ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 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 2 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 3 of 5
A 16-year-old with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication. What is the best explanation for this behavior?
Correct Answer: C
Rationale: The correct answer is C. The child is exhibiting normal adolescent behavior. Adolescence is a period of identity formation, autonomy-seeking, and risk-taking. It is common for teenagers to rebel against authority figures, including parents and healthcare providers, as they strive for independence and self-discovery. This rebellious behavior, such as missing medication doses, can be a way for the teenager to assert control over their own life and make their own decisions. It is crucial for healthcare providers to recognize this normal developmental stage and approach the situation with understanding and support rather than punitive measures.
Other choices are incorrect because:
A: The child needing more discipline implies that the behavior is solely due to a lack of control or structure, which overlooks the developmental aspect of adolescence.
B: While socialization with peers is important, it may not address the underlying reasons for the rebellious behavior.
D: Imposing more parental control may exacerbate the rebellion and hinder the adolescent's autonomy development.
Question 4 of 5
Which is an effective strategy to reduce the stress of burn dressing procedures for a 6-year-old child?
Correct Answer: A
Rationale: The correct answer is A: Give the child as many choices as possible. By providing the child with choices, you empower them and give them a sense of control over the situation, reducing feelings of helplessness and stress. This strategy helps the child feel more involved and less anxious during the burn dressing procedure.
Choices B, C, and D are incorrect because reassuring the child about pain, explaining why analgesics cannot be used, or encouraging controlled passivity may not directly address the child's emotional distress and lack of control in the situation. It is essential to prioritize the child's emotional well-being and sense of autonomy in managing stress during medical procedures.
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.