ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse in a provider's office is caring for a 1-year-old toddler. Exhibit 1
0930
Nurse Notes
Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic.
0945:
Notified provider of parent reports and child's fever. New prescriptions received.
1000:
Urine sample obtained via sterile straight catheter. Exhibit 2
Vital Signs 0930:
Temperature 38.4° C (101.1° F) Heart rate 128/min
Respiratory rate 28/min Exhibit 3
Diagnostic Results
1030:
Urinalysis:
Appearance: cloudy and dark amber (clear) Specific gravity 1.035 (1.005 to 1.030)
Leukocyte esterase: positive (negative)
Nitrites: present (none)
WBCS: 10 (0 to 4)
Question 1 of 5
What is a 1-year-old with history of UTIs and diagnosed with vesicoureteral reflux s tachycardia at risk for?
Correct Answer: B,E
Rationale: The correct answers for a 1-year-old with history of UTIs and diagnosed with vesicoureteral reflux at risk for are B: Renal Scarring and E: Pyelonephritis. Vesicoureteral reflux increases the risk of recurrent UTIs, leading to pyelonephritis. Renal scarring can result from repeated pyelonephritis episodes. Nephrotic syndrome (
A) is not typically associated with UTIs or reflux. Polycystic kidney (
C) is a congenital condition, not related to the scenario. Acute glomerulonephritis (
D) is usually caused by post-streptococcal infection, not UTIs.
Extract:
A nurse is assessing a school-age child who is receiving morphine.
Question 2 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 providing teaching to the parents of a school-age child newly diagnosed with a seizure disorder.
Question 3 of 5
The nurse should teach the parents to take which of the following actions during a seizure?
Correct Answer: B
Rationale: The correct answer is B: Clear the area of hard objects. This action is crucial during a seizure to prevent injury. Hard objects can cause harm if the child hits them during convulsions. Minimizing limb movement is not recommended as it may lead to further injury. Placing the child in a prone position can obstruct breathing and should be avoided. Inserting a tongue blade can also cause harm and is not recommended. Clearing the area of hard objects is the most effective way to ensure safety during a seizure.
Extract:
A nurse is performing a cranial nerve assessment on a school-age child.
Question 4 of 5
Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D because symmetrical jaw strength when biting down indicates proper functioning of the trigeminal nerve, which controls the muscles of mastication.
Choice A relates to the vestibular system, not the trigeminal nerve.
Choice B involves the glossopharyngeal and vagus nerves.
Choice C is related to the olfactory nerve.
Extract:
A nurse is caring for a 5-year-old child who has nephrotic syndrome.
Question 5 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Urine output 256 mL over 8 hours. This finding indicates effective treatment as it shows adequate kidney function and hydration status. Normal urine output is 30-50 mL/hr, so 256 mL over 8 hours is within the expected range.
A: Odorless urine is a general indicator of hydration but not a definitive sign of treatment effectiveness.
B: No report of pain with voiding is subjective and may not always reflect treatment effectiveness.
D: Temperature within normal range is a good sign, but it does not directly indicate treatment effectiveness related to the urinary system.