ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
History and Physical
6-year-old child
Vomited 3 times in the past 24 hr
Irritable behavior for the past 24 hr
Respiratory infection started 3 days ago
Brudzinski's and Kernig's signs positive
Question 1 of 5
A nurse is planning care for a child during admission to the facility. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Initiate seizure precautions. This should be the first action as it prioritizes the safety of the child. Seizure precautions involve ensuring a safe environment, such as removing any potential hazards and providing padding to prevent injury during a seizure. Collecting blood cultures (
B) and obtaining a prescription for pain medication (
A) can be important but are not as urgent as ensuring the child's safety in case of a seizure. Transporting the child for a CT scan (
C) is not an immediate priority unless there is a critical need.
Extract:
Question 2 of 5
A nurse is providing teaching to the parent of a 10-month-old infant who is having difficulty eating. The parent is feeding the infant goat milk. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Continue breastfeeding. Breast milk is the ideal source of nutrition for infants under one year old. It provides essential nutrients and antibodies that support the infant's growth and immune system. Goat milk is not recommended as a substitute for breast milk or infant formula due to its different nutrient composition. Continuing breastfeeding will ensure the infant receives the necessary nutrients for proper development.
Choice B is incorrect as warming the goat milk does not address the issue of inadequate nutrition.
Choice C suggests switching to soy milk, which is also not recommended for infants under one year old due to potential allergenicity.
Choice D is incorrect and unsafe as honey should not be given to infants under one year old due to the risk of botulism.
Question 3 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.
Question 4 of 5
A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assign the child to a negative air pressure room. Varicella (chickenpox) is highly contagious and spreads through airborne particles. Placing the child in a negative air pressure room helps prevent the spread of the virus to other patients and staff. Administering aspirin to a child with varicella can lead to Reye's syndrome, making choice B incorrect. Droplet precautions are used for illnesses like influenza or pertussis, not varicella, so choice C is incorrect.
Choice D is incorrect because the characteristic rash in varicella is not described as health spots.
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 5 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.