ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is caring for a school-age child who has heart failure.
Question 1 of 5
Which of the following findings should the nurse expect?
Correct Answer: A,D,E
Rationale: The correct answer is A, D, and E. Cyanosis indicates poor oxygenation, dyspnea signifies difficulty in breathing, and tachycardia suggests an increased heart rate to compensate for decreased oxygen levels. Weight loss and bounding peripheral pulses are not typical findings in a patient with impaired oxygenation. In summary, the nurse should expect cyanosis, dyspnea, and tachycardia as key findings in a patient with compromised oxygenation.
Extract:
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 2 of 5
Which of the following recommendations should the nurse make?
Correct Answer: C
Rationale: The correct recommendation is to consult with a nutritionist (
Choice
C). This is crucial in diabetes management as a nutritionist can provide personalized dietary guidance to help control blood sugar levels. By consulting with a nutritionist, the patient can learn about healthy eating habits, portion control, and meal planning tailored to their specific needs. This can lead to better blood glucose control and overall improved health outcomes. Storing opened vials of insulin for 60 days (
Choice
A) is incorrect as insulin should be discarded after a certain period to ensure its effectiveness. Following up with physical therapy (
Choice
B) may be beneficial for other health conditions but is not specifically related to managing diabetes. Monitoring capillary blood glucose daily (
Choice
D) is important but does not address the need for dietary adjustments which a nutritionist can provide.
Extract:
A nurse is caring for an adolescent who has major depressive disorder.
Question 3 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A. Asking the client if he is considering harming himself should be the first action because it assesses the client's immediate safety. This step is crucial in identifying any potential suicidal ideation and implementing appropriate interventions to ensure the client's well-being. Encouraging group therapy (
B), administering medication (
C), and assisting with ADLs (
D) are important interventions but should come after addressing the client's safety concerns. It is essential to prioritize actions that address the most critical needs first to provide effective and timely care.
Extract:
A nurse is teaching a newly licensed nurse about infant safety.
Question 4 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C because providing an infant with a one-piece pacifier for non-nutritive sucking reduces the risk of choking and aspiration compared to multi-piece pacifiers. This information is crucial for infant safety during feeding.
Choice A is incorrect as a 5-month-old infant should be seated in a high chair only if they can sit upright without support to prevent falls.
Choice B is incorrect as placing a 1-month-old infant supine on a soft mattress increases the risk of sudden infant death syndrome (SIDS).
Choice D is incorrect as securing an infant's car seat behind an airbag can be dangerous due to the risk of injury from the airbag deployment.
Extract:
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube.
Question 5 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.