ATI LPN
ATI LPN Pediatics Exam Questions
Extract:
Medical History
Nurses notes:
Vital Signs:
Laboratory results:
0900:
Temperature 36.8° C (98.2° F)
Heart rate 80/min
Respiratory rate 22/min
Blood pressure 102/78 mm Hg
SaO2 is 94% on room air
Question 1 of 5
Upon review of the child's electronic medical record (EMR), the nurse should determine the child is at risk for developing which of the following conditions? Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing Increased seizure activity pneumonia liver failure Steven-johnson syndrome pneumothorax due to phenytoin level cough skin rash liver enzymes lung sounds.
| Increased seizure activity |
| pneumonia |
| liver failure |
| Steven-johnson syndrome |
| pneumothorax |
Correct Answer: A
Rationale: The child's phenytoin level is 6 mcg/mL which is below the therapeutic range of 10-20 mcg/Ml, increasing the risk of more seizures.
Extract:
Question 2 of 5
A nurse is caring for a school-age child who has a fracture to the right femur. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Tingling (paraesthesia) can be a sign of nerve damage or compromised circulation which may indicate complications such as compartment syndrome. This is a priority finding because it can lead to severe consequences if not addressed promptly.
Question 3 of 5
A nurse on a pediatric unit is receiving a report from an assistive personnel (AP). Which of the following clients should the nurse plan to visit first?
Correct Answer: C
Rationale: A urine specific gravity of 1.002 indicates very dilute urine
Question 4 of 5
A nurse is collecting data from a child who has sickle disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Pain is the most common and significant symptom of a vaso-occlusive crisis in sickle cell disease.
Question 5 of 5
A nurse is reinforcing discharge instructions with a parent of a 6-year-old child who has just had a tonsillectomy. Which of the following statements by the parent indicates an understanding of postoperative care?
Correct Answer: D
Rationale: Continuous swallowing can indicate bleeding a serious complication that requires immediate medical attention.