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ATI PN Pediatric Nursing 2023 (I)

LPN - Nursing Exam(s) 25 Questions 🔒 Premium Content

PN Pediatrics

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Q1: A nurse is assisting with the care of a preschooler who is postoperative following tetralogy of Fallout correction. Which of the following manifestations indicates the child is possibly experiencing decreased cardiac output?

Answer Choices:

A. Capillary refill 2 seconds
B. Blood pressure 112/66 mm Hg
C. Extremities warm to touch
D. Diminished pulses
Correct Answer: Diminished pulses
Rationale:

💠 Diminished peripheral pulses are an early sign of decreased cardiac output after cardiac surgery.

💠 Adequate cardiac output should maintain strong, palpable peripheral pulses in all extremities.

💠 Weak pulses suggest poor perfusion to tissues, requiring urgent evaluation.

💠 Other signs of decreased output include hypotension, delayed capillary refill, and cool extremities.

💠 Early detection is critical to prevent cardiovascular collapse.

Q2: A nurse is caring for a school-age child who has a new prescription for continuous pulse oximetry monitoring. Which of the following actions should the nurse take?

Answer Choices:

A. Tape the wire to the palm of the hand.
B. Apply the sensor to the index fingernail.
C. Warm the skin prior to probe placement.
D. Reposition the probe every 2 hr
Correct Answer: Reposition the probe every 2 hr
Rationale:

🔅 Frequent repositioning of the pulse oximetry probe prevents skin breakdown and false readings.

🔅 Prolonged probe placement can cause pressure injuries or sensor burn in pediatric clients.

🔅 Rotating probe sites maintains accurate oxygen saturation monitoring.

🔅 Pediatric patients have delicate skin, requiring extra care.

🔅 Monitoring ensures early detection of hypoxemia and necessary interventions.

Q3: A nurse is preparing to perform suctioning for an infant who has a partial mucus occlusion of her tracheostomy tube. Which of the following actions should the nurse plan to take?

Answer Choices:

A. Use clean technique when performing suctioning.
B. Instill 2 mL of 0.9% sodium chloride prior to suctioning.
C. Apply suction in 3 to 4 second increments.
D. Select a catheter that fits snugly into the tracheostomy tube.
Correct Answer: Apply suction in 3 to 4 second increments.
Rationale:

✨ Short-duration suctioning minimizes the risk of hypoxia, mucosal trauma, and vagal stimulation.

✨ Infants are at a higher risk of desaturation and bradycardia during prolonged suctioning.

✨ 3 to 4 second increments allow effective mucus removal without compromising oxygenation.

✨ Suctioning must be efficient, gentle, and quick in infants.

✨ Adequate technique supports patent airway maintenance and quicker recovery.

Q4: A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison Ivy 1 hr ago. Which of the following actions should the nurse take first?

Answer Choices:

A. Flush the area with cold, running water.
B. Sommnister an oral corticosteroid.
C. Apply calamine lotion to the affected area.
D. instruct the parent to give the child an oatmeal bath tice daily.
Correct Answer: Flush the area with cold, running water.
Rationale:

🔺 The first priority after poison ivy exposure is decontamination.

🔺 Cold running water removes plant oils before they bind deeply into the skin.

🔺 Early flushing reduces the severity and spread of dermatitis.

🔺 Additional treatments like corticosteroids are secondary to immediate washing.

🔺 Proper early action minimizes long-term irritation and complications.

Q5: A nurse is collecting data from an adolescent client who is hypoglycemic. Which of the following findings should the nurse expect?

Answer Choices:

A. Thirst
B. Fruity breath odor
C. Headache
D. Flushed skin
Correct Answer: Headache
Rationale:

⏩ Hypoglycemia commonly presents with neurogenic symptoms such as headache and shakiness.

⏩ Lack of glucose leads to cerebral dysfunction, causing headache in children.

⏩ Other symptoms may include sweating, irritability, and confusion.

⏩ Prompt recognition and glucose replacement are essential for preventing seizures.

⏩ Fruity breath and thirst are more associated with hyperglycemia, not hypoglycemia.

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Exam Details
Total Questions: 25 practice questions
Category: LPN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: PEDIATRICS PN
Last Updated: Dec 01, 2025
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