ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
Which is descriptive of attention deficit hyperactivity disorder (ADHD)?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale: Manifestations of ADHD affect all aspects of the child's life but are most obvious in the classroom. ADHD symptoms impact academic performance, social interactions, and behavior in various settings. Children with ADHD often struggle with impulse control, hyperactivity, and inattention, leading to challenges in the classroom environment. This choice acknowledges the pervasive nature of ADHD symptoms while highlighting the prominent impact on the child's educational experience.
Summary of other choices:
A: Incorrect - Manifestations of ADHD are not necessarily bizarre, and the diagnosis is often complex due to overlapping symptoms with other conditions.
C: Incorrect - Learning disabilities and ADHD are separate conditions, and ADHD symptoms may persist into adulthood without necessarily disappearing.
D: Incorrect - While consistent manifestations are a key diagnostic criterion, ADHD symptoms can fluctuate in intensity and may still be present without being constant.
Question 2 of 5
A sign specific to red blood cell destruction (hemolytic) anemia is:
Correct Answer: A
Rationale: Jaundice is the correct answer for red blood cell destruction anemia because it results from the breakdown of red blood cells, causing an increase in bilirubin levels. Jaundice presents as yellowing of the skin and eyes. Pica (eating non-food items), anorexia (loss of appetite), and tachycardia (rapid heart rate) are not specific signs of hemolytic anemia. Jaundice is a key indicator due to the excess bilirubin released from the destruction of red blood cells.
Question 3 of 5
A 3-year-old patient is taking therapeutic doses of Digoxin and Lasix for heart failure and has an order for daily labs to be drawn. What side effect of this drug combination would the nurse find most concerning?
Correct Answer: B
Rationale: The correct answer is B: Hypokalemia. Digoxin and Lasix can both cause potassium loss, leading to hypokalemia. In this case, hypokalemia is concerning as it can increase the risk of Digoxin toxicity, resulting in life-threatening arrhythmias. Hypernatremia (
A), hyponatremia (
C), and hyperkalemia (
D) are not common side effects of this drug combination and would not pose the same level of risk as hypokalemia.
Question 4 of 5
A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Perform chest percussion and postural drainage at least twice daily. This is crucial in managing cystic fibrosis as it helps to loosen and clear mucus from the lungs. Chest percussion and postural drainage can improve lung function and reduce the risk of respiratory infections. Restricting intake of foods that contain gluten (
B) is not necessary for cystic fibrosis. Administering pancreatic enzymes on an empty stomach (
C) is important but not the priority in this case. Using a nebulizer to administer a bronchodilator following airway clearance therapy (
D) is helpful but not as essential as chest percussion and postural drainage.
Question 5 of 5
Fentanyl 30mcg IV is ordered. The vial contains 0.05mg/ml. How many ml should the nurse administer?
Correct Answer: D
Rationale:
To calculate the amount of Fentanyl to administer, first convert 30mcg to mg by dividing by 1000 (30mcg = 0.03mg).
Then, divide the dose by the concentration of the vial (0.03mg ÷ 0.05mg/ml = 0.6ml). The correct answer is D (0.6ml).
Choice A (0.3ml) is incorrect because it doesn't account for the correct dosage calculation.
Choice B (3ml) is incorrect as it is too high, leading to potential overdose.
Choice C (0.06ml) is incorrect as it miscalculates the dosage based on the vial concentration.