ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical records of a group of clients. Which of the following findings should the nurse report to local authorities?
Correct Answer: C
Rationale: Spiral fractures in non-ambulatory infants suggest abuse, requiring mandatory reporting. Sibling rivalry, incontinence, and bedbugs don't mandate reporting.
Question 2 of 5
A nurse is caring for an adolescent client who has a fractured right tibia and a cast. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Cool toes indicate possible circulation issues like compartment syndrome, needing urgent reporting. Mild pain, itching, and swelling are less critical.
Extract:
Nurses notes
Vital Signs
Infant presents with difficulty in breathing. Lung sounds clear but with increased work of breathing noted. No cyanosis or retractions observed at this time. Infant appears alert but fatigued.
Question 3 of 5
A nurse is assisting with the care of a 5 month-old infant who was just admitted to the pediatric unit. For each potential provider's prescription, specify if anticipated or contraindicated.
| Provider prescription | Anticipated | Contraindicated |
|---|---|---|
| Maintain infant on continuous pulse oximetry. | ||
| Maintain infant in supine position. | ||
| Offer small, frequent feedings. | ||
| Monitor intake and output. | ||
| Initiate a peripheral IV line. | ||
| Prepare the infant for a chest x-ray. |
Correct Answer: A,B,C,D,E,F
Rationale: Pulse oximetry, supine position, monitoring I&O, IV line, and chest x-ray are anticipated for respiratory distress. Small, frequent feedings are contraindicated due to fatigue and breathing difficulty.
Extract:
Nurses Notes
0730
3-year-old toddler presents to the clinic with guardian. Guardian reports toddler woke up coughing and had a low-grade fever. Alert and restless in guardian's arms. Respirations easy, no cough noted
0800
Toddler became agitated. Hoarse cry noted with audible, inspiratory stridor, Barking non-productive cough present.
Question 4 of 5
A nurse in a clinic is assisting with the care of a 3-year-old toddler. For each finding, specify if consistent with acute laryngotracheobronchitis or pneumonia.
| Finding | Acute laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Fever | ||
| Stridor | ||
| Type of cough | ||
| Irritability |
Correct Answer: A (Both), B (Laryngotracheobronchitis), C (Laryngotracheobronchitis), D (Both)
Rationale: Fever and irritability occur in both; stridor and barking cough are specific to laryngotracheobronchitis, not pneumonia.
Extract:
Question 5 of 5
A nurse is preparing to administer an enteral feeding to a preschooler who has a nasogastric tube. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Elevating the bed to 45 degrees prevents aspiration and aids digestion. Cold formula causes discomfort, 3 mL/min is too slow, and discarding residuals risks electrolyte loss unless excessive.