ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is preparing to administer immunizations to a 3-month-old infant.
Question 1 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.
Extract:
A nurse is caring for a child who has disseminated intravascular coagulation.
Question 2 of 5
Which of the following laboratory findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Decreased platelet count. This is expected in a patient with thrombocytopenia, which is a condition characterized by low platelet levels. Thrombocytopenia can lead to abnormal bleeding and bruising due to impaired blood clotting.
A: Decreased prothrombin time would not be expected in thrombocytopenia, as it measures the clotting ability of the plasma, not platelets.
B: Increased Hgb level and C: Increased RBC levels are not typically associated with thrombocytopenia.
In summary, a decreased platelet count is the most relevant laboratory finding to expect in a patient with thrombocytopenia.
Extract:
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 3 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 prioritizing care for four clients.
Question 4 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 performing a cranial nerve assessment on a school-age child.
Question 5 of 5
Which of the following findings indicates proper functioning of the child's trigeminal nerve?
Correct Answer: D
Rationale: The correct answer is D because symmetrical jaw strength when biting down indicates proper functioning of the trigeminal nerve, which controls the muscles of mastication.
Choice A relates to the vestibular system, not the trigeminal nerve.
Choice B involves the glossopharyngeal and vagus nerves.
Choice C is related to the olfactory nerve.