ATI LPN
ATI PN Pediatrics nursing 2023 Questions
Extract:
Nurses' Notes
0930:
Child brought to the emergency department by their guardian who reports puffiness around their child's eyes, decreased appetite, and one episode of diarrhea. Guardian states, "I don't know what is going on. Last week they had a strep infection that was treated with antibiotics, and now this." Child has a history of heart murmur.
1000:
Upon data collection, the child is lethargic and pale for their genetic background. Lungs clear bilaterally, heart murmur noted, abdomen slightly distended and soft, bowel sounds normoactive Child voided 50 mL of tea-colored urine. The child reports that their head hurts and rates their pain as 10 on the FACES scale. Provider notified.
1030:
Blood obtained for laboratory study as prescribed.
Question 1 of 5
The nurse should identify that the child is at risk for ___ due to ___
Correct Answer: A
Rationale: Post-strep glomerulonephritis causes hematuria (tea-colored urine) and edema, matching findings.
Extract:
Nurses Notes 1800
Left leg is in splint with elastic bandage. Left leg is elevated on two pillows Child rates pain as 7 on the FACES pain scale Bilateral pedal pulses are equal present, and strong. Toes are warm bilaterally with brisk capillary refill Left toes are swollen Child is able to move left toes upon request but is reluctant to move them and states, it hurts when I move them Left foot skin color is slightly lighter than the right foot. Informed consent signed by child's parent for open reduction internal fixation of left femur fracture after discussion with provider
Child remains NPO prior to surgery
A 20-gauge IV is infusing in the left antecubital with 5 dextrose
in 0.45% sodium chloride in fusing at 63 mls per continuous Infusion.
2000
Left leg is in splint with elastic bandage. Left leg is elevated on two pillows. Child is now crying and inconsolable. Rates pale as 10 on the FACES pain scale
Pedal pulse in the left leg is 1. Left toes are cool to touch.
capillary refill is greater than 3 seconds, toes remain swollen. Child refuses to move left toes due to pain. Reports sensation of pins and needles in left foot. Left foot skin color is slightly lighter than the right foot
Question 2 of 5
A nurse is assisting in the care of a 6 year old child who preoperative for repair of a fractured femur. For each finding, specify whether no change or worsening.
| Options | No changes in condition | Sign of potential worsening |
|---|---|---|
| Skin temperature | ||
| Capillary refill | ||
| Pedal pulse | ||
| Sensation | ||
| Swelling |
Correct Answer: A,B,C,D,E
Rationale: A (Worsening), B (Worsening), C (Worsening), D (Worsening), E (No change)
Extract:
Question 3 of 5
A nurse is assisting with the care of an infant who has an upper respiratory infection and requires continuous oxygen saturation monitoring. On which of the following sites should the nurse plan to place the sensor?
Correct Answer: A
Rationale:
Toes provide reliable perfusion for pulse oximetry in infants, unlike fingers or ear lobes, which are less effective.
Question 4 of 5
A nurse is reinforcing teaching about the administration of an otic medication with the parent of a 2-year-old toddler. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Allowing the otic medication to reach room temperature before administration prevents discomfort like dizziness or nausea from cold drops. For a 2-year-old, the ear should be pulled downward and back, not upward, and the child should lie with the affected ear up after administration, not down.
Question 5 of 5
A nurse is caring for a toddler whose guardian reports multiple episodes of diarrhea. The provider suspects Clostridium difficile. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A stool specimen for culture confirms Clostridium difficile by detecting toxins A and B, which cause severe diarrhea. Blood cultures are for systemic infections, 'C. diff test' is vague, and occult blood tests don't diagnose C. difficile.