ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 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.
Question 2 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 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 providing teaching to the guardian of an 11-month-old infant who has acute diarrhea. Which of the following food items should the nurse instruct the parent to provide to the infant?
Correct Answer: B
Rationale: The correct answer is B: Oral rehydration solution. This is the most appropriate choice because infants with acute diarrhea are at risk of dehydration due to fluid loss. Oral rehydration solution helps replace lost fluids and electrolytes, preventing dehydration. Children's tea (
A) and white grape juice (
C) are not recommended as they can worsen diarrhea due to their high sugar content. Applesauce (
D) is also not suitable as it may be difficult for the infant to digest during diarrhea. It's important to prioritize rehydration in infants with diarrhea to prevent complications.
Question 5 of 5
A home health nurse is teaching a new parent about caring for his 1-week-old infant. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will hang a pastel-colored mobile 24 inches above my baby's crib." This statement indicates an understanding of the teaching because hanging a mobile can provide visual stimulation for the infant, promoting cognitive development. It also helps in soothing and calming the baby.
Incorrect choices:
A: Incorrect because picking up the baby frequently is not spoiling and is important for bonding and meeting the baby's needs.
C: Incorrect because using a firm pillow to prop up the bottle can be a choking hazard and is not recommended for feeding infants.
D: Incorrect because placing a ticking clock nearby can actually be a suffocation risk and is not recommended for soothing babies.