RN ATI Pediatric Proctored Exam 2023 with NGN -Nurselytic

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RN ATI Pediatric Proctored Exam 2023 with NGN Questions

Extract:


Question 1 of 5

The expected finding of Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) include:

Correct Answer: A

Rationale: The correct answer is A: Low urine output & increased levels of antidiuretic hormone. In SIADH, there is an excessive release of antidiuretic hormone (ADH), leading to water retention and dilutional hyponatremia. This results in low urine output as the body retains water. Increased levels of ADH cause the kidneys to reabsorb more water, further contributing to low urine output. The other choices are incorrect because in SIADH, urine output is typically low, and ADH levels are elevated due to the dysregulation of the feedback mechanism that controls ADH release. Increased urine output and decreased levels of ADH (choice
C) would be more indicative of diabetes insipidus, a condition characterized by decreased ADH production or kidney insensitivity to ADH.

Question 2 of 5

A nurse is caring for an adolescent with a closed femur fracture who also has HIV. What type of precautions should the nurse institute?

Correct Answer: B

Rationale: The correct answer is B: The patient should be placed on standard precautions to diminish the risk of HIV transmission. Standard precautions are used for all patients to prevent the transmission of infection. In this case, the adolescent has a closed femur fracture and HIV, so the nurse should follow standard precautions, which include hand hygiene, wearing gloves, and using personal protective equipment as needed. Neutropenic precautions (choice
A) are not necessary unless the patient has a low white blood cell count. Contact precautions (choice
C) are used for specific infections that are spread by direct contact with the patient or their environment. Isolation (choice
D) is not required solely based on HIV status.

Question 3 of 5

When caring for a patient with Syndrome of inappropriate Antidiuretic Hormone Secretion (SIADH), the nurse would expect her patient to exhibit the following clinical signs and symptoms (Select all that apply):

Correct Answer: A,B,C

Rationale:
Step-by-step rationale:
A: Fluid retention - In SIADH, there is excessive ADH secretion leading to water retention and dilutional hyponatremia.
B: Hypotonicity - Due to water retention, serum osmolality decreases leading to hypotonicity.
C: Anorexia - SIADH can cause nausea, vomiting, and anorexia due to hyponatremia and cerebral edema.
Incorrect choices:
D: Frequent urination - SIADH causes water retention, leading to decreased urine output, not frequent urination.

Question 4 of 5

A home health nurse is caring for a child who has lyme disease. Which of the following is an appropriate action for the nurse to take

Correct Answer: B

Rationale: The correct answer is B: Administer antitoxin. Lyme disease is caused by a bacterium, not a toxin, so administering antitoxin is not appropriate. Option A is incorrect because notifying the state health department is not a direct action for the nurse to take in caring for the child. Option C is incorrect as educating the family to avoid sharing personal belongings is a preventive measure but not a direct action for the child's care. Option D is incorrect as skin necrosis is not a typical manifestation of Lyme disease. Administering appropriate antibiotics to treat the bacterial infection is the most appropriate action for the nurse to take in caring for the child with Lyme disease.

Question 5 of 5

While caring for a hospitalized child, which of the following signs would lead the nurse to suspect the child has diabetes insipidus?

Correct Answer: A

Rationale: The correct answer is A: Increased urination. Diabetes insipidus is characterized by excessive urination (polyuria) due to the inability of the kidneys to concentrate urine. This leads to a large volume of dilute urine being produced. The other options are not indicative of diabetes insipidus. Fruity breath (
B) is a sign of diabetic ketoacidosis, not diabetes insipidus. Weight gain (
C) is not a typical symptom of diabetes insipidus, as patients may even experience weight loss due to dehydration. Slurred speech (
D) is not directly related to diabetes insipidus.

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