ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
When caring for a newborn with Down syndrome, what should the nurse be aware is the most common congenital anomaly associated with Down syndrome?
Correct Answer: C
Rationale: The correct answer is C: Congenital heart disease. Down syndrome is commonly associated with congenital heart defects, such as atrioventricular septal defects or ventricular septal defects. This is important for the nurse to be aware of because these heart anomalies can impact the newborn's health and require monitoring or intervention.
Choice A: Diabetes insipidus is not a common congenital anomaly associated with Down syndrome.
Choice B: Pyloric stenosis is not typically associated with Down syndrome.
Choice D: Congenital hip dysplasia is not a common anomaly seen with Down syndrome.
In summary, the nurse should prioritize monitoring for congenital heart disease in a newborn with Down syndrome due to its high prevalence and potential impact on the baby's health.
Question 2 of 5
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Malaise. In bacterial pneumonia, the body's immune response leads to systemic symptoms like malaise, fatigue, and weakness. This is due to the infection fighting process. Drooling (
A) is not a common manifestation of bacterial pneumonia. Tinnitus (
C) refers to ringing in the ears and is not associated with pneumonia. Rhinorrhea (
D) is more commonly seen in viral respiratory infections.
Question 3 of 5
An 18-month-old patient with Down's Syndrome has a history of mild pulmonary hypertension which requires a daily dose of Furosemide (Lasix). The mother is questioning if the new dose is correct after an adjustment at the child's last Cardiology visit. The child weighs 22 pounds and the dosing for furosemide (Lasix) for this child 2mg/kg/dose. What is the appropriate dose of Furosemide Lasix for this child?
Correct Answer: C
Rationale: The correct dose of Furosemide (Lasix) for this child is 20 mg/dose.
To calculate the appropriate dose, we first convert the child's weight from pounds to kilograms (22 lbs ÷ 2.2 = 10 kg).
Then, we multiply the weight by the recommended dose of 2 mg/kg (10 kg x 2 mg/kg = 20 mg/dose). This calculation ensures proper dosing based on the child's weight.
Choices A, B, and D are incorrect because they do not reflect the correct dosage calculation based on the child's weight.
Question 4 of 5
A child with a history of diabetes mellitus presents with sweating, confusion, and slurred speech. The nurse suspects the cause is:
Correct Answer: D
Rationale: The correct answer is D: Hypoglycemia. In a child with a history of diabetes mellitus, sweating, confusion, and slurred speech indicate low blood sugar levels. Hypoglycemia can lead to neuroglycopenic symptoms like confusion and slurred speech. Hyperglycemia (choice
A) would present with polyuria, polydipsia, and fruity breath. Hyperkalemia (choice
B) can cause muscle weakness and cardiac arrhythmias. Hyponatremia (choice
C) typically presents with weakness, fatigue, and confusion. In this case, the symptoms point towards hypoglycemia as the most likely cause.
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.