ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
A child being administered a new medication displays signs of an adverse drug reaction. The nurse would expect treatment of the reaction to include (Select all that apply):
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Discontinuing the drug is essential to stop the adverse reaction. Administering antihistamines helps manage symptoms like itching and hives. Corticosteroids can reduce inflammation and allergic responses caused by the reaction. Antibiotics (choice
A) are not indicated unless there is a specific infection requiring treatment. No other choices were provided, but it's crucial to focus on stopping the offending drug, managing symptoms, and addressing inflammation in the case of an adverse drug reaction.
Question 2 of 5
Anorexia nervosa may best be described as:
Correct Answer: D
Rationale: Anorexia nervosa is characterized by severe weight loss due to restrictive eating behaviors and distorted body image.
Choice D is correct as it accurately describes the hallmark symptom of anorexia.
Choices A and B are incorrect because anorexia nervosa is more common in adolescent females and does not discriminate based on socioeconomic status.
Choice C is incorrect as anorexia nervosa is primarily a psychological disorder, not a pituitary disorder.
Question 3 of 5
A nurse is caring for a newborn whose mother was taking methadone during her pregnancy, which of the following findings indicates the newborn is experiencing withdrawal?
Correct Answer: D
Rationale: The correct answer is D: Hypertonicity. Newborns exposed to opioids in utero often exhibit symptoms of withdrawal, known as Neonatal Abstinence Syndrome (NAS). Hypertonicity, or increased muscle tone, is a common sign of NAS. This occurs due to the withdrawal effects of methadone on the central nervous system. Bulging fontanels (
A) are not typically associated with NAS. Acrocyanosis (
B) is a common finding in newborns and not specific to NAS. Bradycardia (
C) refers to a slow heart rate and is not a typical sign of NAS.
Question 4 of 5
The nurse understands that the pathophysiology of a thermal injury includes (Select All that Apply):
Correct Answer: B,C
Rationale: The correct answers are B: Edema and C: Hypovolemia. Edema occurs due to increased capillary permeability after a thermal injury, leading to fluid leakage into tissues. Hypovolemia results from fluid shift out of the blood vessels into the injured tissues, causing decreased blood volume. Hematuria (
A) is not typically associated with thermal injuries. Anemia (
D) is a decrease in the number of red blood cells or hemoglobin, not a direct result of thermal injury.
Question 5 of 5
When educating the parents of a child with growth hormone deficiency, the following statement made by the parents would indicate the need for further teaching:
Correct Answer: B
Rationale: The correct answer is B. Hormone replacement therapy is not likely to be successful. This statement indicates a misunderstanding as hormone replacement therapy is the main treatment for growth hormone deficiency. It helps to normalize growth and development. The other choices are incorrect: A is correct as growth hormone deficiency can lead to insulin sensitivity; C is correct as the condition is typically caused by diminished pituitary function; D is correct as daily injections are often necessary for growth hormone replacement therapy.