ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infections?
Correct Answer: B
Rationale: The correct answer is B: Bedside commode. This item can harbor bacteria and pathogens if not properly cleaned and sanitized, leading to healthcare-associated infections. Disposable diapers (
A) are single-use and unlikely to cause infections. Protective plastic gowns (
C) are meant to prevent infections. Unopened bottles of formula (
D) are sterile and not a common source of infections.
Question 2 of 5
A nurse is caring for a group of toddlers receiving digoxin therapy. For which of the following clients should the nurse plan to hold the dose of digoxin?
Correct Answer: D
Rationale: The correct answer is D because vomiting can lead to decreased absorption of digoxin, potentially resulting in subtherapeutic levels. Holding the dose in this situation prevents giving an ineffective dose. Option A is incorrect because an apical pulse of 100 bpm is within the normal range for toddlers on digoxin. Option B is incorrect because a potassium level of 4.0 mEq/L is also within the normal range. Option C is incorrect because a digoxin level of 1.2 ng/mL falls within the therapeutic range.
Question 3 of 5
A nurse is assessing a 7-year-old child who has diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: C
Rationale: The correct answer is C: Shakiness. Hypoglycemia in a child with diabetes can lead to a decrease in blood sugar levels, causing symptoms like shakiness due to the body's response to low glucose levels. Increased capillary refill (
A) is not typically associated with hypoglycemia. Thirst (
B) is more commonly seen in hyperglycemia. Decreased appetite (
D) can be a symptom of hypoglycemia, but shakiness is a more specific indicator.
Question 4 of 5
A nurse is assessing a school-age child who is receiving prednisone. For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Prolonged wound healing. Prednisone is a corticosteroid that can suppress the immune system and delay wound healing due to its anti-inflammatory effects. The nurse should monitor for this adverse effect by assessing the child's wounds regularly for signs of slow or impaired healing. Renal failure (
A) is not a common adverse effect of prednisone. Stevens-Johnson syndrome (
B) is a severe skin reaction usually caused by medications but is not typically associated with prednisone. Hypotension (
D) is not a common adverse effect of prednisone and is more commonly associated with other medications or conditions.
Question 5 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding the infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Continue breastfeeding. Breast milk is the ideal source of nutrition for infants under one year old. It provides essential nutrients and antibodies that support the infant's growth and immune system. Goat milk is not recommended as a substitute for breast milk or infant formula due to its different nutrient composition. Continuing breastfeeding will ensure the infant receives the necessary nutrients for proper development.
Choice B is incorrect as warming the goat milk does not address the issue of inadequate nutrition.
Choice C suggests switching to soy milk, which is also not recommended for infants under one year old due to potential allergenicity.
Choice D is incorrect and unsafe as honey should not be given to infants under one year old due to the risk of botulism.