ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure.
Question 1 of 5
The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C. Hemodialysis uses an artificial membrane outside the body to clean the child's blood. This is because hemodialysis involves the process of blood being filtered through a machine that uses a synthetic membrane to remove wastes and excess fluids. This process mimics the function of the kidneys in filtering the blood.
Choice A is incorrect because hemodialysis does not use the abdominal cavity as a membrane, it uses an external artificial membrane.
Choice B is incorrect as hemodialysis does not involve the use of an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis is not a continuous filtration process, it is done intermittently during treatment sessions.
Extract:
A nurse is caring for a school-age child who has diabetes mellitus.
Question 2 of 5
Which of the following findings should the nurse recognize as being consistent with hyperglycemia?
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 is assessing a school-age child who is receiving morphine.
Question 3 of 5
For which of the following adverse effects should the nurse monitor?
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 assessing a child for scabies.
Question 4 of 5
Which of the following findings should the nurse identify as a manifestation of scabies?
Correct Answer: D
Rationale: The correct answer is D: Maculopapular skin burrows on the hand. Scabies is caused by the Sarcoptes scabiei mite, which burrows into the skin, causing characteristic burrows that appear as thin, wavy, and slightly raised grayish-white or skin-colored lines. These burrows are commonly found on the hands, fingers, wrists, and interdigital spaces. Scaly lesions on the inner thighs (
A) are more indicative of fungal infections. Rash with red macular lesions on the scalp (
B) is more suggestive of conditions like seborrheic dermatitis or psoriasis. A bull's eye edematous area on the groin (
C) is more characteristic of Lyme disease. In summary, the presence of maculopapular skin burrows on the hand is a key manifestation of scabies, differentiating it from the other options provided.
Extract:
A nurse in an emergency department is caring for a toddler who has manifestations of epiglottitis.
Question 5 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is to place intubation equipment at the bedside (
Choice
D). This is crucial in case the child's condition deteriorates rapidly and respiratory support is needed. Placing the intubation equipment ensures immediate access to airway management, which takes precedence over other actions. Obtaining an x-ray may provide diagnostic information but is not as urgent as ensuring airway patency. Administering antibiotics and initiating droplet precautions (
Choice
C) are important but not the immediate priority in this scenario.
Therefore,
Choice D is the correct first action to ensure the child's safety and optimal care.