ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs.
Question 1 of 5
Which of the following actions is appropriate for the nurse to take?
Correct Answer: A
Rationale:
Correct Answer: A. Obtain written consent from the client.
Rationale: Written consent from the client is essential to ensure autonomy and informed decision-making. It shows respect for the client's rights and allows them to fully understand the procedure or treatment. Verbal consent may not provide a legal record of agreement. Contacting the client's parents without the client's consent may violate confidentiality and autonomy. Postponing testing can delay necessary healthcare. Written consent is the most appropriate choice to uphold ethical and legal standards in healthcare practice.
Extract:
A nurse is caring for an 8-year-old child who was recently diagnosed with chronic renal failure.
Question 2 of 5
The child's parents ask for information on hemodialysis. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C. Hemodialysis uses an artificial membrane outside the body to clean the child's blood. This is because hemodialysis involves the process of blood being filtered through a machine that uses a synthetic membrane to remove wastes and excess fluids. This process mimics the function of the kidneys in filtering the blood.
Choice A is incorrect because hemodialysis does not use the abdominal cavity as a membrane, it uses an external artificial membrane.
Choice B is incorrect as hemodialysis does not involve the use of an electrolyte solution to clean the blood.
Choice D is incorrect because hemodialysis is not a continuous filtration process, it is done intermittently during treatment sessions.
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 nurse is caring for a child who has had a lumbar puncture.
Question 4 of 5
The nurse should monitor the child for which of the following complications?
Correct Answer: C
Rationale: The correct answer is C: Headache. In pediatric patients, headaches can be indicative of serious underlying conditions such as meningitis or increased intracranial pressure. Monitoring for headaches is crucial for early detection and intervention. Nuchal rigidity when standing (
A) is more indicative of meningitis in adults. Double vision (
B) is more associated with neurological issues. Pain in the posterior iliac crest (
D) is not typically a complication that requires monitoring in children.
Extract:
A nurse is assessing a 5-month-old infant.
Question 5 of 5
Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Exhibits head lag when pulled to a sitting position. This finding indicates poor head control, a developmental milestone typically achieved around 4 months. Reporting this to the provider is crucial for further assessment and intervention.
Choice A is incorrect as rolling from back to abdomen is typically achieved around 5-6 months.
Choice C is incorrect as holding a bottle is a milestone around 6-10 months.
Choice D is incorrect as the grasp reflex typically disappears around 3-4 months. The key is to identify the finding that deviates significantly from the expected developmental milestone, which is demonstrated by choice B.