ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should take.
Order the Items
Source Container
Correct Answer: B,C,D,E
Rationale: The correct order is B, C, D, E. First, placing the child in a sitting position ensures safety and easy access to the eyes. Next, instilling the drops of medication into the conjunctival sac is essential for proper administration.
Then, pulling the lower eyelid downward helps to create a pocket for the drops to be placed. Finally, asking the child to look upward aids in the proper distribution of the medication.
Choice A is incorrect as applying pressure to the lacrimal punctum is not necessary for administering eye drops.
Choices F and G are not applicable in this scenario.
Question 2 of 5
A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Apply zinc oxide ointment to the irritated area. Zinc oxide ointment provides a protective barrier on the skin, helping to soothe and heal diaper dermatitis. It also helps to keep moisture away from the irritated skin, promoting healing.
Incorrect options:
A: Applying talcum powder can further irritate the skin as it can be abrasive.
B: Store-bought baby wipes may contain chemicals or fragrances that can worsen the condition.
D: Wiping urine with a cool cloth is a good practice, but it does not address the issue of diaper dermatitis.
Overall, option C is the best choice as it directly addresses the diaper dermatitis by providing a protective barrier and promoting healing.
Question 3 of 5
A nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following knee replacement surgery. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Ensure that area rugs have rubber backs. This instruction is important to prevent slips and falls, especially for an older adult recovering from knee replacement surgery. Rubber-backed rugs provide traction and stability, reducing the risk of accidents. Encouraging the client to avoid wearing shoes at home (
A) may increase the risk of slipping on smooth surfaces. Marking the edges of the doorway with tape (
C) may not be effective and could create a tripping hazard. Placing a throw rug over electrical cords (
D) is unsafe as it can cause the older adult to trip.
Question 4 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: Perform the procedure prior to meals. Postural drainage helps clear mucus from the lungs. Performing it before meals prevents aspiration since the child's stomach will be empty. This timing also maximizes the effectiveness of postural drainage by clearing the airways before meals, which can help improve breathing.
B: Holding hand flat for percussions is incorrect as cupped hands are used to provide effective percussions.
C: Administering a bronchodilator after the procedure does not relate to the timing of postural drainage.
D: Performing the procedure twice each day is not specific to the timing of postural drainage.
Question 5 of 5
A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Confirm the client's perception of the event. This is the first step because it helps the nurse understand the client's perspective, emotions, and triggers, which are crucial in crisis intervention. By confirming the client's perception, the nurse can establish rapport, validate the client's feelings, and assess the severity of the crisis. This information guides the nurse in developing an appropriate care plan and intervention strategies.
Choice A (Notify the client's support person) may be important but not the first step in crisis intervention.
Choice B (Teach the client relaxation techniques) and C (Help the client identify personal strengths) are valuable interventions but should come after assessing the client's perception.