ATI RN
RN ATI Pediatric Nursing Exam (70 NGN Questions with Answers) Questions
Extract:
A nurse is teaching the parents of a child who has cystic fibrosis about home care following discharge.
Question 1 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 teaching home care to the parents of a preschool-age child who has heart failure.
Question 2 of 5
Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A - Provide for periods of rest.
Rationale: It is important for the nurse to include information about providing periods of rest in the teaching because rest is essential for recovery and healing. Rest allows the body to conserve energy, reduce stress, and promote overall well-being. By including this information, the nurse is promoting the child's health and supporting the healing process.
Summary of other choices:
B: Increasing oxygen flow rate until cyanosis resolves can lead to oxygen toxicity and is not a safe or appropriate intervention.
C: Withholding digoxin based solely on pulse rate without considering other factors or consulting the healthcare provider can be dangerous and potentially harmful.
D: Weighing the child once a month is important for monitoring growth and nutrition, but it is not directly related to the immediate care and teaching needed in this scenario.
Extract:
A nurse is preparing to administer recommended immunizations to a 12-month-old infant who is up to date with the current schedule.
Question 3 of 5
Which of the following immunizations should the nurse plan to administer?
Correct Answer: A,B
Rationale: The correct answer is A (MMR) and B (VAR). These immunizations are recommended for certain age groups to prevent measles, mumps, rubella, and varicella. MMR provides protection against three viral infections, while VAR protects against chickenpox. These vaccinations are part of the routine childhood immunization schedule to prevent the spread of these contagious diseases. Rotavirus (
C) is given to infants to protect against a common cause of severe diarrhea, while Herpes zoster (
D) and Human papillomavirus (E) are not typically administered by nurses in routine practice.
Extract:
A nurse is caring for a school-age child who has heart failure.
Question 4 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 5 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.