ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis.
Question 1 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 teaching the parents of a child who has cystic fibrosis about home care following discharge.
Question 2 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Your child should take pancreatic enzymes with meals and snacks. This is the correct statement to include because it pertains to the management of cystic fibrosis, a condition that affects the pancreas' ability to produce digestive enzymes. Pancreatic enzymes help in digesting food properly, ensuring proper nutrient absorption.
Choice A is incorrect as chest x-rays are not typically used for monitoring cystic fibrosis.
Choice B is incorrect as tonsil and adenoid removal is not a standard treatment for cystic fibrosis.
Choice D is incorrect as isoniazid is a medication used to treat tuberculosis, not cystic fibrosis.
Extract:
A nurse is caring for a child who has disseminated intravascular coagulation.
Question 3 of 5
Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Decreased platelet count. This is expected in a patient with thrombocytopenia, which is a condition characterized by low platelet levels. Thrombocytopenia can lead to abnormal bleeding and bruising due to impaired blood clotting.
A: Decreased prothrombin time would not be expected in thrombocytopenia, as it measures the clotting ability of the plasma, not platelets.
B: Increased Hgb level and C: Increased RBC levels are not typically associated with thrombocytopenia.
In summary, a decreased platelet count is the most relevant laboratory finding to expect in a patient with thrombocytopenia.
Extract:
A nurse is assessing a school-age child who is receiving morphine.
Question 4 of 5
For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Nausea. The nurse should monitor for nausea as it is a common adverse effect of many medications and can impact the patient's overall well-being. Nausea can lead to decreased appetite, dehydration, and noncompliance with medications. Prolonged wound healing (
A) is a potential adverse effect but is not as common or immediate as nausea. Stevens-Johnson syndrome (
C) is a severe and life-threatening skin reaction that is rare and not typically monitored by nurses. Renal failure (
D) is a serious adverse effect but may not be directly related to all medications.
Extract:
Question 5 of 5
7 year old with UTI intervention?
Correct Answer: B
Rationale: The correct answer is B: Monitor Pain and Fever. In a 7-year-old with a UTI, monitoring pain and fever is crucial as these symptoms indicate the severity of the infection and response to treatment. Pain and fever can also help in assessing the effectiveness of antibiotics. Monitoring salicylic acid is not relevant as it is not commonly used in UTI management in children due to the risk of Reye's syndrome. The other choices are not provided, but they would likely be incorrect as they are unrelated to UTI management in a 7-year-old.