ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Log roll the adolescent every 2 hours. This is important to prevent pressure ulcers and maintain spinal alignment post-surgery. Log-rolling involves turning the patient as a unit to avoid twisting the spine. Maintaining the head of the bed at a 30° angle (choice
A) is important for respiratory function but not specific to spinal surgery. Offering sips of water (choice
B) is generally appropriate after surgery but not specific to spinal instrumentation. Assisting the adolescent to ambulate (choice
D) should be done gradually and with caution, typically starting with sitting on the bedside first, rather than a fixed time frame like 12 hours post-surgery.
Question 2 of 5
A nurse is assessing a school-age child who is receiving prednisone. For which of the following adverse effects should the nurse monitor?
Correct Answer: C
Rationale: The correct answer is C: Prolonged wound healing. Prednisone is a corticosteroid that can suppress the immune system and delay wound healing due to its anti-inflammatory effects. The nurse should monitor for this adverse effect by assessing the child's wounds regularly for signs of slow or impaired healing. Renal failure (
A) is not a common adverse effect of prednisone. Stevens-Johnson syndrome (
B) is a severe skin reaction usually caused by medications but is not typically associated with prednisone. Hypotension (
D) is not a common adverse effect of prednisone and is more commonly associated with other medications or conditions.
Question 3 of 5
A nurse is planning postoperative care for an adolescent following scoliosis repair with spinal instrumentation. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Log roll the adolescent every 2 hours. This is important to prevent pressure ulcers and maintain spinal alignment post-surgery. Log-rolling involves turning the patient as a unit to avoid twisting the spine. Maintaining the head of the bed at a 30° angle (choice
A) is important for respiratory function but not specific to spinal surgery. Offering sips of water (choice
B) is generally appropriate after surgery but not specific to spinal instrumentation. Assisting the adolescent to ambulate (choice
D) should be done gradually and with caution, typically starting with sitting on the bedside first, rather than a fixed time frame like 12 hours post-surgery.
Question 4 of 5
A nurse is assessing a school-age child who is receiving morphine. For which of the following adverse effects should the nurse monitor?
Correct Answer: B
Rationale: The correct answer is B: Bradypnea. Morphine is an opioid that can cause respiratory depression, leading to bradypnea (slow breathing). The nurse should monitor the child's respiratory rate regularly as a safety precaution. Hypertension (
A), Stevens-Johnson syndrome (
C), and prolonged wound healing (
D) are not typically associated with morphine use in school-age children. Monitoring for these adverse effects would not be a priority in this situation.
Question 5 of 5
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Fever. In bacterial pneumonia, the body's immune response leads to fever as a common manifestation due to the infection. This is because the body is trying to fight off the bacterial invasion. Steatorrhea (
A) is not typically associated with bacterial pneumonia. Drooling (
C) is more commonly seen in conditions affecting the mouth or throat. Tinnitus (
D) is a symptom related to the ears and is not typically associated with pneumonia.
Therefore, the presence of fever is the most relevant sign in a child with bacterial pneumonia.