ATI PEDS RETAKE WITH NGN EXAM ACTUAL 160 QUESTION
AND CORRECT DETAILED ANSWERS WITH RATIONALES RATED
A GRADE.GUARANTEED PASS 100%.
A nurse is preparing a child for a lumbar puncture. In which of the following
positions should the child be placed for the procedure?
A) Lateral
B) Prone
C) Semi-Fowler's
D) Supine
Correct Answer: A
Rationale
The child should be placed in a lateral position with the knees drawn up to
the chest and the chin tucked toward the chest. This position opens the
intervertebral spaces and facilitates needle insertion. Option B is incorrect
because the prone position does not provide adequate access to the lumbar
spine. Option C is incorrect because the semi-Fowler's position does not
open the intervertebral spaces. Option D is incorrect because the supine
position does not provide adequate access to the lumbar spine. Therefore,
the lateral position is the correct position for a lumbar puncture.
Acute Lymphoblastic Leukemia Treatment Effectiveness
A nurse is reviewing the complete blood count results for a child who is
receiving treatment for acute lymphoblastic leukemia. Which of the
following findings should indicate to the nurse that the treatment is having a
therapeutic effect?
,A) WBC count 15,000/mm³
B) Hemoglobin 6.8 g/dL
C) Platelet count 98,000/mm³
D) RBC count 5/mm³
Correct Answer: D
Rationale
An RBC count of 5/mm³ indicates that the treatment is having a therapeutic
effect. In acute lymphoblastic leukemia, treatment aims to restore normal
blood cell counts. Option A is incorrect because a WBC count of 15,000/mm³
is elevated and may indicate persistent disease. Option B is incorrect
because a hemoglobin of 6.8 g/dL is below the expected range and indicates
anemia. Option C is incorrect because a platelet count of 98,000/mm³ is
below the expected range. Therefore, an RBC count of 5/mm³ indicates
therapeutic effectiveness.
Pertussis Reporting
A nurse is caring for a school-age child who has pertussis. Which of the
following actions should the nurse take?
A) Report the diagnosis to the public health department
B) Place the child in a protected environment for 48 hours
C) Administer the pertussis vaccine
D) Restrict oral fluids to 500 mL per day
Correct Answer: A
Rationale
Pertussis is a nationally notifiable disease, and the nurse should report the
diagnosis to the public health department. Option B is incorrect because a
protected environment is used for immunocompromised clients. Option C is
incorrect because the pertussis vaccine is administered for prevention, not
,treatment. Option D is incorrect because fluids should be encouraged to
prevent dehydration. Therefore, reporting the diagnosis to the public health
department is the correct action.
Neonatal Abstinence Syndrome
A nurse is assessing a week-old infant. The nurse should identify which of the
following manifestations can indicate neonatal abstinence syndrome?
A) Frequent coughing
B) Constipation
C) Excessive sucking
D) Lethargy
Correct Answer: C
Rationale
Excessive, uncoordinated, and constant sucking is a gastrointestinal
manifestation of neonatal abstinence syndrome. Other gastrointestinal
manifestations include poor feeding, regurgitation (projectile vomiting), and
diarrhea. Option A is incorrect because frequent coughing is not a typical
manifestation. Option B is incorrect because diarrhea, not constipation, is a
manifestation. Option D is incorrect because hyperirritability, not lethargy, is
a manifestation. Therefore, excessive sucking indicates neonatal abstinence
syndrome.
IV Antibiotic Therapy
A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-
month-old infant. Which of the following actions should the nurse plan to
take?
, A) Use a 22-gauge catheter to start the IV
B) Start the IV in the infant's foot
C) Cover the insertion site with an opaque dressing
D) Change the IV site every 3 days
Correct Answer: A
Rationale
A 22-gauge catheter is appropriate for a 12-month-old infant. Option B is
incorrect because the hand or scalp is preferred over the foot for IV access in
infants. Option C is incorrect because a transparent dressing should be used
to allow visualization of the site. Option D is incorrect because IV sites
should be changed every 72 hours or as needed. Therefore, using a 22-gauge
catheter is the correct action.
Fracture Complications
A nurse is assisting a child who has multiple closed fractures of the lower
extremities due to a motor-vehicle crash. The nurse should monitor the child
for which of the following complications during the first 24 hours after the
injury occurred?
A) Osteomyelitis
B) Compartment syndrome
C) Volkmann's ischemic contracture
D) Renal calculi
Correct Answer: B
Rationale
Compartment syndrome is a complication that can occur within the first 24
hours after a fracture. It is caused by increased pressure within the muscle
compartments, leading to tissue ischemia. Option A is incorrect because
osteomyelitis is a late complication. Option C is incorrect because
AND CORRECT DETAILED ANSWERS WITH RATIONALES RATED
A GRADE.GUARANTEED PASS 100%.
A nurse is preparing a child for a lumbar puncture. In which of the following
positions should the child be placed for the procedure?
A) Lateral
B) Prone
C) Semi-Fowler's
D) Supine
Correct Answer: A
Rationale
The child should be placed in a lateral position with the knees drawn up to
the chest and the chin tucked toward the chest. This position opens the
intervertebral spaces and facilitates needle insertion. Option B is incorrect
because the prone position does not provide adequate access to the lumbar
spine. Option C is incorrect because the semi-Fowler's position does not
open the intervertebral spaces. Option D is incorrect because the supine
position does not provide adequate access to the lumbar spine. Therefore,
the lateral position is the correct position for a lumbar puncture.
Acute Lymphoblastic Leukemia Treatment Effectiveness
A nurse is reviewing the complete blood count results for a child who is
receiving treatment for acute lymphoblastic leukemia. Which of the
following findings should indicate to the nurse that the treatment is having a
therapeutic effect?
,A) WBC count 15,000/mm³
B) Hemoglobin 6.8 g/dL
C) Platelet count 98,000/mm³
D) RBC count 5/mm³
Correct Answer: D
Rationale
An RBC count of 5/mm³ indicates that the treatment is having a therapeutic
effect. In acute lymphoblastic leukemia, treatment aims to restore normal
blood cell counts. Option A is incorrect because a WBC count of 15,000/mm³
is elevated and may indicate persistent disease. Option B is incorrect
because a hemoglobin of 6.8 g/dL is below the expected range and indicates
anemia. Option C is incorrect because a platelet count of 98,000/mm³ is
below the expected range. Therefore, an RBC count of 5/mm³ indicates
therapeutic effectiveness.
Pertussis Reporting
A nurse is caring for a school-age child who has pertussis. Which of the
following actions should the nurse take?
A) Report the diagnosis to the public health department
B) Place the child in a protected environment for 48 hours
C) Administer the pertussis vaccine
D) Restrict oral fluids to 500 mL per day
Correct Answer: A
Rationale
Pertussis is a nationally notifiable disease, and the nurse should report the
diagnosis to the public health department. Option B is incorrect because a
protected environment is used for immunocompromised clients. Option C is
incorrect because the pertussis vaccine is administered for prevention, not
,treatment. Option D is incorrect because fluids should be encouraged to
prevent dehydration. Therefore, reporting the diagnosis to the public health
department is the correct action.
Neonatal Abstinence Syndrome
A nurse is assessing a week-old infant. The nurse should identify which of the
following manifestations can indicate neonatal abstinence syndrome?
A) Frequent coughing
B) Constipation
C) Excessive sucking
D) Lethargy
Correct Answer: C
Rationale
Excessive, uncoordinated, and constant sucking is a gastrointestinal
manifestation of neonatal abstinence syndrome. Other gastrointestinal
manifestations include poor feeding, regurgitation (projectile vomiting), and
diarrhea. Option A is incorrect because frequent coughing is not a typical
manifestation. Option B is incorrect because diarrhea, not constipation, is a
manifestation. Option D is incorrect because hyperirritability, not lethargy, is
a manifestation. Therefore, excessive sucking indicates neonatal abstinence
syndrome.
IV Antibiotic Therapy
A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-
month-old infant. Which of the following actions should the nurse plan to
take?
, A) Use a 22-gauge catheter to start the IV
B) Start the IV in the infant's foot
C) Cover the insertion site with an opaque dressing
D) Change the IV site every 3 days
Correct Answer: A
Rationale
A 22-gauge catheter is appropriate for a 12-month-old infant. Option B is
incorrect because the hand or scalp is preferred over the foot for IV access in
infants. Option C is incorrect because a transparent dressing should be used
to allow visualization of the site. Option D is incorrect because IV sites
should be changed every 72 hours or as needed. Therefore, using a 22-gauge
catheter is the correct action.
Fracture Complications
A nurse is assisting a child who has multiple closed fractures of the lower
extremities due to a motor-vehicle crash. The nurse should monitor the child
for which of the following complications during the first 24 hours after the
injury occurred?
A) Osteomyelitis
B) Compartment syndrome
C) Volkmann's ischemic contracture
D) Renal calculi
Correct Answer: B
Rationale
Compartment syndrome is a complication that can occur within the first 24
hours after a fracture. It is caused by increased pressure within the muscle
compartments, leading to tissue ischemia. Option A is incorrect because
osteomyelitis is a late complication. Option C is incorrect because
