ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
Congenital heart defects are classified as all of the following? (Select all that apply)
Correct Answer: A,B,C
Rationale: Congenital heart defects can be classified based on pathophysiology. A: Mixed defects involve combination of two types of abnormalities, B: Obstruction defects involve narrowing/blockage in blood flow, and C: Decreased pulmonary blood flow includes defects leading to decreased blood flow to lungs. D: Acquired defects result from external factors and not present at birth. E, F, G are not applicable as no information is provided. Thus, A, B, C are correct based on classification of congenital heart defects.
Question 2 of 5
Which of the following is a serious complication of acute rheumatic fever?
Correct Answer: D
Rationale: The correct answer is D: Cardiac valve damage. Acute rheumatic fever can lead to inflammation of the heart valves, causing damage and leading to conditions like mitral stenosis or regurgitation. This occurs due to an autoimmune response triggered by a previous streptococcal infection.
Choice A, seizures, is not typically associated with acute rheumatic fever.
Choice B, coronary aneurysms, is more commonly linked to conditions like Kawasaki disease.
Choice C, pulmonary hypertension, is not a typical complication of acute rheumatic fever. Thus, the correct answer is D, as it aligns with the known pathophysiology of the disease.
Question 3 of 5
The nurse is providing education to the parents of an infant with cradle cap. Which of the following statements by the parents indicates their understanding?
Correct Answer: C
Rationale: The correct answer is C: "We should brush the loosened crusts out of the hair after shampooing." This statement indicates understanding as brushing the loosened crusts helps to remove the scales and prevent further build-up. Hydrogen peroxide (
A) is not recommended for cradle cap as it can irritate the skin. Asthma and allergies (
B) are not directly related to cradle cap. Decreasing hair wash frequency to once a week (
D) can worsen cradle cap by allowing build-up of oils and dead skin cells.
Question 4 of 5
Fentanyl 30mcg IV is ordered. The vial contains 0.05mg/ml. How many ml should the nurse administer?
Correct Answer: D
Rationale:
To calculate the amount of Fentanyl to administer, first convert 30mcg to mg by dividing by 1000 (30mcg = 0.03mg).
Then, divide the dose by the concentration of the vial (0.03mg ÷ 0.05mg/ml = 0.6ml). The correct answer is D (0.6ml).
Choice A (0.3ml) is incorrect because it doesn't account for the correct dosage calculation.
Choice B (3ml) is incorrect as it is too high, leading to potential overdose.
Choice C (0.06ml) is incorrect as it miscalculates the dosage based on the vial concentration.
Question 5 of 5
The nurse caring for an adolescent patient with a diagnosis of goiter knows that goiter is most often caused by?
Correct Answer: D
Rationale: The correct answer is D: Hashimoto Disease. Goiter is most commonly caused by Hashimoto Disease, which is an autoimmune condition where the body attacks the thyroid gland, leading to inflammation and enlargement of the gland. This results in the development of a goiter. Kawasaki's disease (
A), Takayasu Disease (
B), and Matsuzaki Disease (
C) are not typically associated with the development of goiter. A summary of why the other choices are incorrect: A is a systemic vasculitis, B is a type of vasculitis involving the aorta and its main branches, and C is a fictional disease.