ATI LPN
ATI LPN Pediatrics nursing 2023 Questions
Extract:
Question 1 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: New lethargy in endocarditis suggests possible worsening or complications like embolism, requiring urgent assessment. Other findings are expected or less immediately critical.
Question 2 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: B
Rationale: Elevated total protein in CSF supports bacterial meningitis due to increased blood-brain barrier permeability. Decreased WBCs, elevated glucose, and low pressure contradict typical findings.
Question 3 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: A
Rationale: Lansoprazole is most effective 30 minutes before meals, reducing acid production. Sublingual use, frequent dosing, and chewing disrupt its intended action.
Question 4 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?
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 5 of 5
A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Rounded facial features ('moon face') are a hallmark of Cushing's syndrome due to cortisol-induced fat deposition. Weight gain, hypertension, and sleep disturbances are more typical than the other options.