ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is caring for a school-age child who is having a tonic-clonic seizure.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action is D: Time the episode. By timing the episode, the nurse can gather important data to assess the duration and severity of the situation, aiding in diagnosis and treatment planning. Administering chlorothiazide (
A) without assessing the situation first could be harmful. Holding the child down (
B) may escalate the situation and cause distress. Placing the child in a prone position (
C) could worsen their condition. Timing the episode (
D) is essential for accurate evaluation.
Extract:
A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Observe the child's throat with a flashlight. This is the first action the nurse should take as it helps assess for any signs of inflammation, infection, or obstruction in the throat, which could be causing the child's symptoms. By observing the throat, the nurse can gather important information to guide further interventions.
Choice B: Giving the child small sips of water can be important but should come after assessing the throat to ensure it is safe to swallow.
Choice C: Administering an analgesic should be based on the assessment findings, not the first action.
Choice D: Offering an ice collar is not indicated until the cause of the symptoms is identified.
Extract:
Exhibit 1
Diagnostic Results Cerebrospinal fluid Pressure:
22 cm H2O (less than 20 cm H2O) Color: Cloudy (clear or colorless) Blood: None (none)
Cells
RBC: 0 (0)
WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL
(50 to 75 mg/dL)
Serum glucose: 64 mg/dL (60 to 100 mg/dL)
Question 3 of 5
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer ceftriaxone. In infants, ceftriaxone is commonly used for treating bacterial infections due to its broad-spectrum coverage. It is important to initiate prompt treatment in infants to prevent complications. Administering a pneumococcal conjugate vaccine (choice
B) is important for prevention but not an immediate action in this scenario. Initiating serum glucose testing every 1 hr (choice
C) is not necessary unless there are specific indications, as it may cause unnecessary stress to the infant. Neutropenic precautions (choice
D) are not relevant in this case as there is no indication of neutropenia.
Extract:
A nurse is assessing a child who has heart failure.
Question 4 of 5
Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. Tachypnea refers to rapid breathing, which is a common clinical manifestation associated with various medical conditions, including respiratory distress. In this particular diagnosis, tachypnea may indicate underlying respiratory issues or distress. Tremors (
B) and increased appetite (
C) are not typically associated with this diagnosis. Bradycardia (
D), which is a slow heart rate, is also not a common clinical manifestation in this context.
Extract:
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 lb) and is postoperative following open-heart surgery.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Urine output of 15 mL in the last 2 hr. Inadequate urine output can indicate renal impairment or inadequate fluid intake. This is a critical finding that needs immediate attention to prevent further complications like acute kidney injury. A: Drainage from the chest tube of 22 mL in the last hour is within the normal range. C: Skin temperature of 36°C (96.8°F) is within normal limits. D: Pedal and posterior tibial pulses of 2+ indicate normal circulation.