ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for an infant who has diaper dermatitis. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Apply zinc oxide ointment to the irritated area. Zinc oxide ointment provides a protective barrier on the skin, helping to soothe and heal diaper dermatitis. It also helps to keep moisture away from the irritated skin, promoting healing.
Incorrect options:
A: Applying talcum powder can further irritate the skin as it can be abrasive.
B: Store-bought baby wipes may contain chemicals or fragrances that can worsen the condition.
D: Wiping urine with a cool cloth is a good practice, but it does not address the issue of diaper dermatitis.
Overall, option C is the best choice as it directly addresses the diaper dermatitis by providing a protective barrier and promoting healing.
Question 2 of 5
A nurse is preparing to administer an IM injection to a 3-year-old child. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because allowing the child to choose which leg they receive the injection in gives them a sense of control and autonomy, reducing anxiety and fear. This empowers the child and can help build trust between the nurse and the child.
Choices A and B involve rewards or vague promises, which may not be effective in alleviating the child's fear.
Choice C may minimize the pain but does not address the child's potential anxiety.
Question 3 of 5
A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Administer analgesics on a scheduled basis for the first 24 hr.
Rationale: Postoperative pain management is crucial for the comfort and recovery of the child. Administering analgesics on a scheduled basis helps control pain effectively and prevents breakthrough pain. The first 24 hours following surgery are critical for pain control as the child may experience increased discomfort during this time. By providing analgesics on a schedule, the nurse ensures that the child receives timely pain relief.
Summary of incorrect choices:
A: Applying a warm compress to the operative site is not a standard practice post-appendectomy and may not effectively manage pain.
C: Cromolyn nebulized solution is not typically used for pain management post-appendectomy.
D: Offering clear liquids 6 hours following surgery may not be appropriate as the child may not be ready to tolerate oral intake so soon after surgery.
Extract:
History and physical 0830: Pharyngitis 3 weeks ago. Prescribed 5-day course of azithromycin. Antibiotic discontinued on day 3 due to gastrointestinal upset. Current on all recommended immunizations.
Question 4 of 5
A nurse on the pediatric unit is admitting the child from the emergency department. Complete the following sentence by using the lists of options. The nurse suspects the child is experiencing rheumatic fever. The nurse should recognize the child is at greatest risk of developing--- due to---
Correct Answer: C,D
Rationale: The correct answers are C: Rheumatic heart disease and D: Streptococcal pharyngitis. Rheumatic fever is caused by untreated streptococcal infection. If not treated promptly, it can lead to rheumatic heart disease, a serious complication. Streptococcal pharyngitis is a common precursor to rheumatic fever. Glomerulonephritis (
A) is a potential complication of streptococcal infection but not directly related to rheumatic fever. Pericarditis (
B) is an inflammation of the pericardium and not directly associated with rheumatic fever. Recent immunizations (E) and viral infections (F) are not linked to the development of rheumatic fever.
Extract:
Question 5 of 5
A nurse in an emergency department is caring for a 3-year-old child who has suspected epiglottitis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare to assist with intubation. Epiglottitis is a medical emergency where the epiglottis becomes inflamed and can lead to airway obstruction. Intubation may be necessary to secure the airway and ensure the child can breathe. It is a priority action to maintain the child's oxygenation and ventilation. Obtaining a throat culture (
B) can be important for diagnosis but is not the immediate priority. Suctioning the child's oropharynx (
C) can trigger a spasm and worsen the obstruction. Cool mist tent (
D) is not indicated in the management of epiglottitis.