ATI LPN
ATI PN Pediatrics Nursing Exam 2023 Questions
Extract:
Vital Signs
Physical Examination
Medical History
Nurses' Notes
2300:
Temperature 37° C (97.9° F) Apical pulse rate 170/min Respiratory rate 62/min
Blood pressure 85/50 mm Hg
Sao, 95% on oxygen via nasal cannula at 2 L/min
Weight 5,440 g (12 lb)
2315:
Temperature 37° C (97.9° F)
Apical pulse rate 168/min
Respiratory rate 62/min
Blood pressure 86/52 mm Hg
SaO, 95% on oxygen via nasal cannula at 2 U/min
Question 1 of 5
For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the infant.
| Options | Anticipated | Contraindicated |
|---|---|---|
| Maintain infant on continuous pulse oximetry. | ||
| Prepare the infant for a chest x-ray. | ||
| Initiate a peripheral IV line. | ||
| Maintain infant in supine position. | ||
| Offer small, frequent feedings. | ||
| Monitor intake and output. |
Correct Answer: A, B, C, E, F
Rationale: A, B, C, E, F monitor or treat respiratory distress. D is contraindicated due to aspiration risk in upright-preferring infants.
Extract:
Vital Signs
Medical History
0800:
Tympanic temperature 39° C (102.2° F)
Heart rate 150/min
Respiratory rate 40/min
Blood pressure 105/60 mm Hg
1200:
Tympanic temperature 38.5° C (101.3° F)
Heart rate 140/min
Respiratory rate 38/min
Blood pressure 102/50 mm Hg
Question 2 of 5
The nurse should plan to clarify the prescription for
Correct Answer: D
Rationale: Ceftriaxone is contraindicated due to cephalosporin allergy; clarification ensures safety.
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 3 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 4 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?
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 5 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?
Correct Answer: C
Rationale: Immobilizers protect the surgical site. A, B, D risk disrupting healing.