ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Question 1 of 5
A sign specific to red blood cell destruction (hemolytic) anemia is:
Correct Answer: A
Rationale: Jaundice is the correct answer for red blood cell destruction anemia because it results from the breakdown of red blood cells, causing an increase in bilirubin levels. Jaundice presents as yellowing of the skin and eyes. Pica (eating non-food items), anorexia (loss of appetite), and tachycardia (rapid heart rate) are not specific signs of hemolytic anemia. Jaundice is a key indicator due to the excess bilirubin released from the destruction of red blood cells.
Question 2 of 5
Which should be the major consideration in selecting toys for a child who is cognitively impaired?
Correct Answer: C
Rationale: The major consideration in selecting toys for a cognitively impaired child should be safety (
Choice
C). Safety is crucial as children with cognitive impairments may have difficulty understanding potential dangers or using toys appropriately. Age appropriateness (
Choice
A) is important, but safety should take precedence. Teaching useful skills (
Choice
B) can be beneficial but may not be the primary focus. Providing exercise (
Choice
D) is valuable, but ensuring safety should come first.
Question 3 of 5
Which explanation regarding cardiac catheterization is appropriate for a preschool child?
Correct Answer: D
Rationale: The correct answer is D because preschool children may not fully understand the importance of keeping still after cardiac catheterization. Keeping the leg straight helps prevent bleeding at the insertion site.
Choice A is incorrect as postural drainage is not related to cardiac catheterization.
Choice B is incorrect as sedation, not complete sleep, is usually used.
Choice C is incorrect as the procedure can take longer than an hour.
Question 4 of 5
The nurse is caring for a school-age boy with Kawasaki's Disease. She knows the medication the child will receive includes:
Correct Answer: A
Rationale:
Rationale: Kawasaki's Disease is treated with Immunoglobulin G to reduce inflammation and aspirin to prevent blood clots and coronary artery abnormalities. Immunoglobulin E is not used in this condition, and heparin and ibuprofen are not part of the standard treatment. ACE inhibitors are not indicated in Kawasaki's Disease. So, choice A is correct due to its adherence to the standard treatment guidelines.
Question 5 of 5
The doctor has ordered Synthroid 75 mcg oral daily. The available Synthroid is 0.15 mg tablets. How many tablets will the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: 0.5 tablet.
To determine the number of tablets needed, convert 75 mcg to mg by dividing by 1000 (75 mcg = 0.075 mg).
Then, divide the prescribed dose (0.075 mg) by the tablet strength (0.15 mg) to find the number of tablets needed (0.075 mg / 0.15 mg = 0.5 tablet). This calculation ensures the patient receives the correct dosage.
Choice A is incorrect as it does not account for the tablet strength.
Choices C and D are incorrect as they result in a higher dose than prescribed.