ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is caring for an adolescent who has a new diagnosis of type 1 diabetes mellitus.
Question 1 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 in a provider's office is caring for a 1-year-old toddler. Exhibit 1
0930
Nurse Notes
Parent presents child to provider's office. Parent reports the child has had a fever for 2 days and that the child has cried more than usual. Parent also reports the child has had a decreased appetite for the last 24 hr. Child febrile and lethargic.
0945:
Notified provider of parent reports and child's fever. New prescriptions received.
1000:
Urine sample obtained via sterile straight catheter. Exhibit 2
Vital Signs 0930:
Temperature 38.4° C (101.1° F) Heart rate 128/min
Respiratory rate 28/min Exhibit 3
Diagnostic Results
1030:
Urinalysis:
Appearance: cloudy and dark amber (clear) Specific gravity 1.035 (1.005 to 1.030)
Leukocyte esterase: positive (negative)
Nitrites: present (none)
WBCS: 10 (0 to 4)
Question 2 of 5
What is a 1-year-old with history of UTIs and diagnosed with vesicoureteral reflux s tachycardia at risk for?
Correct Answer: B,E
Rationale: The correct answers for a 1-year-old with history of UTIs and diagnosed with vesicoureteral reflux at risk for are B: Renal Scarring and E: Pyelonephritis. Vesicoureteral reflux increases the risk of recurrent UTIs, leading to pyelonephritis. Renal scarring can result from repeated pyelonephritis episodes. Nephrotic syndrome (
A) is not typically associated with UTIs or reflux. Polycystic kidney (
C) is a congenital condition, not related to the scenario. Acute glomerulonephritis (
D) is usually caused by post-streptococcal infection, not UTIs.
Extract:
A nurse is providing teaching to the parent of a toddler who is scheduled for an electrocardiogram.
Question 3 of 5
Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B because leads are typically placed on the back before a procedure like an electrocardiogram (ECG) to monitor the heart's electrical activity. This step is crucial for obtaining accurate results.
Choice A is incorrect as alarms are not typically used during ECGs.
Choice C is incorrect because the duration of the procedure can vary and is not necessarily 30 minutes.
Choices D, E, F, and G are blank, so they do not provide any relevant information.
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 caring for a 6-month-old infant who has gastroenteritis.
Question 5 of 5
Which of the following findings should the nurse identify as a manifestation of severe dehydration?
Correct Answer: B
Rationale: The correct answer is B: Sunken anterior fontanel. This finding is indicative of severe dehydration in infants, as it suggests significant fluid loss and decreased tissue turgor. A sunken fontanel is a late sign of dehydration.
Choice A is incorrect as a capillary refill time of 3 seconds is within normal limits.
Choice C may be seen in mild to moderate dehydration, but severe dehydration would involve a greater weight loss.
Choice D is not specific to dehydration, as tear production can still occur even in cases of dehydration.