ATI PN Pediatrics Nursing Exam 2023

Extract:

Nurses' Notes
Provider Prescriptions
Vital Signs
Diagnostic Results
0930:
Child presents to ED with parents. Parents report child has had a fever for 2 days and cries during urination. Parents also report child has had to urinate frequently for the last 24 hr and is febrile and lethargic. Child is cooperative during light palpation and percussion of the costovertebral angle.
0945:
Provider notified of parental reports and fever. New prescriptions received.
1000:
Urine sample obtained via straight catheterization

Question 1 of 5

Complete the diagram by dragging from the choices below to specify what condition the child is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to check the child's progress.

Correct Answer: A,B

Rationale: Antibiotics treat pyelonephritis. B. Fluids flush bacteria. Urgency and urine odor monitor treatment efficacy.

Extract:

Question 2 of 5

A nurse is caring for a 10-year-old child who is terminally ill. The child's guardian and younger sibling are at the bedside. Which of the following statements should the nurse make to the guardian?

A. You should be prepared to answer your child's questions about dying.' B. Your child likely views death as temporary.' C. You should hide your grief as much as possible around your child.' D. You should limit visits between the siblings at this time.'

Correct Answer: A

Rationale: Prepares the guardian for honest, age-appropriate discussions. B. Incorrect for a 10-year-old's understanding. C, D hinder emotional support.

Question 3 of 5

A nurse is caring for an infant who is postoperative following repair of a cleft palate. Which of the following is an appropriate action by the nurse?

A. Gently cleanse the surgical site with sterile gauze. B. Place the infant in a supine position. C. Apply elbow immobilizers to both arms. D. Offer a pacifier with glucose syrup.

Correct Answer: C

Rationale: Immobilizers protect the surgical site. A, B, D risk disrupting healing.

Question 4 of 5

A nurse at an urgent care clinic is caring for a child who hit her head on the playground at school 30 min ago. Which of the following findings is the nurse's priority?

A. Nasal discharge negative for glucose B. Negative Babinski reflex C. Asymmetric pupils D. 2 cm (0.8 in) scalp laceration

Correct Answer: C

Rationale: Asymmetric pupils signal potential brain injury, the priority over A, B, D.

Question 5 of 5

A nurse is reinforcing teaching with a parent of a toddler about viral conjunctivitis. Which of the following information should the nurse include in the teaching?

A. Use a corticosteroid ointment until the infection subsides. B. Cleanse the eye by wiping downward and outward from the inner canthus. C. Apply the antibiotic eye ointment in the morning. D. Maintain continuous cool eye compresses.

Correct Answer: B

Rationale: Proper cleansing prevents spread. A, C are incorrect for viral infection; D isn't continuous.

ATI PN Pediatrics Nursing Exam 2023 | Nurselytic

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