RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers

Extract:

A nurse is assessing a school-age child who is receiving morphine.

Question 1 of 5

For which of the following adverse effects should the nurse monitor?

A. Prolonged wound healingB. NauseaC. Stevens-Johnson syndromeD. Renal failure

Correct Answer: B

Rationale: The correct answer is B: Nausea. The nurse should monitor for nausea as it is a common adverse effect of many medications and can impact the patient's overall well-being. Nausea can lead to decreased appetite, dehydration, and noncompliance with medications. Prolonged wound healing (
A) is a potential adverse effect but is not as common or immediate as nausea. Stevens-Johnson syndrome (
C) is a severe and life-threatening skin reaction that is rare and not typically monitored by nurses. Renal failure (
D) is a serious adverse effect but may not be directly related to all medications.

Extract:

A nurse is prioritizing care for four clients.

Question 2 of 5

Which of the following clients should the nurse assess first?

A. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillinB. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10C. An adolescent who has sickle cell anemia and slurred speechD. A toddler who has a partial-thickness burn on his right hand and requires a dressing change

Correct Answer: C

Rationale: The correct choice is C. The nurse should assess the adolescent with sickle cell anemia and slurred speech first because slurred speech could indicate a potential stroke or other serious neurological complication related to sickle cell disease. It is crucial to prioritize neurological symptoms as they may lead to life-threatening complications if not addressed promptly. Assessing for signs of stroke and providing immediate intervention is essential in this situation.

Choices A, B, and D involve pain management and wound care, which are important but not as urgent as addressing potential neurological complications.
Therefore, assessing the client with slurred speech is the priority to ensure timely and appropriate intervention.

Extract:

A nurse is caring for a school-age child who has diabetes mellitus.

Question 3 of 5

Which of the following findings should the nurse recognize as being consistent with hyperglycemia?

A. SweatingB. TremorsC. PallorD. Thirst

Correct Answer: D

Rationale: The correct answer is D: Thirst. Hyperglycemia results in elevated blood sugar levels, leading to increased osmolality and dehydration, triggering thirst as the body attempts to dilute the blood. Sweating (
A), tremors (
B), and pallor (
C) are not typically associated with hyperglycemia. Sweating is more commonly seen in hypoglycemia, tremors can be a sign of low blood sugar, and pallor is not a direct symptom of high blood sugar levels.

Extract:

A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs.

Question 4 of 5

Which of the following actions is appropriate for the nurse to take?

A. Obtain written consent from the client.B. Request verbal consent from the social worker.C. Contact the client's parents to obtain phone consent.D. Postpone the testing until the client's parents are present.

Correct Answer: A

Rationale:
Correct Answer: A. Obtain written consent from the client.

Rationale: Written consent from the client is essential to ensure autonomy and informed decision-making. It shows respect for the client's rights and allows them to fully understand the procedure or treatment. Verbal consent may not provide a legal record of agreement. Contacting the client's parents without the client's consent may violate confidentiality and autonomy. Postponing testing can delay necessary healthcare. Written consent is the most appropriate choice to uphold ethical and legal standards in healthcare practice.

Extract:

A nurse is providing discharge teaching to the guardian of a child who has cystic fibrosis.

Question 5 of 5

Which of the following statements by the guardian indicates an understanding of the teaching?

A. I will ensure that my child consumes a high-calorie diet.B. I will expect my child to need annual sweat chloride testing.C. I will have my child chew the pancrelipase medication before eating.D. I will administer dormase alfa every 4 hours for wheezing.

Correct Answer: A

Rationale: The correct answer is A because ensuring the child consumes a high-calorie diet demonstrates an understanding of the teaching regarding managing cystic fibrosis, a condition that requires a high-calorie intake to maintain weight and overall health. This statement aligns with the need for nutritional support in cystic fibrosis management.

Choice B is incorrect because annual sweat chloride testing is not related to dietary management.
Choice C is incorrect as chewing pancrelipase medication before eating is not necessary for understanding the teaching about cystic fibrosis.
Choice D is incorrect as administering dormase alfa every 4 hours for wheezing does not pertain to dietary requirements in cystic fibrosis.

RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) -Nurselytic

Nurselytic

ATI RN

ATI RN