ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
A complication of hemophilia is:
Correct Answer: B
Rationale: The correct answer is B: Hemoarthritis. Hemophilia is a bleeding disorder where blood does not clot properly. Hemoarthritis is a common complication, characterized by bleeding into joints leading to pain, swelling, and limited range of motion. Mucositis (
A) is inflammation of mucous membranes, not specific to hemophilia. Thrombocytopenia (
C) is a low platelet count, not directly related to hemophilia. Acute Chest Syndrome (
D) is a complication of sickle cell disease, not hemophilia.
Question 2 of 5
The nurse understands that the pathophysiology of a thermal injury includes (Select All that Apply):
Correct Answer: B,C
Rationale: The correct answers are B: Edema and C: Hypovolemia. Edema occurs due to increased capillary permeability after a thermal injury, leading to fluid leakage into tissues. Hypovolemia results from fluid shift out of the blood vessels into the injured tissues, causing decreased blood volume. Hematuria (
A) is not typically associated with thermal injuries. Anemia (
D) is a decrease in the number of red blood cells or hemoglobin, not a direct result of thermal injury.
Question 3 of 5
You are the nurse caring for a 3-year-old, 33-pound child on digoxin. The safe dose range for digoxin is 20-40 mcg/kg/day. The order is for digoxin to be given IV every 12 hours, what is the maximum safe single dose the child should receive?
Correct Answer: A
Rationale: The correct answer is A: 300 mcg.
To determine the maximum safe single dose, we first need to calculate the total daily safe dose range for the child. The child's weight is 33 pounds, which is approximately 15 kg (1 kg = 2.2 lbs). The safe dose range is 20-40 mcg/kg/day, so for a 15 kg child, the total daily safe dose range would be 300-600 mcg/day. Since the medication is given every 12 hours, the maximum safe single dose would be half of the total daily dose, which is 300 mcg. This ensures that the child stays within the safe dose range for digoxin.
Choice B (600 mcg) exceeds the maximum daily safe dose, choice C (660 mcg) exceeds the daily safe dose range, and choice D (1320 mcg) is way above the safe dose range for the child's weight.
Question 4 of 5
The emergency room nurse is caring for a patient with severe burns knows that the priority immediate intervention is which of the following?
Correct Answer: C
Rationale: The correct answer is C: Stop the burning process. This is the priority immediate intervention for a patient with severe burns because stopping the burning process helps prevent further tissue damage. It involves removing the patient from the source of the burn, extinguishing any flames, and cooling the burn with water. This action is crucial in minimizing the extent of the injury and improving outcomes.
A: Covering the burns to prevent infection is important but not the immediate priority.
B: Providing anti-inflammatory medication can be considered later but is not the primary immediate intervention.
D: Providing anti-cyanide medication is not relevant for severe burns.
Question 5 of 5
A nurse is performing education for the guardians of an HIV positive teen. Which statement indicates the need for further teaching?
Correct Answer: C
Rationale: The correct answer is C. It is not necessary to inform the school about the teen's HIV infection due to confidentiality laws protecting the teen's privacy. Revealing this information could lead to stigma and discrimination. The other statements are all important for the teen's health and well-being. A: Normal growth and development are crucial for overall health. B: Adherence to antiretroviral therapy is necessary to manage the HIV infection. D: Annual flu shots are recommended to prevent complications.