ATI RN
RN ATI Pediatric Proctored Exam 2023 with NGN Questions
Extract:
Question 1 of 5
While caring for a hospitalized child, which of the following signs would lead the nurse to suspect the child has diabetes insipidus?
Correct Answer: A
Rationale: The correct answer is A: Increased urination. Diabetes insipidus is characterized by excessive urination (polyuria) due to the inability of the kidneys to concentrate urine. This leads to a large volume of dilute urine being produced. The other options are not indicative of diabetes insipidus. Fruity breath (
B) is a sign of diabetic ketoacidosis, not diabetes insipidus. Weight gain (
C) is not a typical symptom of diabetes insipidus, as patients may even experience weight loss due to dehydration. Slurred speech (
D) is not directly related to diabetes insipidus.
Question 2 of 5
A nurse is instructing a school-age child who has asthma about the use of a peak expiratory flow meter. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Blow into the meter as hard and quickly as possible. This instruction is correct because when using a peak expiratory flow meter, the individual needs to blow out as forcefully as possible to get an accurate reading of their peak expiratory flow rate. This helps in assessing the severity of asthma symptoms and monitoring the effectiveness of treatment.
A: Placing the tongue on the mouthpiece is incorrect as it may interfere with the airflow and affect the accuracy of the reading.
B: Maintaining a semi-Fowler's position is not necessary for using a peak flow meter.
C: Recording the average of the readings is not typically done with peak flow meters as the focus is on the individual's peak expiratory flow rate.
E, F, G: No other choices were provided.
In summary, blowing into the meter as hard and quickly as possible is the correct instruction for using a peak expiratory flow meter, as it ensures an accurate measurement of peak expir
Question 3 of 5
When instructing the parents of a toddler with iron deficiency anemia about the importance of increasing iron in the toddler's diet, which of the following foods should the nurse instruct the parents to include in the toddler's diet?
Correct Answer: C
Rationale: The correct answer is C: Dried fruits. Dried fruits are a good source of iron, which is essential for treating iron deficiency anemia in toddlers. They provide a concentrated amount of iron in a small serving size, making them convenient for toddlers. Pasta (
A) does not contain significant amounts of iron. Vitamin D milk (
B) is important for bone health but does not provide a substantial amount of iron. Green leafy vegetables (
D) are a good source of iron, but they may be harder for toddlers to eat compared to dried fruits.
Question 4 of 5
A 16-year-old with a chronic illness has recently become rebellious and is taking risks such as missing doses of his medication. What is the best explanation for this behavior?
Correct Answer: C
Rationale: The correct answer is C. The child is exhibiting normal adolescent behavior. Adolescence is a period of identity formation, autonomy-seeking, and risk-taking. It is common for teenagers to rebel against authority figures, including parents and healthcare providers, as they strive for independence and self-discovery. This rebellious behavior, such as missing medication doses, can be a way for the teenager to assert control over their own life and make their own decisions. It is crucial for healthcare providers to recognize this normal developmental stage and approach the situation with understanding and support rather than punitive measures.
Other choices are incorrect because:
A: The child needing more discipline implies that the behavior is solely due to a lack of control or structure, which overlooks the developmental aspect of adolescence.
B: While socialization with peers is important, it may not address the underlying reasons for the rebellious behavior.
D: Imposing more parental control may exacerbate the rebellion and hinder the adolescent's autonomy development.
Question 5 of 5
A complication of hemophilia is:
Correct Answer: B
Rationale: The correct answer is B: Hemoarthritis. Hemophilia is a bleeding disorder where blood does not clot properly. Hemoarthritis is a common complication, characterized by bleeding into joints leading to pain, swelling, and limited range of motion. Mucositis (
A) is inflammation of mucous membranes, not specific to hemophilia. Thrombocytopenia (
C) is a low platelet count, not directly related to hemophilia. Acute Chest Syndrome (
D) is a complication of sickle cell disease, not hemophilia.