RN ATI PEDIATRIC PROCTORED EXAM WITH NGN - EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is assessing a child who has bacterial
pneumonia. Which of the following manifestations should the
nurse expect? (Image Form Extracted)
A. Drooling
B. Malaise
C. Tinnitus
D. Rhinorrhea
Answer:
b. Malaise - Bacterial pneumonia manifestations include fever,
cough, tachypnea, malaise, chest pain; drooling is epiglottitis,
tinnitus ear, rhinorrhea viral
Question 2: A nurse is caring for a newborn. Nurses Notes: 0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm (14 in)
Respiratory rate 68/min with mild grunting. 0650: Respiratory rate
72/min with mild grunting 0700: Respiratory rate 76/min with
moderate grunting and mild intercostal retractions. Drag words
from choices below to fill in each blank. The client is at risk for
developing Target 1 and Target 2. Findings: Hypoglycemia,
Bronchopulmonary dysplasia, Transient tachypnea of the newborn,
Tachycardia (Image Form Extracted)
A. Hypoglycemia
B. Bronchopulmonary dysplasia
C. Transient tachypnea of the newborn
D. Tachycardia
Answer:
, Transient tachypnea of the newborn and Hypoglycemia - Large for
gestational age 4200 gm macrosomia, grunting, tachypnea,
retractions indicate TTN, at risk hypoglycemia due to large infant of
diabetic mother?
Question 3: A nurse is caring for an infant who has gastroenteritis.
Which of the following assessment findings should the nurse
report to the provider? (Image Form Extracted)
A. Pale and a 24-hr fluid deficit of 30 mL
B. Sunken fontanels and dry mucous membranes
C. Decreased appetite and irritability
D. Temperature 38°C (100.4°F) and pulse rate 124/min
Answer:
b. Sunken fontanels and dry mucous membranes - indicates
moderate dehydration requires provider notification
Question 4: A nurse is caring for a 2-year-old toddler. Which of the
following food choices should the nurse recommend to promote
independence in eating? (Image Form Extracted)
A. Banana slices
B. Grapes
C. Hot dog
D. Popcorn
Answer:
a. Banana slices - Soft finger foods safe for 2yo promote
independence; grapes hot dog popcorn choking hazards
Question 5: A home health nurse is caring for a child who has
Lyme disease. Which of the following is an appropriate action for
, the nurse to take? (Image Form Extracted)
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Answer:
a. Ensure the state health department has been notified - Lyme
disease reportable, not antitoxin, not sharing belongings (that's for
infection), assess for erythema migrans not necrosis
Question 6: A nurse is caring for a newborn whose mother was
taking methadone during her pregnancy. Which of the following
findings indicates the newborn is experiencing withdrawal?
(Neonatal Abstinence Syndrome) (Image Form Extracted)
A. Bulging fontanels
B. Acrocyanosis
C. Bradycardia
D. Hypertonicity
Answer:
d. Hypertonicity - NAS signs: hypertonicity, tremors, high-pitched cry,
poor feeding, tachycardia not bradycardia, acrocyanosis normal
Question 7: 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 in the teaching?
(Image Form Extracted)
A. Place tongue on the mouthpiece of the meter
B. Maintain a semi-Fowler's position during testing
C. Record the average of the readings
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is assessing a child who has bacterial
pneumonia. Which of the following manifestations should the
nurse expect? (Image Form Extracted)
A. Drooling
B. Malaise
C. Tinnitus
D. Rhinorrhea
Answer:
b. Malaise - Bacterial pneumonia manifestations include fever,
cough, tachypnea, malaise, chest pain; drooling is epiglottitis,
tinnitus ear, rhinorrhea viral
Question 2: A nurse is caring for a newborn. Nurses Notes: 0640:
Weight 4200 gm (9 lb 4 oz), head circumference 35.5 cm (14 in)
Respiratory rate 68/min with mild grunting. 0650: Respiratory rate
72/min with mild grunting 0700: Respiratory rate 76/min with
moderate grunting and mild intercostal retractions. Drag words
from choices below to fill in each blank. The client is at risk for
developing Target 1 and Target 2. Findings: Hypoglycemia,
Bronchopulmonary dysplasia, Transient tachypnea of the newborn,
Tachycardia (Image Form Extracted)
A. Hypoglycemia
B. Bronchopulmonary dysplasia
C. Transient tachypnea of the newborn
D. Tachycardia
Answer:
, Transient tachypnea of the newborn and Hypoglycemia - Large for
gestational age 4200 gm macrosomia, grunting, tachypnea,
retractions indicate TTN, at risk hypoglycemia due to large infant of
diabetic mother?
Question 3: A nurse is caring for an infant who has gastroenteritis.
Which of the following assessment findings should the nurse
report to the provider? (Image Form Extracted)
A. Pale and a 24-hr fluid deficit of 30 mL
B. Sunken fontanels and dry mucous membranes
C. Decreased appetite and irritability
D. Temperature 38°C (100.4°F) and pulse rate 124/min
Answer:
b. Sunken fontanels and dry mucous membranes - indicates
moderate dehydration requires provider notification
Question 4: A nurse is caring for a 2-year-old toddler. Which of the
following food choices should the nurse recommend to promote
independence in eating? (Image Form Extracted)
A. Banana slices
B. Grapes
C. Hot dog
D. Popcorn
Answer:
a. Banana slices - Soft finger foods safe for 2yo promote
independence; grapes hot dog popcorn choking hazards
Question 5: A home health nurse is caring for a child who has
Lyme disease. Which of the following is an appropriate action for
, the nurse to take? (Image Form Extracted)
A. Ensure the state health department has been notified
B. Administer antitoxin
C. Educate the family to avoid sharing personal belongings
D. Assess for skin necrosis
Answer:
a. Ensure the state health department has been notified - Lyme
disease reportable, not antitoxin, not sharing belongings (that's for
infection), assess for erythema migrans not necrosis
Question 6: A nurse is caring for a newborn whose mother was
taking methadone during her pregnancy. Which of the following
findings indicates the newborn is experiencing withdrawal?
(Neonatal Abstinence Syndrome) (Image Form Extracted)
A. Bulging fontanels
B. Acrocyanosis
C. Bradycardia
D. Hypertonicity
Answer:
d. Hypertonicity - NAS signs: hypertonicity, tremors, high-pitched cry,
poor feeding, tachycardia not bradycardia, acrocyanosis normal
Question 7: 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 in the teaching?
(Image Form Extracted)
A. Place tongue on the mouthpiece of the meter
B. Maintain a semi-Fowler's position during testing
C. Record the average of the readings