ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is caring for a school-age child who has cystic fibrosis. Exhibit 1
History and Physical
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul- smelling stools. The child has deficient levels of vitamin A, D, E, and K.
Barrel-shaped chest
Clubbing of the fingers bilaterally
Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Exhibit 2 Vital Signs
Temperature 38.4° C (101.1° F) Heart rate 100/min Respiratory rate 40/min Blood pressure 100/57 mm Hg
Exhibit 3 Laboratory Results
Sputum culture positive for Pseudomonas aeruginosa Stool analysis positive for presence of fat and enzymes Chest x-ray indicates obstructive emphysema WBC count 20,000/mm3 (5,000 to 10,000/mm3)
Question 1 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list?
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. A nurse reviewing a child's medical record should expect the provider to prescribe or reconcile water-soluble vitamins (
A) for essential nutrients, Dornase alfa (
C) for cystic fibrosis to help clear mucus, and Pancreatic lipase (E) for pancreatic insufficiency to aid in digestion. Acetaminophen (
B) is a common over-the-counter pain reliever but may not be specifically required based on the child's condition. Meperidine (
D) is a narcotic analgesic with potential side effects and is not typically used in pediatric patients.
Extract:
A nurse is providing teaching to a 15-year-old adolescent about a medication used to treat a sexually transmitted infection.
Question 2 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Ask how the client prefers to learn new information. This action is client-centered and promotes individualized care by understanding the client's preferred learning style. It helps tailor the teaching approach to best meet the client's needs, leading to improved understanding and compliance.
Choice A is incorrect because the nurse should provide medication information directly to the client instead of redirecting to the pharmacy.
Choice B is incorrect as it does not involve the client in the learning process, which is essential for effective education.
Choice C is incorrect as it focuses on the parents rather than the client, missing the opportunity to engage the client directly.
Overall, choice D stands out for its client-focused approach, making it the most appropriate action in this scenario.
Extract:
A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child who weighs 55 lb.
Question 3 of 5
Available is diphenhydramine 50 mg/mL. How many ml should the nurse administer? (Round to the nearest tenth)
Correct Answer: 0.6
Rationale:
To determine the correct amount of diphenhydramine to administer, we can use the formula: Volume (mL) = Desired dose (mg) / Concentration (mg/mL). In this case, the desired dose is 50 mg and the concentration is 50 mg/mL. So, Volume = 50 mg / 50 mg/mL = 1 mL. Since we need to round to the nearest tenth, the correct answer is 0.6 mL. This is because 1 mL is equivalent to 50 mg, and since we only need to administer 50 mg, we use 0.6 mL. Other choices are incorrect as they do not adhere to the calculation based on the concentration and desired dose.
Extract:
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling.
Question 4 of 5
Which of the following reactions is an age-appropriate response to death?
Correct Answer: B
Rationale: The correct answer is B because it reflects a common and age-appropriate response to death in children. Curiosity about what happened to the body is natural as children try to make sense of the concept of death. It shows a child's attempt to understand the physical aspect of death without fully grasping its emotional implications.
Choices A, C, and D are incorrect. A is incorrect because children often struggle with understanding death as permanent. C is incorrect because logical explanations for death usually come later in development. D is incorrect because children typically do not feel responsible for a sibling's death at a young age.
Extract:
A nurse is caring for a child who has had a lumbar puncture.
Question 5 of 5
The nurse should monitor the child for which of the following complications?
Correct Answer: C
Rationale: The correct answer is C: Headache. In pediatric patients, headaches can be indicative of serious underlying conditions such as meningitis or increased intracranial pressure. Monitoring for headaches is crucial for early detection and intervention. Nuchal rigidity when standing (
A) is more indicative of meningitis in adults. Double vision (
B) is more associated with neurological issues. Pain in the posterior iliac crest (
D) is not typically a complication that requires monitoring in children.