ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A charge nurse is observing a staff nurse who is caring for a child who has pertussis.
Question 1 of 5
Which of the following actions by the staff nurse indicates an understanding of infection control practices?
Correct Answer: A
Rationale: The correct answer is A because maintaining droplet precautions while the child is coughing and sneezing is essential for preventing the spread of infection through respiratory droplets. This action shows understanding of infection control practices by implementing specific measures to reduce transmission of pathogens.
Choice B is incorrect as wearing a face mask after entering the room does not provide adequate protection during exposure to respiratory secretions.
Choice C is incorrect as gloves are not sufficient for preventing transmission of respiratory infections.
Choice D is incorrect as airborne precautions are not necessary for droplet precautions.
Extract:
A nurse is caring for a school-age child who has cystic fibrosis. Exhibit 1
History and Physical
School-age child admitted, diagnosed with cystic fibrosis at 3 months of age, has experienced failure to thrive, and has chronic obstructive pulmonary disease. The child presents with wheezing, rhonchi, paroxysmal cough, and dyspnea. The parent reports large, frothy, foul- smelling stools. The child has deficient levels of vitamin A, D, E, and K.
Barrel-shaped chest
Clubbing of the fingers bilaterally
Respiratory rate 40/min with wheezing and rhonchi noted bilaterally, dyspnea, and paroxysmal cough
Exhibit 2 Vital Signs
Temperature 38.4° C (101.1° F) Heart rate 100/min Respiratory rate 40/min Blood pressure 100/57 mm Hg
Exhibit 3 Laboratory Results
Sputum culture positive for Pseudomonas aeruginosa Stool analysis positive for presence of fat and enzymes Chest x-ray indicates obstructive emphysema WBC count 20,000/mm3 (5,000 to 10,000/mm3)
Question 2 of 5
A nurse is reviewing the child's medical record. Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child's home medication list?
Correct Answer: A,C,E
Rationale: The correct answers are A, C, and E. A nurse reviewing a child's medical record should expect the provider to prescribe or reconcile water-soluble vitamins (
A) for essential nutrients, Dornase alfa (
C) for cystic fibrosis to help clear mucus, and Pancreatic lipase (E) for pancreatic insufficiency to aid in digestion. Acetaminophen (
B) is a common over-the-counter pain reliever but may not be specifically required based on the child's condition. Meperidine (
D) is a narcotic analgesic with potential side effects and is not typically used in pediatric patients.
Extract:
A nurse is providing discharge teaching to the guardian of a preschooler who had a tonsillectomy.
Question 3 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C, "Notify the provider if your child is swallowing frequently." This statement is important as frequent swallowing may indicate potential issues such as aspiration or difficulty swallowing. It is crucial for the nurse to be aware of this symptom to ensure timely intervention.
Choice A is incorrect because dark brown blood between the teeth is not a typical symptom that would require immediate notification to the provider.
Choice B is also incorrect as encouraging a child to drink through a straw may not be relevant to the situation at hand.
Choice D is incorrect as clearing the throat as needed may not address the underlying issue of frequent swallowing.
Extract:
A school nurse is assessing a 7-year-old student.
Question 4 of 5
The nurse should identify which of the following findings as a potential indicator of physical abuse?
Correct Answer: C
Rationale: The correct answer is C, bruising around the wrists. This is indicative of physical abuse as it suggests grabbing or restraining. Front deciduous teeth missing (
A) is more likely due to normal tooth loss. Weight in 45th percentile (
B) is within a healthy range. Abrasions on the knees (
D) are common in children.
Extract:
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram.
Question 5 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because leads are typically placed on the back before a procedure like an electrocardiogram (ECG) to monitor the heart's electrical activity. This step is crucial for obtaining accurate results.
Choice A is incorrect as alarms are not typically used during ECGs.
Choice C is incorrect because the duration of the procedure can vary and is not necessarily 30 minutes.
Choices D, E, F, and G are blank, so they do not provide any relevant information.