ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: B
Rationale: The correct answer is B: Oral rehydration solution. This is the most appropriate choice because infants with acute diarrhea are at risk of dehydration due to fluid loss. Oral rehydration solution helps replace lost fluids and electrolytes, preventing dehydration. Children's tea (
A) and white grape juice (
C) are not recommended as they can worsen diarrhea due to their high sugar content. Applesauce (
D) is also not suitable as it may be difficult for the infant to digest during diarrhea. It's important to prioritize rehydration in infants with diarrhea to prevent complications.
Question 2 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 3 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 4 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 5 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.