ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a 1-year-old child who has been hospitalized. Which of the following items in the child's room is a common source of health care-associated infections?
Correct Answer: B
Rationale: The correct answer is B: Bedside commode. This item can harbor bacteria and pathogens if not properly cleaned and sanitized, leading to healthcare-associated infections. Disposable diapers (
A) are single-use and unlikely to cause infections. Protective plastic gowns (
C) are meant to prevent infections. Unopened bottles of formula (
D) are sterile and not a common source of infections.
Question 2 of 5
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Fever. In bacterial pneumonia, the body's immune response leads to fever as a common manifestation due to the infection. This is because the body is trying to fight off the bacterial invasion. Steatorrhea (
A) is not typically associated with bacterial pneumonia. Drooling (
C) is more commonly seen in conditions affecting the mouth or throat. Tinnitus (
D) is a symptom related to the ears and is not typically associated with pneumonia.
Therefore, the presence of fever is the most relevant sign in a child with bacterial pneumonia.
Question 3 of 5
A nurse is caring for an infant who has necrotizing enterocolitis. Which of the following findings should the nurse expect?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, and D. Necrotizing enterocolitis (NE
C) in infants commonly presents with a rounded abdomen due to abdominal distension (
B). Vomiting (
C) is also a common symptom associated with NEC. Tachypnea (
D) may occur due to abdominal distension and sepsis. Hypertension (
A) is not typically associated with NEC in infants. The other choices are not provided, but based on typical NEC symptoms, they would not be expected in a patient with this condition.
Question 4 of 5
A nurse is assessing a school-age child who is receiving prednisone. For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Prolonged wound healing. Prednisone is a corticosteroid that can suppress the immune system and delay wound healing due to its anti-inflammatory effects. The nurse should monitor for this adverse effect by assessing the child's wounds regularly for signs of slow or impaired healing. Renal failure (
A) is not a common adverse effect of prednisone. Stevens-Johnson syndrome (
B) is a severe skin reaction usually caused by medications but is not typically associated with prednisone. Hypotension (
D) is not a common adverse effect of prednisone and is more commonly associated with other medications or conditions.
Question 5 of 5
A nurse is providing teaching about home safety to the adult child of an older adult client who is postoperative following knee replacement surgery. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Ensure that area rugs have rubber backs. This instruction is important to prevent slips and falls, especially for an older adult recovering from knee replacement surgery. Rubber-backed rugs provide traction and stability, reducing the risk of accidents. Encouraging the client to avoid wearing shoes at home (
A) may increase the risk of slipping on smooth surfaces. Marking the edges of the doorway with tape (
C) may not be effective and could create a tripping hazard. Placing a throw rug over electrical cords (
D) is unsafe as it can cause the older adult to trip.