ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 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.
Question 2 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 3 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 4 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 5 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.