NGN ATI RN PEDIATRICS EXAM 70
QUESTIONS AND CORRECT DETAILED
ANSWERS
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope anymore and are thinking
about moving out of the house. Which of the following statements should the nurse
make?
"It is important that you provide emotional support for your family at this time."
"You have to do what you feel is best. Everything will turn out fine."
"I know how you feel. This is an extremely stressful time for your family."
"Let's talk about some of the ways you have handled previous stressors in your life." -
ANSWER- "Let's talk about some of the ways you have handled previous stressors in
your life."
A nurse in a provider's office is caring for a school-age child who has varicella. The
parent asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
"When your child no longer has an increased temperature."
"Three days after you first noticed the rash appear on your child."
"When your child's lesions are crusted, usually 6 days after they appear."
"Two to three weeks, when your child's lesions completely disappear." - ANSWER-
"When your child's lesions are crusted, usually 6 days after they appear."
A nurse in an emergency department is caring for a school-age child who has
appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the
following actions should the nurse take?
A. Instill a 500 mL tap water enema.
B. Give morphine 0.05 mg/kg IV.
C. Administer polyethylene glycol 1g/kg PO.
D. Apply a heating pad to the child's abdomen. - ANSWER- B. Give morphine 0.05
mg/kg IV.
A nurse in an emergency department is caring for a toddler who has partial-thickness
burns on their right arm. Which of the following actions should the nurse take?
Insert a nasogastric tube.
Initiate prophylactic antibiotic therapy.
Cleanse the affected area with mild soap and water.
Apply a topical corticosteroid to the affected area. - ANSWER- Cleanse the affected
area with mild soap and water.
, A nurse in an emergency department is performing a physical assessment on a 2-week-
old male newborn. Which of the following findings is the priority for the nurse to report to
the provider?
A. Excoriated scrotal area
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions - ANSWER- D. Substernal retractions
A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following
manifestations should the nurse report to the provider?
Blood pressure 90/50 mm Hg
Respiratory rate 45/min
Weight 14.5 kg (32 lb)
Heart rate 110/min - ANSWER- Respiratory rate 45/min
A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of
the following findings should the nurse identify as a manifestation of increased
intracranial pressure?
Hypotension
Reports insomnia
Difficulty concentrating
Tachycardia - ANSWER- Difficulty concentrating
A nurse is assessing a school-age child who has meningitis. Which of the following
findings is the priority for the nurse to report to the provider?
Reports headache as 6 on a scale of 0 to 10
Petechiae on the lower extremities
Nuchal rigidity
Positive Kernig's sign - ANSWER- Petechiae on the lower extremities
A nurse is assessing a school-age child who has peritonitis. Which of the following
findings should the nurse expect?
Hyperactive bowel sounds
Abdominal distention
Bradycardia
Bloody stool - ANSWER- Abdominal distention
A nurse is assessing an infant who has a ventricular septal defect. Which of the
following findings should the nurse expect?
Loud, harsh murmur
Dysrhythmias
Weak femoral pulses
High blood pressure - ANSWER- Loud, harsh murmur
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider?
QUESTIONS AND CORRECT DETAILED
ANSWERS
A hospice nurse is caring for a preschooler who has a terminal illness. One of the
preschooler's parents tells the nurse that they cannot cope anymore and are thinking
about moving out of the house. Which of the following statements should the nurse
make?
"It is important that you provide emotional support for your family at this time."
"You have to do what you feel is best. Everything will turn out fine."
"I know how you feel. This is an extremely stressful time for your family."
"Let's talk about some of the ways you have handled previous stressors in your life." -
ANSWER- "Let's talk about some of the ways you have handled previous stressors in
your life."
A nurse in a provider's office is caring for a school-age child who has varicella. The
parent asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
"When your child no longer has an increased temperature."
"Three days after you first noticed the rash appear on your child."
"When your child's lesions are crusted, usually 6 days after they appear."
"Two to three weeks, when your child's lesions completely disappear." - ANSWER-
"When your child's lesions are crusted, usually 6 days after they appear."
A nurse in an emergency department is caring for a school-age child who has
appendicitis and rates their abdominal pain as 7 on a scale of 0 to 10. Which of the
following actions should the nurse take?
A. Instill a 500 mL tap water enema.
B. Give morphine 0.05 mg/kg IV.
C. Administer polyethylene glycol 1g/kg PO.
D. Apply a heating pad to the child's abdomen. - ANSWER- B. Give morphine 0.05
mg/kg IV.
A nurse in an emergency department is caring for a toddler who has partial-thickness
burns on their right arm. Which of the following actions should the nurse take?
Insert a nasogastric tube.
Initiate prophylactic antibiotic therapy.
Cleanse the affected area with mild soap and water.
Apply a topical corticosteroid to the affected area. - ANSWER- Cleanse the affected
area with mild soap and water.
, A nurse in an emergency department is performing a physical assessment on a 2-week-
old male newborn. Which of the following findings is the priority for the nurse to report to
the provider?
A. Excoriated scrotal area
B. Multiple capillary hemangiomas
C. Depressed posterior fontanel
D. Substernal retractions - ANSWER- D. Substernal retractions
A nurse is assessing a 3-year-old toddler at a well-child visit. Which of the following
manifestations should the nurse report to the provider?
Blood pressure 90/50 mm Hg
Respiratory rate 45/min
Weight 14.5 kg (32 lb)
Heart rate 110/min - ANSWER- Respiratory rate 45/min
A nurse is assessing a school-age child who has an infratentorial brain tumor. Which of
the following findings should the nurse identify as a manifestation of increased
intracranial pressure?
Hypotension
Reports insomnia
Difficulty concentrating
Tachycardia - ANSWER- Difficulty concentrating
A nurse is assessing a school-age child who has meningitis. Which of the following
findings is the priority for the nurse to report to the provider?
Reports headache as 6 on a scale of 0 to 10
Petechiae on the lower extremities
Nuchal rigidity
Positive Kernig's sign - ANSWER- Petechiae on the lower extremities
A nurse is assessing a school-age child who has peritonitis. Which of the following
findings should the nurse expect?
Hyperactive bowel sounds
Abdominal distention
Bradycardia
Bloody stool - ANSWER- Abdominal distention
A nurse is assessing an infant who has a ventricular septal defect. Which of the
following findings should the nurse expect?
Loud, harsh murmur
Dysrhythmias
Weak femoral pulses
High blood pressure - ANSWER- Loud, harsh murmur
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider?
