ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 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 2 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 for ADHD, can potentially cause liver toxicity. Monitoring liver function tests helps detect any signs of liver damage early on.
Choice B, kidney function tests, is not as relevant as atomoxetine primarily affects the liver.
Choice C, hemoglobin and hematocrit, is not directly impacted by atomoxetine.
Choice D, serum sodium and potassium, is not typically affected by atomoxetine use.
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 caring for a child who has impetigo contagiosa and developed in the hospital. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C - Initiate contact isolation precautions.
Rationale: Impetigo contagiosa is highly contagious, caused by bacteria, not fungi. Contact isolation helps prevent the spread of infection. Reporting to the state health department is important, but immediate isolation is crucial. Administering penicillin G is not the first-line treatment for impetigo. Applying an antifungal cream is incorrect as impetigo is caused by bacteria, not fungi.
Question 5 of 5
A nurse is assessing a 7-year-old child who has diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Correct Answer: C
Rationale: The correct answer is C: Shakiness. Hypoglycemia in a child with diabetes can lead to a decrease in blood sugar levels, causing symptoms like shakiness due to the body's response to low glucose levels. Increased capillary refill (
A) is not typically associated with hypoglycemia. Thirst (
B) is more commonly seen in hyperglycemia. Decreased appetite (
D) can be a symptom of hypoglycemia, but shakiness is a more specific indicator.