ATI RN
RN ATI Pediatric Nursing Proctored Exam with NGN 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a group of school-age children about healthy snack options. Which of the following snacks should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Air-popped popcorn. It is a healthy snack option for school-age children because it is low in calories and high in fiber, making it a satisfying and nutritious choice. Popcorn is a whole grain snack that provides essential nutrients like fiber and antioxidants. It is a good alternative to sugary or high-fat snacks. Cheesecake (
A) is high in sugar and saturated fat, not a healthy choice. Milkshake made with whole milk (
C) is high in calories, sugar, and saturated fat. Baked potato chips (
D) may be lower in fat than regular chips but are still high in calories and lack the fiber content of popcorn.
Question 2 of 5
A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following activities should the nurse expect the child to participate?
Correct Answer: D
Rationale: The correct answer is D: Watching a cartoon in the activity room.
Toddlers with acute lymphocytic leukemia are often immunocompromised, making them susceptible to infections.
Therefore, activities that involve potential injury or exposure to germs, such as using scissors (choice
A) or playing with toys that cannot be easily cleaned (choice
B) should be avoided. Looking at alphabet flash cards (choice
C) may be mentally stimulating but does not address the safety concerns. Watching a cartoon in the activity room (choice
D) is a safe and enjoyable activity that can help keep the child entertained without posing a risk of injury or infection.
Question 3 of 5
A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Confirm the client's perception of the event. This is the first step because it helps the nurse understand the client's perspective, emotions, and triggers, which are crucial in crisis intervention. By confirming the client's perception, the nurse can establish rapport, validate the client's feelings, and assess the severity of the crisis. This information guides the nurse in developing an appropriate care plan and intervention strategies.
Choice A (Notify the client's support person) may be important but not the first step in crisis intervention.
Choice B (Teach the client relaxation techniques) and C (Help the client identify personal strengths) are valuable interventions but should come after assessing the client's perception.
Extract:
History and physical 0830: Pharyngitis 3 weeks ago. Prescribed 5-day course of azithromycin. Antibiotic discontinued on day 3 due to gastrointestinal upset. Current on all recommended immunizations.
Question 4 of 5
A nurse on the pediatric unit is admitting the child from the emergency department. Complete the following sentence by using the lists of options. The nurse suspects the child is experiencing rheumatic fever. The nurse should recognize the child is at greatest risk of developing--- due to---
Correct Answer: C,D
Rationale: The correct answers are C: Rheumatic heart disease and D: Streptococcal pharyngitis. Rheumatic fever is caused by untreated streptococcal infection. If not treated promptly, it can lead to rheumatic heart disease, a serious complication. Streptococcal pharyngitis is a common precursor to rheumatic fever. Glomerulonephritis (
A) is a potential complication of streptococcal infection but not directly related to rheumatic fever. Pericarditis (
B) is an inflammation of the pericardium and not directly associated with rheumatic fever. Recent immunizations (E) and viral infections (F) are not linked to the development of rheumatic fever.
Extract:
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 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.