ATI RN PEDIATRIC WITH NGN ACTUAL EXAM NEWEST
VERSION ACTUAL 70 QUESTION AND CORRECT
DETAILED VERIFIED ANSWERS FROM VERIFIED SOURCES
BY EXPERT RATED A GRADE.
A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis. The nurse is
planning care for the adolescent. Select the 5 interventions the nurse should include.
A. Instruct the parent to ensure the pneumococcal vaccine is current.
B. Administer folic acid as prescribed.
C. Monitor oxygen saturation continuously.
D. Place the client on strict bed rest.
E. Apply cold compresses to the affected joints.
F. Administer meperidine IV for pain.
G. Restrict oral intake.
H. Give oral hydroxyurea.
Correct Answer: B, C, E, F, H
Rationale
Folic acid supplementation is important in sickle cell anemia to support red blood cell
production. Continuous oxygen saturation monitoring is essential to detect hypoxia. Cold
compresses help reduce pain and swelling in affected joints. Meperidine is an opioid analgesic
used for severe pain management in vaso-occlusive crisis. Hydroxyurea is prescribed to reduce
the frequency of vaso-occlusive crises by increasing fetal hemoglobin. The pneumococcal
vaccine is important but not an immediate intervention for the current crisis. Strict bed rest is
not indicated; gentle activity is encouraged. Oral intake should be encouraged to prevent
dehydration.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
A nurse in the emergency department is preparing to discharge a 3-year-old child with atopic
dermatitis. Which of the following statements should the nurse plan to include in the
discharge instructions for the child's guardian? (Select all that apply.)
,A. "You should cut and file your child's fingernails frequently."
B. "You should use a mild detergent for your child's laundry."
C. "You should apply a thick layer of pimecrolimus cream to your child's lesions."
D. "Your child will experience occasional flare-ups of this condition."
E. "Your child's condition is contagious when lesions are present."
F. "You can apply gloves to your child's hands."
G. "You should apply emollients to your child's skin after bathing."
Correct Answer: A, B, D, F, G
Rationale
Cutting and filing fingernails prevents skin damage from scratching. Mild detergent reduces skin
irritation. Atopic dermatitis has occasional flare-ups and is not contagious. Gloves can prevent
scratching. Emollients applied after bathing lock in moisture. Pimecrolimus cream should be
applied in a thin layer, not thick. The condition is not contagious.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
A nurse is caring for a 6-week-old infant. Specify what condition the client is most likely
experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
Condition: Congestive heart failure
Actions to Take:
• Anticipate a prescription for digoxin.
• Elevate the head of the bed to a 45° angle.
Parameters to Monitor:
• Intake and output
• Respiratory status
Rationale
The infant's manifestations (tachypnea, tachycardia, crackles, poor feeding, periorbital edema,
failure to thrive, cardiomegaly, and increased pulmonary vascular markings) are consistent with
congestive heart failure. Digoxin improves cardiac contractility. Elevating the head of the bed
, reduces respiratory effort. Monitoring intake and output assesses fluid balance and renal
function. Monitoring respiratory status detects deterioration or improvement.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
A nurse is caring for a toddler who swallowed a battery. Complete the following sentence by
using the list of options. The nurse should first __________ followed by __________.
A. Keep the child NPO
B. Prepare the child for flexible endoscopy
C. Teach the child's parents the importance of inspecting the child's play area
D. Monitor the child closely for return of gag reflex
Correct Answer: A, B
Rationale
The nurse should first keep the child NPO to prevent aspiration and prepare for potential
endoscopy. The child will need flexible endoscopy to remove the battery. Teaching about play
area inspection and monitoring for gag reflex are important but secondary.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A nurse in a provider's office is caring for a 1-year-old toddler. The child is at risk for
developing __________ and __________.
A. Nephrotic syndrome
B. Renal scarring
C. Polycystic kidney
D. Acute glomerulonephritis
E. Pyelonephritis
Correct Answer: B, E
Rationale
The child has vesicoureteral reflux with a urinary tract infection, placing them at risk for renal
scarring and pyelonephritis. The urinalysis shows cloudy, dark amber urine, positive leukocyte
VERSION ACTUAL 70 QUESTION AND CORRECT
DETAILED VERIFIED ANSWERS FROM VERIFIED SOURCES
BY EXPERT RATED A GRADE.
A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis. The nurse is
planning care for the adolescent. Select the 5 interventions the nurse should include.
A. Instruct the parent to ensure the pneumococcal vaccine is current.
B. Administer folic acid as prescribed.
C. Monitor oxygen saturation continuously.
D. Place the client on strict bed rest.
E. Apply cold compresses to the affected joints.
F. Administer meperidine IV for pain.
G. Restrict oral intake.
H. Give oral hydroxyurea.
Correct Answer: B, C, E, F, H
Rationale
Folic acid supplementation is important in sickle cell anemia to support red blood cell
production. Continuous oxygen saturation monitoring is essential to detect hypoxia. Cold
compresses help reduce pain and swelling in affected joints. Meperidine is an opioid analgesic
used for severe pain management in vaso-occlusive crisis. Hydroxyurea is prescribed to reduce
the frequency of vaso-occlusive crises by increasing fetal hemoglobin. The pneumococcal
vaccine is important but not an immediate intervention for the current crisis. Strict bed rest is
not indicated; gentle activity is encouraged. Oral intake should be encouraged to prevent
dehydration.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
A nurse in the emergency department is preparing to discharge a 3-year-old child with atopic
dermatitis. Which of the following statements should the nurse plan to include in the
discharge instructions for the child's guardian? (Select all that apply.)
,A. "You should cut and file your child's fingernails frequently."
B. "You should use a mild detergent for your child's laundry."
C. "You should apply a thick layer of pimecrolimus cream to your child's lesions."
D. "Your child will experience occasional flare-ups of this condition."
E. "Your child's condition is contagious when lesions are present."
F. "You can apply gloves to your child's hands."
G. "You should apply emollients to your child's skin after bathing."
Correct Answer: A, B, D, F, G
Rationale
Cutting and filing fingernails prevents skin damage from scratching. Mild detergent reduces skin
irritation. Atopic dermatitis has occasional flare-ups and is not contagious. Gloves can prevent
scratching. Emollients applied after bathing lock in moisture. Pimecrolimus cream should be
applied in a thin layer, not thick. The condition is not contagious.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Health Promotion and Maintenance
A nurse is caring for a 6-week-old infant. Specify what condition the client is most likely
experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress.
Condition: Congestive heart failure
Actions to Take:
• Anticipate a prescription for digoxin.
• Elevate the head of the bed to a 45° angle.
Parameters to Monitor:
• Intake and output
• Respiratory status
Rationale
The infant's manifestations (tachypnea, tachycardia, crackles, poor feeding, periorbital edema,
failure to thrive, cardiomegaly, and increased pulmonary vascular markings) are consistent with
congestive heart failure. Digoxin improves cardiac contractility. Elevating the head of the bed
, reduces respiratory effort. Monitoring intake and output assesses fluid balance and renal
function. Monitoring respiratory status detects deterioration or improvement.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
A nurse is caring for a toddler who swallowed a battery. Complete the following sentence by
using the list of options. The nurse should first __________ followed by __________.
A. Keep the child NPO
B. Prepare the child for flexible endoscopy
C. Teach the child's parents the importance of inspecting the child's play area
D. Monitor the child closely for return of gag reflex
Correct Answer: A, B
Rationale
The nurse should first keep the child NPO to prevent aspiration and prepare for potential
endoscopy. The child will need flexible endoscopy to remove the battery. Teaching about play
area inspection and monitoring for gag reflex are important but secondary.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity
A nurse in a provider's office is caring for a 1-year-old toddler. The child is at risk for
developing __________ and __________.
A. Nephrotic syndrome
B. Renal scarring
C. Polycystic kidney
D. Acute glomerulonephritis
E. Pyelonephritis
Correct Answer: B, E
Rationale
The child has vesicoureteral reflux with a urinary tract infection, placing them at risk for renal
scarring and pyelonephritis. The urinalysis shows cloudy, dark amber urine, positive leukocyte
