ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN 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. Postoperative pain management is crucial for a child recovering from surgery. By administering analgesics on a scheduled basis, the nurse ensures that the child's pain is effectively managed, promoting comfort and facilitating recovery. Cromolyn nebulized solution (choice
A) is not indicated for pain management post-appendectomy. Applying a warm compress once daily (choice
C) may not provide adequate pain relief. Offering small amounts of clear liquids 6 hr following surgery (choice
D) is important for hydration but does not address pain management directly in the immediate postoperative period.
Question 2 of 5
The nurse caring for an adolescent patient with a diagnosis of goiter knows that goiter is most often caused by?
Correct Answer: D
Rationale: The correct answer is D: Hashimoto Disease. Goiter is most commonly caused by Hashimoto Disease, which is an autoimmune condition where the body attacks the thyroid gland, leading to inflammation and enlargement of the gland. This results in the development of a goiter. Kawasaki's disease (
A), Takayasu Disease (
B), and Matsuzaki Disease (
C) are not typically associated with the development of goiter. A summary of why the other choices are incorrect: A is a systemic vasculitis, B is a type of vasculitis involving the aorta and its main branches, and C is a fictional disease.
Question 3 of 5
Which is an effective strategy to reduce the stress of burn dressing procedures for a 6-year-old child?
Correct Answer: A
Rationale: The correct answer is A: Give the child as many choices as possible. By providing the child with choices, you empower them and give them a sense of control over the situation, reducing feelings of helplessness and stress. This strategy helps the child feel more involved and less anxious during the burn dressing procedure.
Choices B, C, and D are incorrect because reassuring the child about pain, explaining why analgesics cannot be used, or encouraging controlled passivity may not directly address the child's emotional distress and lack of control in the situation. It is essential to prioritize the child's emotional well-being and sense of autonomy in managing stress during medical procedures.
Question 4 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.
Question 5 of 5
The nurse is providing education to parents of a toddler that will receive an iron supplement to treat iron deficiency anaemia. Which statement indicates the parents need further teaching?
Correct Answer: C
Rationale: The correct answer is C. If parents notice dark green stools after giving iron supplements, it is actually a common and harmless side effect due to the iron's color. They do not need to immediately notify the doctor unless there are other concerning symptoms. Rinsing the baby's mouth after giving iron (
A) is important to prevent staining. Storing iron safely (
B) is crucial to prevent accidental ingestion. Limiting milk consumption (
D) is recommended as excessive milk can hinder iron absorption.