ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a school-age child who is postoperative and received morphine via IV bolus for pain 10 min ago. Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Bradypnea. This is the priority finding because morphine, an opioid, can cause respiratory depression leading to bradypnea or slow breathing. Monitoring the child's respiratory status is crucial to prevent respiratory compromise or arrest. A: Constipation is a common side effect but not an immediate concern. B: Sedation is expected after receiving morphine but not as critical as respiratory depression. D: Euphoria is a possible side effect but not as concerning as respiratory depression. Thus, the priority is to monitor for signs of respiratory depression to ensure the child's safety.
Question 2 of 5
The nurse is caring for a child with frostbite would expect the patient to display:
Correct Answer: B
Rationale: The correct answer is B because blisters appearing 24 to 48 hours after rewarming is a common symptom of frostbite. This occurs due to damage to the blood vessels and tissues. A: Redness and swelling are more indicative of mild frostbite. C: Itching and burning are not typical symptoms of frostbite. D: Fever is not a common symptom of frostbite.
Question 3 of 5
A six-year-old is scheduled for a cardiac catheterization. Preoperative teaching should be:
Correct Answer: D
Rationale: The correct answer is D because preoperative teaching for a six-year-old undergoing cardiac catheterization should be adapted to the patient's development level. This is crucial as it ensures the information is communicated in a way that the child can comprehend and reduces anxiety. Providing information at the appropriate developmental stage helps the child feel more prepared and less fearful.
Choice A is incorrect as children as young as six can understand basic concepts with appropriate communication techniques.
Choice B may overwhelm the child with unnecessary details.
Choice C is incorrect because waiting too long to provide information may increase anxiety.
Question 4 of 5
Jenny is a 7-year-old that weighs 64 lbs., who has an order for 1.5 times maintenance IV fluids for acute dehydration. What rate does the IV pump need to be set at?
Correct Answer: D
Rationale: The correct answer is D: 148 ml/hr.
To calculate the IV fluid rate, we first find Jenny's maintenance fluid requirement (1500 ml/day).
Then, we multiply this by 1.5 to account for acute dehydration, resulting in 2250 ml/day. Finally, we convert this to hourly rate by dividing by 24, giving us 93.75 ml/hr. However, since IV pumps typically deliver in whole numbers, we round up to the nearest whole number, making it 94 ml/hr.
Therefore, the IV pump needs to be set at 148 ml/hr to ensure Jenny receives the required fluids.
Choice A (87 ml/hr) is incorrect because it does not account for the 1.5 times increase needed for acute dehydration.
Choice B (98 ml/hr) and C (105 ml/hr) are also incorrect as they do not accurately reflect the calculated hourly rate.
Question 5 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.