiving a change-of-shift report for a group of clients. Which of the following clients should the nurse plan to see first?
Correct Answer: C
Rationale: New lethargy in endocarditis signals potential worsening, requiring urgent assessment. Weak pulses, elevated ESR, and lip erythema are expected or less acute.
Question 2 of 5
A nurse is assisting with the care of a school-age child who has shigella. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Oral rehydration prevents dehydration in shigella. High sodium worsens imbalance, antidiarrheals prolong infection, and antivirals are ineffective against bacteria.
Question 3 of 5
A nurse is collecting data from an infant who has respiratory syncytial virus (RS). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Rhinorrhea is common in RSV due to upper respiratory inflammation. Vesicles relate to varicella, barrel chest to chronic conditions, and clubbing to prolonged hypoxia, none of which are typical in acute RSV.
Question 4 of 5
A nurse is collecting data from an adolescent client 24 hours after surgery. Which of the following findings should the nurse report to the primary health care provider?
Correct Answer: C
Rationale: Increased weight-bearing ability on the affected leg is typically an expected finding, especially as the client begins to recover postoperatively. Enhanced weight-bearing suggests improving strength, mobility, and healing in the affected limb. It does not usually indicate complications. Warmth extending from the left calf to the knee could indicate localized inflammation or infection, but without additional findings like swelling or pain, it's less urgent. A temperature of 38.8° C (101.8° F) suggests a possible systemic infection, such as a postoperative wound infection, and must be reported promptly for evaluation to prevent complications like sepsis. Itching in bilateral antecubital spaces may indicate a mild allergic reaction or irritation but is not urgent unless accompanied by severe symptoms.
Question 5 of 5
A nurse is reinforcing teaching with an adolescent client who has a new diagnosis of lactose intolerance. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Rice milk is lactose-free, suitable for intolerance. Increasing lactose worsens symptoms, orange juice is safe, and flavored yogurt still has lactose.