ATI PN Pediatrics Nursing 2023 II

Extract:

Question 1 of 5

A nurse is talking privately with an adolescent who has disclosed that their facial fractures are the result of their punishment for coming home 1 hour after their curfew. Which of the following responses should the nurse make?

A. It is not your fault that this happened to you.'B. Your parent was wrong to hit you for coming home late.'C. I won't tell anyone else about this unless you say it's okay.'D. I'm guessing your other parent did not do anything to stop this from happening.'

Correct Answer: A

Rationale: Reassuring it's not their fault reduces guilt, supporting emotional recovery. Judging parents, promising confidentiality (against reporting laws), or speculating risks distress.

Question 2 of 5

A nurse is reinforcing teaching with the guardians of a toddler who has cystic fibrosis. Which of the following diets should the nurse recommend for the toddler?

A. Low carbohydrate, high fat.B. High protein, high calorie.C. Moderate protein, low calorie.D. High fat, low protein.

Correct Answer: B

Rationale: High-protein, high-calorie diets meet increased metabolic demands and counter malabsorption in cystic fibrosis, supporting growth and immunity.

Question 3 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?

A. A toddler who has coarctation of the aorta and weak pedal pulses.B. A school-age child who has rheumatic fever and an increased erythrocyte sedimentation rate.C. A school-age child who has endocarditis and a new onset of lethargy.D. A toddler who has Kawasaki disease and erythema of the lips.

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 4 of 5

A nurse is preparing to collect data from a toddler during a well-child visit. Which of the following actions should the nurse plan to take?

A. Allow the toddler to inspect the stethoscope.B. Perform traumatic procedures first.C. Remove the toddler's outer clothing.D. Discourage the toddler from sitting in the parent's lap.

Correct Answer: A

Rationale: Inspecting the stethoscope reduces fear, aiding cooperation. Traumatic procedures first, early clothing removal, or discouraging lap-sitting increase anxiety.

Question 5 of 5

A nurse is reviewing potential provider orders for a client with respiratory syncytial virus (RSV). Which of the following orders should the nurse anticipate?

A. Obtain a nasopharyngeal specimen for RSV antigen.B. Provide sterile nasopharyngeal suctioning prior to feedings.C. Administer nebulized albuterol sulfate every 4 hours.D. Provide oxygen via nasal cannula to maintain SaO2 above 90%.E. Perform bilateral chest percussion and drainage every 4 hours.

Correct Answer: A,B,D

Rationale: Specimen confirms RSV, suctioning prevents aspiration, and oxygen maintains saturation. Albuterol and percussion are not standard RSV treatments.

ATI PN Pediatrics Nursing 2023 II | Nurselytic

Nurselytic

ATI LPN

ATI LPN