ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is caring for a 6-month-old infant who has gastroenteritis.
Question 1 of 5
Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. This finding is indicative of severe dehydration in infants, as it suggests significant fluid loss and decreased tissue turgor. A sunken fontanel is a late sign of dehydration.
Choice A is incorrect as a capillary refill time of 3 seconds is within normal limits.
Choice C may be seen in mild to moderate dehydration, but severe dehydration would involve a greater weight loss.
Choice D is not specific to dehydration, as tear production can still occur even in cases of dehydration.
Extract:
A nurse is caring for a group of clients.
Question 2 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: An 18-month-old toddler who has a heart rate of 68/min. This finding should be reported to the provider because a heart rate of 68/min in an 18-month-old toddler is below the normal range for that age group, which is typically around 100-130/min. This could indicate bradycardia, which may be a sign of an underlying health issue that requires further evaluation and intervention. Reporting this abnormal finding promptly can help the provider assess the toddler's cardiovascular health and determine appropriate management.
The other choices are within normal ranges for their respective age groups:
B: A school-age child with a rectal temperature of 37.3°C (99.1°F) is within the normal range.
C: An adolescent with a blood pressure of 132/82 mm Hg is within the normal range for that age group.
D: A 3-month-old infant with a respiratory rate of 30/min is within the normal
Extract:
A nurse is providing teaching to the parent of a school-age child who has a maintenance prescription for prednisone following an acute asthma attack.
Question 3 of 5
Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "My child might experience mood swings." This statement shows understanding as mood swings can be a side effect of the medication being discussed. It demonstrates awareness of potential effects and indicates readiness to handle them.
Choice B is incorrect as weekly blood tests are not typically necessary.
Choice C is incorrect as withholding medication before physical activity can be dangerous.
Choice D is incorrect as a decreased appetite is not a common side effect.
Extract:
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax.
Question 4 of 5
Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: The nurse should recommend lavender oil because it is known for its calming and relaxing properties, which can help reduce stress and promote better sleep. Lavender oil has therapeutic benefits for anxiety and insomnia, making it a suitable choice. Eucalyptus is more commonly used for respiratory issues, jasmine for relaxation, and tea tree for skin conditions. Lavender stands out as the most appropriate option based on the context of the question.
Extract:
A nurse is providing teaching about home care to the parent of a child who has scabies.
Question 5 of 5
Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Treat everyone who came into close contact with the child. This is important in preventing the spread of contagious conditions such as lice or scabies. Treating close contacts helps eliminate the source of reinfestation.
A: Washing the child's hair with ketoconazole shampoo may be helpful for treating specific conditions but does not address preventing spread to others.
C: Applying petroleum jelly to affected areas may soothe symptoms but does not prevent transmission to others.
D: Soaking combs and brushes in boiling water is a good practice for cleaning but does not address treating close contacts.