ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
Parents of a 4-year-old with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse's reply should be based on which statement?
Correct Answer: D
Rationale: The correct answer is D: Children need opportunities to play with their peers to foster their growth and development. The rationale is as follows: Playing with peers is essential for a child's social, emotional, and cognitive development. It helps them learn important skills like cooperation, communication, and problem-solving. Restricting the child's play due to fear of overexertion can have negative consequences on their overall development. It is important for children to engage in age-appropriate play activities under supervision to ensure safety while promoting growth.
Now, let's analyze why the other choices are incorrect:
A: Parents can meet all the needs of their child - While parents play a crucial role in meeting a child's needs, social interaction with peers is also important for holistic development.
B: Children need to understand the activities of their peers are too strenuous - This places the burden on the child to limit their activities rather than promoting healthy play.
C: Constant parental supervision is required to avoid overexertion
Question 2 of 5
A 4-year-old, 44-pound Autistic patient is admitted to the ED with concerns of dehydration. He has been ordered to receive a 20ml/kg fluid bolus of normal saline over 30 minutes. At what rate would you set the IV pump?
Correct Answer: A
Rationale: The correct answer is A: 880 ml/hour.
To calculate the IV pump rate, first, determine the total volume to be infused: 20 ml/kg x 44 lbs = 880 ml. Next, divide the total volume by the total time in hours: 880 ml / 1 hour = 880 ml/hour. This rate ensures the patient receives the prescribed fluid bolus over 30 minutes.
Choice B is incorrect as it does not account for the specific weight of the patient.
Choices C and D are incorrect as they do not follow the correct calculation based on the patient's weight.
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
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Malaise. In bacterial pneumonia, the body's immune response leads to systemic symptoms like malaise, fatigue, and weakness. This is due to the infection fighting process. Drooling (
A) is not a common manifestation of bacterial pneumonia. Tinnitus (
C) refers to ringing in the ears and is not associated with pneumonia. Rhinorrhea (
D) is more commonly seen in viral respiratory infections.
Question 5 of 5
When instructing the parents of a toddler with iron deficiency anemia about the importance of increasing iron in the toddler's diet, which of the following foods should the nurse instruct the parents to include in the toddler's diet?
Correct Answer: C
Rationale: The correct answer is C: Dried fruits. Dried fruits are a good source of iron, which is essential for treating iron deficiency anemia in toddlers. They provide a concentrated amount of iron in a small serving size, making them convenient for toddlers. Pasta (
A) does not contain significant amounts of iron. Vitamin D milk (
B) is important for bone health but does not provide a substantial amount of iron. Green leafy vegetables (
D) are a good source of iron, but they may be harder for toddlers to eat compared to dried fruits.