NGN ATI RN PEDIATRICS EXAM 2025/2026 QUESTIONS AND Correct anwers

NGN ATI RN PEDIATRICS EXAM 2025/2026 QUESTIONS AND Correct anwers 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. - CORRECT ANSWERSB. Give morphine 0.05 mg/kg IV. A nurse is receiving change-of-shift report for four children. Which of the following children should the nurse assess first? An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0 to 10 An adolescent who has infective endocarditis and reports having a headache A toddler who has a concussion and is experiencing an episode of forceful vomiting A school-age child who has acute glomerulonephritis and brown-colored urine - CORRECT ANSWERS-A toddler who has a concussion and is experiencing an episode of forceful vomiting For each assessment finding, click to specify if the finding is consistent with nightmares, sleep terrors, or insomnia. Each finding may support more than 1 disease process. A. Timing of child's crying B. Daytime alertness C. child's concentration D. Impulsivity E. Child's description of the dream F. Child's return to sleeping G. Child's responsiveness to guardian - CORRECT ANSWERS A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report which of the following findings to the provider? A. Capillary refill time less than 2 seconds B. Restricted ability to move the toes C. Swelling of the casted foot when the leg is dependent D. Pedal pulse +3 bilateral - CORRECT ANSWERSB. Restricted ability to move the toes A nurse is providing discharge teaching to the parent of a school-age child who has moderate persistent asthma. Which of the following instructions should the nurse include? A. "You should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing." B. "You should monitor your child's weight weekly while they are receiving inhaled corticosteroid therapy." C. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." D. "When using the peak expiratory flow meter, record your child's average of three readings." - CORRECT ANSWERSC. "Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child is responding to therapy." 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? A. Nasal flaring B. WBC count 18,000/mm3 (6,200 to 17,000/mm3) C. Diarrhea D. Abdominal distension - CORRECT ANSWERSA. Nasal flaring A nurse is planning developmental activities for a newly admitted 10-year-old child who has neutropenia. Which of the following actions should the nurse plan to take? A. Provide the child with a book about adventure. B. Arrange frequent visits from family members and peers. C. Give the child a large-piece puzzle. D. Use puppets to entertain the child. - CORRECT ANSWERSA. Provide the child with a book about adventure. A school nurse is caring for a child following a tonic-clonic seizure. Which of the following actions should the nurse take first? A. Check the child for a head injury. B. Observe for oral bleeding. C. Check the child's respiratory rate. D. Observe for extremity weakness. - CORRECT ANSWERSC. Check the child's respiratory rate. A nurse is caring for a school-age child who is receiving a blood transfusion. Which of the following manifestations should alert the nurse to a possible hemolytic transfusion reaction? A. Laryngeal edema B. Flank pain C. Distended neck veins D. Muscular weakness - CORRECT ANSWERSB. Flank pain A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medication infusion, which of the following medications should the nurse administer first? A. Prednisone. B. Epinephrine C. Diphenhydramine D. Albuterol - CORRECT ANSWERSB. Epinephrine After reviewing the information in the child's medical record, which of the following findings should the nurse report to the provider? Select the 4 findings that the nurse should report to the provider. Arterial blood gases Cardiovascular assessment WBC count Hemoglobin Oxygen saturation level Respiratory assessment - CORRECT ANSWERSArterial blood gases WBC count Oxygen saturation level Respiratory assessment A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions should the nurse clarify with the provider? A. Furosemide B. Captopril C. Regular insulin D. Potassium chloride - CORRECT ANSWERSD. Potassium chloride A school nurse is preparing to administer atomoxetine 1.2 mg/kg/day PO to a school age child who weighs 75 lb. Available is atomoxetine 40 mg/capsule. How many capsules should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - CORRECT ANSWERS1 capsule A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? A. Until the adolescent is afebrile B. For 7 days following admission to the facility C. Until the adolescent has a negative blood culture D. For 24 hr following initiation of antimicrobial therapy - CORRECT ANSWERSD. For 24 hr following initiation of antimicrobial therapy