ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
The doctor has ordered Synthroid 75 mcg oral daily. The available Synthroid is 0.15 mg tablets. How many tablets will the nurse administer?
Correct Answer: B
Rationale: The correct answer is B: 0.5 tablet.
To determine the number of tablets needed, convert 75 mcg to mg by dividing by 1000 (75 mcg = 0.075 mg).
Then, divide the prescribed dose (0.075 mg) by the tablet strength (0.15 mg) to find the number of tablets needed (0.075 mg / 0.15 mg = 0.5 tablet). This calculation ensures the patient receives the correct dosage.
Choice A is incorrect as it does not account for the tablet strength.
Choices C and D are incorrect as they result in a higher dose than prescribed.
Question 2 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.
Question 3 of 5
A six-year-old is scheduled for a cardiac catheterization. Preoperative teaching should be:
Correct Answer: D
Rationale: The correct answer is D because preoperative teaching for a six-year-old undergoing cardiac catheterization should be adapted to the patient's development level. This is crucial as it ensures the information is communicated in a way that the child can comprehend and reduces anxiety. Providing information at the appropriate developmental stage helps the child feel more prepared and less fearful.
Choice A is incorrect as children as young as six can understand basic concepts with appropriate communication techniques.
Choice B may overwhelm the child with unnecessary details.
Choice C is incorrect because waiting too long to provide information may increase anxiety.
Question 4 of 5
The nurse is caring for a child with frostbite would expect the patient to display:
Correct Answer: B
Rationale: The correct answer is B because blisters appearing 24 to 48 hours after rewarming is a common symptom of frostbite. This occurs due to damage to the blood vessels and tissues. A: Redness and swelling are more indicative of mild frostbite. C: Itching and burning are not typical symptoms of frostbite. D: Fever is not a common symptom of frostbite.
Question 5 of 5
Which should be the major consideration in selecting toys for a child who is cognitively impaired?
Correct Answer: C
Rationale: The major consideration in selecting toys for a cognitively impaired child should be safety (
Choice
C). Safety is crucial as children with cognitive impairments may have difficulty understanding potential dangers or using toys appropriately. Age appropriateness (
Choice
A) is important, but safety should take precedence. Teaching useful skills (
Choice
B) can be beneficial but may not be the primary focus. Providing exercise (
Choice
D) is valuable, but ensuring safety should come first.