ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
The nurse is caring for a school-age boy with Kawasaki's Disease. She knows the medication the child will receive includes:
Correct Answer: A
Rationale:
Rationale: Kawasaki's Disease is treated with Immunoglobulin G to reduce inflammation and aspirin to prevent blood clots and coronary artery abnormalities. Immunoglobulin E is not used in this condition, and heparin and ibuprofen are not part of the standard treatment. ACE inhibitors are not indicated in Kawasaki's Disease. So, choice A is correct due to its adherence to the standard treatment guidelines.
Question 2 of 5
Which explanation regarding cardiac catheterization is appropriate for a preschool child?
Correct Answer: D
Rationale: The correct answer is D because preschool children may not fully understand the importance of keeping still after cardiac catheterization. Keeping the leg straight helps prevent bleeding at the insertion site.
Choice A is incorrect as postural drainage is not related to cardiac catheterization.
Choice B is incorrect as sedation, not complete sleep, is usually used.
Choice C is incorrect as the procedure can take longer than an hour.
Question 3 of 5
A nurse is caring for a school-age child who is 2 hr postoperative following a cardiac catheterization. The nurse observes blood on the child's dressing. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale: Applying continuous pressure 2.5 cm below the percutaneous skin site will help control bleeding by promoting clot formation at the catheter insertion site. This pressure point is closer to the source of bleeding, ensuring better hemostasis and preventing further complications.
Summary:
A: Applying intermittent pressure below the site is incorrect as continuous pressure is more effective in achieving hemostasis.
B: Applying continuous pressure above the site is incorrect as it does not target the bleeding source directly.
D: Applying intermittent pressure above the site is incorrect as continuous pressure is preferred for controlling bleeding.
E, F, G: No information provided.
Question 4 of 5
The emergency room nurse is caring for a patient with severe burns knows that the priority immediate intervention is which of the following?
Correct Answer: C
Rationale: The correct answer is C: Stop the burning process. This is the priority immediate intervention for a patient with severe burns because stopping the burning process helps prevent further tissue damage. It involves removing the patient from the source of the burn, extinguishing any flames, and cooling the burn with water. This action is crucial in minimizing the extent of the injury and improving outcomes.
A: Covering the burns to prevent infection is important but not the immediate priority.
B: Providing anti-inflammatory medication can be considered later but is not the primary immediate intervention.
D: Providing anti-cyanide medication is not relevant for severe burns.
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.