ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Fever. Bacterial pneumonia commonly presents with fever due to the body's immune response to the infection. This is a classic sign of inflammation caused by the bacterial infection in the lungs. Steatorrhea (
B), tinnitus (
C), and dysphagia (
D) are not typical manifestations of bacterial pneumonia. Steatorrhea is associated with malabsorption disorders, tinnitus is often related to ear issues, and dysphagia is difficulty swallowing, which is not a common symptom of pneumonia.
Therefore, the nurse should expect fever as a key manifestation of bacterial pneumonia in the child.
Question 2 of 5
A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin. Which of the following findings should the nurse identify as an indication that the medication is effective?
Correct Answer: D
Rationale: The correct answer is D: Cessation of nocturnal enuresis. Desmopressin is a medication used to treat diabetes insipidus by decreasing urine output. Nocturnal enuresis is a common symptom of diabetes insipidus due to excessive urine production at night.
Therefore, the cessation of nocturnal enuresis indicates that the medication is effectively reducing urine output in the child.
Choices A, B, and C are unrelated to the effectiveness of desmopressin in treating diabetes insipidus.
Choice A, heart rate of 140/min, is not a specific indicator of desmopressin effectiveness.
Choice B, capillary refill of 3 seconds, is a measure of peripheral perfusion and not directly related to diabetes insipidus.
Choice C, absence of hypoglycemic episodes, is more relevant to diabetes mellitus and not diabetes insipidus.
Question 3 of 5
A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. Performing postural drainage prior to meals helps prevent aspiration of food or stomach contents during the procedure. Postural drainage is typically done 1-2 hours after meals to minimize the risk of aspiration. Holding the hand flat (
B) is incorrect as cupped hands are used for percussion to avoid injury. Administering a bronchodilator after (
C) can lead to increased mucous production. Performing the procedure twice daily (
D) is generally recommended, but the timing in relation to meals is crucial.
Question 4 of 5
A nurse is providing teaching about the administration of gastrostomy tube feedings to the parents of a school-age child. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Administer the feeding over 30 min. This instruction is important to prevent complications such as aspiration and dumping syndrome. Administering the feeding slowly over 30 minutes allows for proper digestion and absorption.
Choice B is incorrect because feeding bags and tubing should be changed every 24 hours to prevent bacterial growth.
Choice C is incorrect because the child should be placed in an upright position, not supine, after the feeding to reduce the risk of aspiration.
Choice D is incorrect because warming formula in the microwave can create hot spots and lead to burns.
Question 5 of 5
A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following activities should the nurse expect the child to participate?
Correct Answer: D
Rationale: The correct answer is D: Watching a cartoon in the activity room.
Toddlers with acute lymphocytic leukemia are often immunocompromised, making them susceptible to infections.
Therefore, activities that involve potential injury or exposure to germs, such as using scissors (choice
A) or playing with toys that cannot be easily cleaned (choice
B) should be avoided. Looking at alphabet flash cards (choice
C) may be mentally stimulating but does not address the safety concerns. Watching a cartoon in the activity room (choice
D) is a safe and enjoyable activity that can help keep the child entertained without posing a risk of injury or infection.