ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is prioritizing care for four clients.
Question 1 of 5
Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: The correct choice is C. The nurse should assess the adolescent with sickle cell anemia and slurred speech first because slurred speech could indicate a potential stroke or other serious neurological complication related to sickle cell disease. It is crucial to prioritize neurological symptoms as they may lead to life-threatening complications if not addressed promptly. Assessing for signs of stroke and providing immediate intervention is essential in this situation.
Choices A, B, and D involve pain management and wound care, which are important but not as urgent as addressing potential neurological complications.
Therefore, assessing the client with slurred speech is the priority to ensure timely and appropriate intervention.
Extract:
A nurse is caring for a 5-year-old child who has nephrotic syndrome.
Question 2 of 5
Which of the following findings should indicate to the nurse that treatment has been effective?
Correct Answer: C
Rationale: The correct answer is C: Urine output 256 mL over 8 hours. This finding indicates effective treatment as it shows adequate kidney function and hydration status. Normal urine output is 30-50 mL/hr, so 256 mL over 8 hours is within the expected range.
A: Odorless urine is a general indicator of hydration but not a definitive sign of treatment effectiveness.
B: No report of pain with voiding is subjective and may not always reflect treatment effectiveness.
D: Temperature within normal range is a good sign, but it does not directly indicate treatment effectiveness related to the urinary system.
Extract:
A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling.
Question 3 of 5
Which of the following reactions is an age-appropriate response to death?
Correct Answer: B
Rationale: The correct answer is B because it reflects a common and age-appropriate response to death in children. Curiosity about what happened to the body is natural as children try to make sense of the concept of death. It shows a child's attempt to understand the physical aspect of death without fully grasping its emotional implications.
Choices A, C, and D are incorrect. A is incorrect because children often struggle with understanding death as permanent. C is incorrect because logical explanations for death usually come later in development. D is incorrect because children typically do not feel responsible for a sibling's death at a young age.
Extract:
A nurse is assessing a child who has heart failure.
Question 4 of 5
Which of the following findings is a clinical manifestation associated with this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Tachypnea. Tachypnea refers to rapid breathing, which is a common clinical manifestation associated with various medical conditions, including respiratory distress. In this particular diagnosis, tachypnea may indicate underlying respiratory issues or distress. Tremors (
B) and increased appetite (
C) are not typically associated with this diagnosis. Bradycardia (
D), which is a slow heart rate, is also not a common clinical manifestation in this context.
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 5 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.