ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Ataxia. Ataxia is a neurological finding characterized by lack of coordination and unsteady gait, commonly seen in conditions like cerebellar dysfunction. Pinpoint pupils (
A) suggest opioid toxicity, hyperactive reflexes (
C) indicate possible hyperthyroidism or CNS injury, and hypothermia (
D) is associated with hypothyroidism or hypothermia. Ataxia is the most relevant finding in this context, indicating a potential neurological issue.
Extract:
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge.
Question 2 of 5
Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Your child should take pancreatic enzymes with meals and snacks. This is the correct statement to include because it pertains to the management of cystic fibrosis, a condition that affects the pancreas' ability to produce digestive enzymes. Pancreatic enzymes help in digesting food properly, ensuring proper nutrient absorption.
Choice A is incorrect as chest x-rays are not typically used for monitoring cystic fibrosis.
Choice B is incorrect as tonsil and adenoid removal is not a standard treatment for cystic fibrosis.
Choice D is incorrect as isoniazid is a medication used to treat tuberculosis, not cystic fibrosis.
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 3 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:
Question 4 of 5
7 year old with UTI intervention?
Correct Answer: B
Rationale: The correct answer is B: Monitor Pain and Fever. In a 7-year-old with a UTI, monitoring pain and fever is crucial as these symptoms indicate the severity of the infection and response to treatment. Pain and fever can also help in assessing the effectiveness of antibiotics. Monitoring salicylic acid is not relevant as it is not commonly used in UTI management in children due to the risk of Reye's syndrome. The other choices are not provided, but they would likely be incorrect as they are unrelated to UTI management in a 7-year-old.
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 5 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.