ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Log roll the adolescent every 2 hours. This is important to prevent pressure ulcers and maintain spinal alignment post-surgery. Log-rolling involves turning the patient as a unit to avoid twisting the spine. Maintaining the head of the bed at a 30° angle (choice
A) is important for respiratory function but not specific to spinal surgery. Offering sips of water (choice
B) is generally appropriate after surgery but not specific to spinal instrumentation. Assisting the adolescent to ambulate (choice
D) should be done gradually and with caution, typically starting with sitting on the bedside first, rather than a fixed time frame like 12 hours post-surgery.
Question 2 of 5
A nurse is caring for a child who has impetigo contagiosa and developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct
Answer: C - Initiate contact isolation precautions.
Rationale: Impetigo contagiosa is highly contagious, caused by bacteria, not fungi. Contact isolation helps prevent the spread of infection. Reporting to the state health department is important, but immediate isolation is crucial. Administering penicillin G is not the first-line treatment for impetigo. Applying an antifungal cream is incorrect as impetigo is caused by bacteria, not fungi.
Question 3 of 5
A nurse is teaching a group of parents about childhood immunization. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?
Correct Answer: D
Rationale: The correct answer is D: Varicella. Infants should receive the first dose of varicella vaccine at 12 months of age to prevent chickenpox. Varicella is highly contagious and can lead to serious complications in children. The other choices are incorrect because:
A: Inactivated poliovirus - The first dose of polio vaccine is typically given at 2 months of age.
B: Human papillomavirus - HPV vaccine is usually recommended for adolescents, not infants.
C: Hepatitis B - Hepatitis B vaccine is usually given shortly after birth, not at 12 months of age.
In summary, varicella is the appropriate immunization for infants at 12 months to protect them from chickenpox, while the other options are administered at different ages or for different diseases.
Question 4 of 5
A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because regular testing for tuberculosis is crucial for individuals with HIV due to their increased risk of developing tuberculosis. This indicates the parent understands the importance of monitoring for potential complications.
Choice A is incorrect because zidovudine does not impact transmission risk.
Choice B is incorrect as doubling medications without healthcare provider guidance can be harmful.
Choice C is incorrect as childhood immunizations are typically not repeated in remission.
Question 5 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because allowing the child to choose which leg they receive the injection in gives them a sense of control and autonomy, reducing anxiety and fear. This empowers the child and can help build trust between the nurse and the child.
Choices A and B involve rewards or vague promises, which may not be effective in alleviating the child's fear.
Choice C may minimize the pain but does not address the child's potential anxiety.