ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
A six-year-old is scheduled for a cardiac catheterization. Preoperative teaching should be:
Correct Answer: D
Rationale: The correct answer is D because preoperative teaching for a six-year-old undergoing cardiac catheterization should be adapted to the patient's development level. This is crucial as it ensures the information is communicated in a way that the child can comprehend and reduces anxiety. Providing information at the appropriate developmental stage helps the child feel more prepared and less fearful.
Choice A is incorrect as children as young as six can understand basic concepts with appropriate communication techniques.
Choice B may overwhelm the child with unnecessary details.
Choice C is incorrect because waiting too long to provide information may increase anxiety.
Question 2 of 5
The nurse is caring for a child with frostbite would expect the patient to display:
Correct Answer: B
Rationale: The correct answer is B because blisters appearing 24 to 48 hours after rewarming is a common symptom of frostbite. This occurs due to damage to the blood vessels and tissues. A: Redness and swelling are more indicative of mild frostbite. C: Itching and burning are not typical symptoms of frostbite. D: Fever is not a common symptom of frostbite.
Question 3 of 5
Which should be the major consideration in selecting toys for a child who is cognitively impaired?
Correct Answer: C
Rationale: The major consideration in selecting toys for a cognitively impaired child should be safety (
Choice
C). Safety is crucial as children with cognitive impairments may have difficulty understanding potential dangers or using toys appropriately. Age appropriateness (
Choice
A) is important, but safety should take precedence. Teaching useful skills (
Choice
B) can be beneficial but may not be the primary focus. Providing exercise (
Choice
D) is valuable, but ensuring safety should come first.
Question 4 of 5
A nurse is caring for an adolescent with a closed femur fracture who also has HIV. What type of precautions should the nurse institute?
Correct Answer: B
Rationale: The correct answer is B: The patient should be placed on standard precautions to diminish the risk of HIV transmission. Standard precautions are used for all patients to prevent the transmission of infection. In this case, the adolescent has a closed femur fracture and HIV, so the nurse should follow standard precautions, which include hand hygiene, wearing gloves, and using personal protective equipment as needed. Neutropenic precautions (choice
A) are not necessary unless the patient has a low white blood cell count. Contact precautions (choice
C) are used for specific infections that are spread by direct contact with the patient or their environment. Isolation (choice
D) is not required solely based on HIV status.
Question 5 of 5
Solumedrol 1.5mg/kg is ordered for a child weighing 74.8 pounds. Solumedrol is available as 125mg/2ml. How many ml must the nurse administer?
Correct Answer: C
Rationale:
To calculate the dose of Solumedrol, first convert the child's weight to kg: 74.8 lbs / 2.2 = 34 kg.
Then, calculate the dose: 1.5 mg/kg * 34 kg = 51 mg. Next, determine how many ml is needed: 51 mg / 125 mg/ml = 0.408 ml, which is rounded up to 0.82 ml.
Choice A is incorrect because it is too low.
Choice B is incorrect as it is much lower than the calculated dose.
Choice D is incorrect as it is also too low.