ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is to place intubation equipment at the bedside (
Choice
D). This is crucial in case the child's condition deteriorates rapidly and respiratory support is needed. Placing the intubation equipment ensures immediate access to airway management, which takes precedence over other actions. Obtaining an x-ray may provide diagnostic information but is not as urgent as ensuring airway patency. Administering antibiotics and initiating droplet precautions (
Choice
C) are important but not the immediate priority in this scenario.
Therefore,
Choice D is the correct first action to ensure the child's safety and optimal care.
Extract:
A charge nurse is observing a staff nurse who is caring for a child who has pertussis.
Question 2 of 5
Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: The correct answer is A because maintaining droplet precautions while the child is coughing and sneezing is essential for preventing the spread of infection through respiratory droplets. This action shows understanding of infection control practices by implementing specific measures to reduce transmission of pathogens.
Choice B is incorrect as wearing a face mask after entering the room does not provide adequate protection during exposure to respiratory secretions.
Choice C is incorrect as gloves are not sufficient for preventing transmission of respiratory infections.
Choice D is incorrect as airborne precautions are not necessary for droplet precautions.
Extract:
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis.
Question 3 of 5
Which of the following statements by the guardian indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because ensuring the child consumes a high-calorie diet demonstrates an understanding of the teaching regarding managing cystic fibrosis, a condition that requires a high-calorie intake to maintain weight and overall health. This statement aligns with the need for nutritional support in cystic fibrosis management.
Choice B is incorrect because annual sweat chloride testing is not related to dietary management.
Choice C is incorrect as chewing pancrelipase medication before eating is not necessary for understanding the teaching about cystic fibrosis.
Choice D is incorrect as administering dormase alfa every 4 hours for wheezing does not pertain to dietary requirements in cystic fibrosis.
Extract:
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram.
Question 4 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because leads are typically placed on the back before a procedure like an electrocardiogram (ECG) to monitor the heart's electrical activity. This step is crucial for obtaining accurate results.
Choice A is incorrect as alarms are not typically used during ECGs.
Choice C is incorrect because the duration of the procedure can vary and is not necessarily 30 minutes.
Choices D, E, F, and G are blank, so they do not provide any relevant information.
Extract:
A nurse is caring for a child who has had a lumbar puncture.
Question 5 of 5
The nurse should monitor the child for which of the following complications?
Correct Answer: C
Rationale: The correct answer is C: Headache. In pediatric patients, headaches can be indicative of serious underlying conditions such as meningitis or increased intracranial pressure. Monitoring for headaches is crucial for early detection and intervention. Nuchal rigidity when standing (
A) is more indicative of meningitis in adults. Double vision (
B) is more associated with neurological issues. Pain in the posterior iliac crest (
D) is not typically a complication that requires monitoring in children.