ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is performing a cranial nerve assessment on a school-age child.
Question 1 of 5
Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D because symmetrical jaw strength when biting down indicates proper functioning of the trigeminal nerve, which controls the muscles of mastication.
Choice A relates to the vestibular system, not the trigeminal nerve.
Choice B involves the glossopharyngeal and vagus nerves.
Choice C is related to the olfactory nerve.
Extract:
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy.
Question 2 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C, "Notify the provider if your child is swallowing frequently." This statement is important as frequent swallowing may indicate potential issues such as aspiration or difficulty swallowing. It is crucial for the nurse to be aware of this symptom to ensure timely intervention.
Choice A is incorrect because dark brown blood between the teeth is not a typical symptom that would require immediate notification to the provider.
Choice B is also incorrect as encouraging a child to drink through a straw may not be relevant to the situation at hand.
Choice D is incorrect as clearing the throat as needed may not address the underlying issue of frequent swallowing.
Extract:
A nurse is preparing to administer an oral medication to a preschooler.
Question 3 of 5
Which of the following actions should the nurse take to encourage acceptance of the medication?
Correct Answer: A
Rationale: The correct answer is A. Providing an ice pop after administering the medication can create a positive association with taking the medication. The cold sensation and flavor can help mask any unpleasant taste, making the child more likely to accept the medication.
Choice B might not be effective as milk may interfere with the medication's absorption.
Choice C could work if the child does not detect the medication in the food.
Choice D is not ideal as diluting the medication may reduce its effectiveness.
Extract:
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling.
Question 4 of 5
Which of the following reactions is an age-appropriate response to death?
Correct Answer: B
Rationale: The correct answer is B because it reflects a common and age-appropriate response to death in children. Curiosity about what happened to the body is natural as children try to make sense of the concept of death. It shows a child's attempt to understand the physical aspect of death without fully grasping its emotional implications.
Choices A, C, and D are incorrect. A is incorrect because children often struggle with understanding death as permanent. C is incorrect because logical explanations for death usually come later in development. D is incorrect because children typically do not feel responsible for a sibling's death at a young age.
Extract:
A nurse is prioritizing care for four clients.
Question 5 of 5
Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct choice is C. The nurse should assess the adolescent with sickle cell anemia and slurred speech first because slurred speech could indicate a potential stroke or other serious neurological complication related to sickle cell disease. It is crucial to prioritize neurological symptoms as they may lead to life-threatening complications if not addressed promptly. Assessing for signs of stroke and providing immediate intervention is essential in this situation.
Choices A, B, and D involve pain management and wound care, which are important but not as urgent as addressing potential neurological complications.
Therefore, assessing the client with slurred speech is the priority to ensure timely and appropriate intervention.