ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 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: D
Rationale: The correct answer is D: Ensure that area rugs have rubber backs. This instruction is important to prevent slips and falls, as rubber-backed rugs provide better traction on smooth surfaces, reducing the risk of accidents. Placing throw rugs over electrical cords (
B) can cause tripping hazards. Marking the edges of the doorway with tape (
C) may not be effective and can be unsightly. Encouraging the client to avoid wearing shoes at home (
A) may not directly impact safety. Overall, ensuring area rugs have rubber backs (
D) is the most practical and effective approach to enhancing home safety for a postoperative older adult.
Question 2 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. This is essential postoperatively to manage pain effectively and improve the child's comfort level. Pain management is crucial in the early stages following surgery to prevent complications and aid in the child's recovery. Applying a warm compress (choice
A) may not be appropriate for the surgical site and could potentially cause harm. Giving cromolyn nebulized solution (choice
C) is not indicated for pain management postoperatively. Offering clear liquids (choice
D) too soon after surgery could increase the risk of complications such as nausea, vomiting, or aspiration.
Question 3 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.
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, commonly known as chickenpox, is highly contagious and spreads through respiratory droplets. Placing the child in a negative air pressure room helps prevent the spread of the virus to others by containing the infectious particles within the room. This isolation measure is crucial in protecting both the child and other patients.
Choice B is incorrect because aspirin should not be administered to children with varicella due to the risk of Reye's syndrome.
Choice C is incorrect as droplet precautions are not necessary for varicella, which primarily spreads through airborne respiratory droplets.
Choice D is incorrect as Koplik spots are associated with measles, not varicella.
Question 5 of 5
A nurse in a clinic is planning care for a child who has ADHD and is taking atomoxetine. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: The correct answer is A: Liver function tests. Atomoxetine, used to treat ADHD, can potentially cause liver injury. Monitoring liver function tests can help detect any liver abnormalities early on. Kidney function tests (
B) are not typically affected by atomoxetine. Hemoglobin and hematocrit (
C) are not directly impacted by this medication. Serum sodium and potassium (
D) are not specifically associated with atomoxetine use.