ATI LPN
ATI PN Pediatrics Nursing Exam 2023 Questions
Extract:
Question 1 of 5
The nurse identifies the parent is having difficulty discussing the metastasis of the cancer with their adolescent. The nurse should
Correct Answer: C,E
Rationale: A child life specialist can help navigate this discussion. E. Teaching about emotional responses prepares the parent. Others are incorrect: withholding results or emotions hinders trust, and hospice isn't indicated yet.
Extract:
Vital Signs
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 2 of 5
The nurse is reviewing the collected data. For each finding, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than 1 disease process.
| Options | Acute Laryngotracheobronchitis | Pneumonia |
|---|---|---|
| Type of cough | ||
| Irritability | ||
| Fever | ||
| Stridor |
Correct Answer: A,B,C,D
Rationale: Barking cough is specific to croup. B. Irritability can occur in both due to discomfort. C. Fever is common in both infections. D. Stridor is characteristic of croup, not typical in pneumonia.
Extract:
Vital Signs
History and Physical
Laboratory Results
Provider Prescriptions
Medication Administration Record
Weight 30 kg (66 lb)
Temperature 38.6°C (101.5°F)
Heart rate 124/min
Respiratory rate 26/min
Oxygen saturation 95% on 2 L oxygen via nasal cannula
Question 3 of 5
The nurse should clarify the child's prescription of
Correct Answer: B
Rationale: Hyperkalemia (6.2 mEq/L) contraindicates additional potassium; clarification is needed. Others align with respiratory or digestive conditions and don't conflict with findings.
Extract:
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the infant is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters where the nurse should collect data to monitor the infant's progress.
Correct Answer: A,E
Rationale: Measuring head circumference monitors for increased intracranial pressure. E. Antibiotics may treat an underlying infection. Behavioral changes and pupillary response assess neurological status.
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 5 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.