ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is assessing a child who has heart failure.
Question 1 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 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 charge nurse is observing a staff nurse who is caring for a child who has pertussis.
Question 3 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 preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Observe the child's throat with a flashlight. This is the first action the nurse should take as it helps assess for any signs of inflammation, infection, or obstruction in the throat, which could be causing the child's symptoms. By observing the throat, the nurse can gather important information to guide further interventions.
Choice B: Giving the child small sips of water can be important but should come after assessing the throat to ensure it is safe to swallow.
Choice C: Administering an analgesic should be based on the assessment findings, not the first action.
Choice D: Offering an ice collar is not indicated until the cause of the symptoms is identified.
Extract:
A nurse is preparing to administer immunizations to a 3-month-old infant.
Question 5 of 5
Which of the following is an appropriate action for the nurse to take to deliver atraumatic care?
Correct Answer: B
Rationale: The correct answer is B: Provide a pacifier coated with an oral sucrose solution prior to the injections. This is an appropriate action for atraumatic care because it helps to reduce pain and distress during procedures, such as injections, by utilizing non-pharmacological comfort measures. The sucrose solution on the pacifier helps to soothe and distract the child, making the experience less traumatic.
Choice A (Apply EMLA cream immediately before injections) is incorrect because while EMLA cream numbs the skin, it does not address the psychological aspect of pain and distress associated with procedures.
Choice C (Inject the immunizations into the deltoid muscle) is incorrect because the location of injection does not directly relate to atraumatic care.
Choice D (Use a 20-gauge needle for the injections) is incorrect because the size of the needle does not address the psychological comfort of the child during the procedure.