ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube.
Question 1 of 5
Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The nurse should first flush the tube with water to ensure patency and prevent clogging. This step clears any residual medication or debris, allowing for safe and effective administration of feedings. Checking the pH of gastric secretions (
A) is important but can be done after ensuring tube patency. Setting the administration rate (
B) and attaching the feeding bag tubing (
D) are premature without confirming tube patency. The correct order prioritizes patient safety and optimal feeding delivery.
Extract:
A nurse is caring for a 6-week-old infant. History and Physical
Infant was full-term at birth. Birth weight was 3.5 kg (7.7 lb). Infant is not gaining weight as expected. One week ago at outpatient visit, weight was 3.6 kg (7.9 lb).
Parent reports for past 2 days infant is breathing faster during feedings and does not finish feedings. Parent also reports decreased appetite and puffiness around the infant's eyes. Parent states that the last wet diaper was about 10 hr ago. Infant admitted for diagnostic evaluation, failure to thrive, and nutritional/fluid support.
Vital Signs Admission:
Temperature 37.7° C (99.9° F) Heart rate 174/min while sleeping Respiratory rate 72/min while sleeping
Assessment:
Admission:
Respirations: Tachypneic with moderate retractions and nasal flaring. Upon auscultation, crackles heard in all lung fields. No nasal drainage noted. Dry cough noted periodically. Skin: Pallor, scalp is diaphoretic, lower extremities are cool to touch.
Cardiac: Tachycardic, regular rhythm, no murmur is heard. Peripheral pulses are full and bounding in the upper extremities and weak bilateral pedal pulses are noted.
Fluids: Mucous membranes are slightly dry and pink. Skin turgor is slightly decreased. Capillary refill is 3 seconds. Noted periorbital edema and nonpitting edema of feet.
Anterior fontanel is soft and slightly depressed. Diaper remains dry. Abdomen: Soft, full, round, bowel sounds are present and active.
Blood pressure in right upper extremity 60/39 mm Hg Oxygen saturation 90% Laboratory Results
Admission:
Chest x-ray: mild left ventricular hypertrophy is noted. Increased pulmonary vascular markings are noted in all lobes.
Question 2 of 5
Specify 2 actions the nurse should take to address that condition.
Correct Answer: A,B
Rationale: The correct answers are A and B. A nurse should anticipate a prescription for digoxin as it is commonly prescribed for heart failure to improve heart function. Elevating the head of the bed to a 45° angle helps reduce the workload on the heart and improve respiratory function.
Choice C, implementing contact precautions, is unrelated to addressing the condition.
Choice D, providing chest physiotherapy and postural drainage, is not typically indicated for heart failure.
Extract:
Exhibit 1
Diagnostic Results Cerebrospinal fluid Pressure:
22 cm H2O (less than 20 cm H2O) Color: Cloudy (clear or colorless) Blood: None (none)
Cells
RBC: 0 (0)
WBC: 36 cells/mcL (0 to 30 cells/mcL) Protein: 92 mg/dL (up to 70 mg/dL) Glucose: 36 mg/dL
(50 to 75 mg/dL)
Serum glucose: 64 mg/dL (60 to 100 mg/dL)
Question 3 of 5
A nurse in an emergency department is caring for a 3-month-old infant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer ceftriaxone. In infants, ceftriaxone is commonly used for treating bacterial infections due to its broad-spectrum coverage. It is important to initiate prompt treatment in infants to prevent complications. Administering a pneumococcal conjugate vaccine (choice
B) is important for prevention but not an immediate action in this scenario. Initiating serum glucose testing every 1 hr (choice
C) is not necessary unless there are specific indications, as it may cause unnecessary stress to the infant. Neutropenic precautions (choice
D) are not relevant in this case as there is no indication of neutropenia.
Extract:
A nurse is caring for a child whose guardian requests information about essential oils to help their child relax.
Question 4 of 5
Which of the following oils should the nurse recommend?
Correct Answer: A
Rationale: The nurse should recommend lavender oil because it is known for its calming and relaxing properties, which can help reduce stress and promote better sleep. Lavender oil has therapeutic benefits for anxiety and insomnia, making it a suitable choice. Eucalyptus is more commonly used for respiratory issues, jasmine for relaxation, and tea tree for skin conditions. Lavender stands out as the most appropriate option based on the context of the question.
Extract:
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus.
Question 5 of 5
The nurse should immediately report which of the following findings to the provider?
Correct Answer: D
Rationale: The correct answer is D: Tachypnea. Tachypnea, which is rapid breathing, can indicate respiratory distress or an underlying serious condition that requires immediate attention. Reporting this finding promptly is crucial to ensure timely intervention. Rhinorrhea, pharyngitis, and coughing are common symptoms that may not require urgent attention as they can be managed symptomatically. In summary, tachypnea is the most concerning symptom that warrants immediate reporting, while the other choices are less urgent and can be addressed in due course.