ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A. Performing postural drainage prior to meals helps prevent aspiration of food or stomach contents during the procedure. Postural drainage is typically done 1-2 hours after meals to minimize the risk of aspiration. Holding the hand flat (
B) is incorrect as cupped hands are used for percussion to avoid injury. Administering a bronchodilator after (
C) can lead to increased mucous production. Performing the procedure twice daily (
D) is generally recommended, but the timing in relation to meals is crucial.
Question 2 of 5
A nurse is providing teaching about the administration of gastrostomy tube feedings to the parents of a school-age child. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Administer the feeding over 30 min. This instruction is important to prevent complications such as aspiration and dumping syndrome. Administering the feeding slowly over 30 minutes allows for proper digestion and absorption.
Choice B is incorrect because feeding bags and tubing should be changed every 24 hours to prevent bacterial growth.
Choice C is incorrect because the child should be placed in an upright position, not supine, after the feeding to reduce the risk of aspiration.
Choice D is incorrect because warming formula in the microwave can create hot spots and lead to burns.
Question 3 of 5
A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following activities should the nurse expect the child to participate?
Correct Answer: D
Rationale: The correct answer is D: Watching a cartoon in the activity room.
Toddlers with acute lymphocytic leukemia are often immunocompromised, making them susceptible to infections.
Therefore, activities that involve potential injury or exposure to germs, such as using scissors (choice
A) or playing with toys that cannot be easily cleaned (choice
B) should be avoided. Looking at alphabet flash cards (choice
C) may be mentally stimulating but does not address the safety concerns. Watching a cartoon in the activity room (choice
D) is a safe and enjoyable activity that can help keep the child entertained without posing a risk of injury or infection.
Question 4 of 5
A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?
Correct Answer: A
Rationale:
Correct
Answer: A - Weak femoral pulses
Rationale: Coarctation of the aorta results in narrowing of the aorta, leading to decreased blood flow to the lower extremities. This causes weak or absent femoral pulses due to reduced blood supply. The other choices are incorrect as coarctation of the aorta typically does not directly cause increased intracranial pressure, upper extremity hypotension, or frequent nosebleeds. These symptoms are more commonly associated with other conditions such as head trauma, vascular issues, or nasal conditions.
Question 5 of 5
A nurse is caring for a 1-month-old infant who has manifestations of severe dehydration and a prescription for parenteral fluid therapy. The guardian asks, 'What are the indications that my baby needs an IV?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct response is A: Your baby needs an IV because she is not producing tears. In infants, the inability to produce tears is a sign of severe dehydration, indicating a deficit in body fluids. Tears are composed of water and electrolytes, and the absence of tears suggests a significant fluid imbalance. This makes it crucial to administer parenteral fluid therapy via an IV to restore hydration levels.
Choices B, C, and D are incorrect because they do not directly correlate with the need for IV fluid therapy in this scenario. A decreased heart rate, slower breathing, and bulging fontanels may be signs of distress or other issues but do not specifically indicate the need for immediate IV fluid administration due to dehydration.
Therefore, option A is the most appropriate and relevant response given the infant's presentation of severe dehydration.