NGN ATI RN Pediatrics Exam 2023 A Version 1 | Questions and Verified Answers| 100% Correct| A Grade
QUESTION
The nurse has reviewed the child's nurse... [Show More] s notes, assessment, vital signs, providers prescriptions and laboratory results for today's visit. Which of the following conditions are improving since the child's visit 1 month ago?
Select 4 of the following conditions.
Nurses' Notes - 2 months ago:
The toddler is here for their well-child visit and is accompanied by a parent. Toddler is active, alert, and walking without assistance. The parent reports moving to an older urban house, which is currentl
Answer:
When evaluating outcomes, the nurse should identify an improvement in the child's health based on the findings of lead poisoning, kidney function, exposure to lead, and nutritional status. The BLL has decreased since the previous visit in response to the chelating medication. This indicates a decrease in the amount of lead in the body. The amount of glucose in the urine has decreased, which shows an improvement in the damage to the proximal tubules of the kidneys. Exposure to lead has decreased. The parent reports no longer residing in the older home that is being renovated, which was a source of lead exposure to the child. The nutritional status has improved based on parent's report of the child eating better and consuming more calcium-rich foods. Also, the child's weight has increased since the previous visit.
QUESTION
A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which of the following findings should the nurse recognize as an indication of anemia?
Answer:
Hematocrit 28%
Rationale: The nurse should recognize that this hematocrit level is below the expected reference range of 32% to 44% for a school-age child. The child can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygen-carrying capacity.
QUESTION
A nurse in a provider's office is preparing to administer immunizations to a toddler during a well-child visit. Which of the following actions should the nurse plan to take? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
Provider PrescriptionsTuberculin skin test (TST)Measles, mumps, and rubella (MMR) vaccineInactivated influenza vaccineDiphtheria, tetanus, and pertussis (DTaP) vaccine
Graphic Re
Answer:
Withhold the measles, mumps, and rubella (MMR) vaccine.
Rationale: The nurse should recognize that an allergy to neomycin with an anaphylactic reaction is a contraindication for receiving the MMR vaccine. Clients who have a severe allergy to eggs or gelatin should not receive this vaccine.
QUESTION
A nurse is assessing an 8-year-old child who has early indications of shock. After establishing an airway and stabilizing the child's respirations, which of the following actions should the nurse take next?
Answer:
Initiate IV access
Rationale: After establishing an airway and stabilizing the child's respirations, the next action the nurse should take when using the airway, breathing, and circulation approach to client care is to establish IV access to maintain the child's circulatory volume.
QUESTION
A nurse is caring for an adolescent who received a kidney transplant. Which of the following findings should the nurse identify as an indication the adolescent is rejecting the kidney?
Answer:
Serum creatinine 3.0 mg/dL
Rationale: Creatinine is a byproduct of protein metabolism and is excreted from the body through the kidneys. An elevated serum creatinine level, therefore, can be an indication that the kidneys are not functioning. The nurse should identify that the adolescent's serum creatinine level is higher than the expected reference range of 0.4 to 1.0 mg/dL for an adolescent and can indicate rejection of the kidney.
QUESTION
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL. Which of the following actions should the nurse plan to take?
Answer:
Schedule the toddler for a yearly re-screening.
Rationale: The nurse should schedule the toddler for a lead level re-screening in 1 year and educate the family on ways to prevent exposure.
QUESTION
A nurse in an emergency department is caring for an adolescent who has severe abdominal pain due to appendicitis. Which of the following locations should the nurse identify as McBurney's point? (You will find "hot spots" to select in the artwork below. Select only the hot spot that corresponds to your answer.)
Answer:
A
Rationale: The nurse should identify this area of the client's abdomen as McBurney's point. This area of the right lower quadrant located about two-thirds of the way between the umbilicus and the client's anterosuperior iliac spine is the area where a client who has appendicitis is most likely to report pain and tenderness.
QUESTION
A nurse is assessing a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider?
Answer:
Presence of strabismus
Rationale: Strabismus, or crossing of the eyes, typically disappears at 3 to 4 months of age. If not corrected early, this can lead to blindness. Therefore, the nurse should report this finding to the provider. [Show Less]