NGN ATI PEDS PROCTORED EXAM NEWEST 2024 FORM A AND B COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
... [Show More] GRADED A+
NGN ATI PEDS FORM A
A nurse in the emergency department is assessing the toddler who has hyperpyrexia severe dyspnea and drooling which of the following actions should the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotics to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation - ...ANSWER...d. prepare the toddler for nasotracheal intubation
A nurse is providing teaching to a 10-year-old child scheduled for arterial cardiac catheterization. Which of the following information should the nurse include in the teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure - ...ANSWER...b. you will need to keep your legs straight for 8 hours following the procedure
A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child is now ready to resume oral intake which of the following dietary choices should the nurse offer the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop - ...ANSWER...d. lime flavored ice pop
A nurse is caring for a 10 month old child was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first?
Inspect for fluid leaking from the ears (thinking about CSF leakage severe trauma = urgent, after respiratory status is confirmed)
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations - ...ANSWER...b. assess respiratory status
A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant b. Keep infant in a visually stimulating environment
c. use half-strength formula when feeding the infant d. give the infant fruit juice between feedings -
...ANSWER...b. Keep infant in a visually stimulating environment
A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instruction should the nurse include in the teaching?
a. Wash your clients hair with shampoo containing Ketoconazole
b. soak Combs and brushes in boiling water for 10 minutes c. apply petroleum jelly to the affected areas
d. treat everyone who came into close contact with a child - ...ANSWER...d. treat everyone who came into close contact with a child
A nurse is caring for a preschooler who refuses to take a start dose of oral diphenhydramine. Which of the following statements should the nurse make?
a. The medication isn't bad it taste like candy
b. let me know when you want to take the medication c. the medication will treat your hypersensitivity reaction ( too much "Adult" terminology/ jargon for pre schooler to understand)
d. sometimes, when a child has to take medication, they feel sad. - ...ANSWER...d. sometimes, when a child has to take medication, they feel sad.
A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to take?
A. Have the child flex his head when securing the ties. B. Clean around the stoma with full-strength hydrogen peroxide
C. Use clean techniques to change the tracheostomy tube D. Place the child in Trendelenburg position when performing care. - ...ANSWER...A. Have the child flex his head when securing the ties.
A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching?
A. Limit foods high in iron
B. Avoid foods containing milk products
C. Use aspartame as a sugar substitute
D. Increase the toddler's protein consumption -
...ANSWER...B. Avoid foods containing milk products
A nurse is assessing a 6-month-old infant who has a respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider?
A. Tachypnea
B. Coughing
C. Brisk capillary refill
D. Pharyngitis - ...ANSWER...A. Tachypnea
A nurse reviews 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. Hemoglobin 6.8g/dL
B. RBC count 5 mm^3
C. WBC count 15000 mm^3
D. Platelet count 34000 mm^3 (150,000-400,000) - ...ANSWER...B. RBC count 5 mm^3 (normal range)
A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis?
A. Bradycardia
B. Tachypnea
C. Tremors
D. Increased appetite - ...ANSWER...B. Tachypnea
A nurse is teaching a group of parents about childhood immunization. The nurse should identify that infants should receive the first dose of the following immunizations at 12 months of age.
A. Human papillomavirus
B. Inactivated poliovirus
C. Varicella
D. Hepatitis B. - ...ANSWER...C. Varicella
A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia. Which of the following actions should the nurse take?
A. Obtain rectal temperature every 4 hour
B. Place the child in a knee-chest position
C. Apply viscous lidocaine to the oral mucosa
D. Initiate bleeding precautions - ...ANSWER...D. Initiate bleeding precautions
A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider?
A. Serum glucose 90 mg/dL
B. Blood pressure 102/58 mmHg
C. Weak pedal pulse distal to the site
D. Bilateral cool extremities - ...ANSWER...D. Bilateral cool extremities
A nurse is communicating with a child who has hearing loss. Which of the following actions should the nurse take?
A. Maintain a neutral facial expression when speaking to the child
B. Change positions frequently to maintain the child's attention
C. Exaggerate the pronunciation of words
D. Use a light touch when initiating conversation - ...ANSWER...C. Exaggerate the pronunciation of words
A nurse is teaching a parent of a 10- month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? SATA
A. Ensure the crib mattress is in the lowest position B. Select a toy chest that has a heavy, hinged lid C. Keep toilet lids in the upright position
D. Remove labels forms containers that contain toxic substances
E. Place gates at the top and bottom of the stairs - ...ANSWER...A. Ensure the crib mattress is in the lowest position
E. Place gates at the top and bottom of the stairs
A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels - ...ANSWER...b. a decrease in peripheral edema
A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect (select all that apply)
a. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. fever - ...ANSWER...c. Crying
d. Restlessness
e. fever
A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis Testing for Cystic Fibrosis. Which of the following statements should the nurse include in the teaching?
a. We will measure the amount of protein in your baby's urine over 24 hour period
b. The test will measure the amount of water in your baby's sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test - ...ANSWER...b. The test will measure the amount of water in your baby's sweat
A nurse in an urgent care clinic is prioritizing care for children. Which of the following children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema b. a preschool-age child who has a muffled voice and no spontaneous cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL
d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11 lb) - ...ANSWER...b. a preschool-age child who has a muffled voice and no spontaneous cough
A nurse is providing teaching to the parents of a toddler who is to undergo a sweat chloride test. Which of the following statements should the nurse include?
a. The purpose of the test is to determine if your child has Crohn's disease
b. the technician will use a device to produce an electrical current during the test
c. during the test, your child will be in a room that is cold d. your child's sweat will be collected over 24 hours - ...ANSWER...d. your child's sweat will be collected over 24 hours
A nurse in the emergency department is caring for an adolescent who is requesting testing for STI. Which of the following action is appropriate for the nurse to take?
a. Request verbal consent from the social worker b. contact the client's parents to obtain phone consent c. postpone the testing until the client's parents are present d. obtain written consent from the client - ...ANSWER...d. obtain written consent from the client
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections b. your child's feet should be three to six inches off the ground when Seated on the bicycle
c. you should try to keep the bicycle at least three feet from the curb while riding in the street
d. your child should ride the bicycle against the flow of traffic - ...ANSWER...a. Your child should walk the bicycle through intersections
A nurse is caring for a school-age child following the application of a cast to a Fractured right tibia. Which of the following actions should the nurse take first?
a. Teach the child about cast care
b. Pad the edges of the cast
c. administer pain medication
d. Elevate the child's leg - ...ANSWER...d. Elevate the child's leg (elevate the child cast above the heart during the first 24- 48 hrs)
A nurse is preparing to collect a urine specimen from a female infant using a urine collection bag. Which of the following actions should the nurse take?
a. Apply lidocaine gel to the perineum before attaching the bag
b. Position the opening of the bag over the urethra and the anus
c. Stretch the perineum taught when applying the bag d. Place a snuff fitting diaper over the drainage bag - ...ANSWER...c. Stretch the perineum taught when applying the bag
A nurse is planning care for a toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care?
a. Schedule routine Oral Care every 8 hours
b. Cleanse the gums with saline soaked gauze
c. more sending me closer with lemon glycerin swabs- causes tooth decay and erosion of tissue
d. administer oral viscous lidocaine - risk of aspiration - ...ANSWER...a. Schedule routine Oral Care every 8 hours
A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parent indicates an understanding of the teaching?
a. I will have my baby sleep next to me in the bed during the night
b. Elmo my baby stuffed animal to the corner of her crib while she sleeps
c. I will dress my baby in lightweight clothing to sleep d. I will lay my baby on her side to sleep for her naps - ...ANSWER...c. I will dress my baby in lightweight clothing to sleep
A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
a. Increased blood pressure
b. Limb withdrawal
c. relaxed facial expression
d. bradycardia - ...ANSWER...c. relaxed facial expression
A nurse is caring for a three-month-old infant who has cleft of the soft palate. Which of the following actions should the nurse take?
a. discontinue feeding if the client's eyes become watery b. postpone burping the infant until after completing each feeding
c. Elevate the infant's head to a 10-degree angle during feedings
d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day - ...ANSWER...a. discontinue feeding if the client's eyes become watery
A nurse is caring for a child who has hyponatremia. Which of the following findings should the nurse expect?
a. Tetany
b. weight gain
c. Elevated heart rate
d. excessive diaphoresis - ...ANSWER...a. Tetany
A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first?
a. Set the administration rate on the feeding pump b. flush the tube with water
c. check the pH of the gastric secretion
d. attach the feeding bag tubing to the end of the NG Tube - ...ANSWER...c. check the pH of the gastric secretion
A nurse is caring for an adolescent who is 1 hour post operative following an appendectomy. Which of the following findings should the nurse report to the provider?
a. Heart rate 63 / minute
b. muscle rigidity
c. temperature 36.4 Celsius (97.5 Fahrenheit)
d. abdominal pain - ...ANSWER...d. abdominal pain
A nurse in a provider's office is preparing to administer immunization to a 12 year old client during a well-child visit. Which of the following immunization should the nurse plan to administer? SATA
a. Diptheria, tetanus and pertussis (D-Tap)
b. human papillomavirus (HPV)
c. Varicella
d. hepatitis A - ...ANSWER...a. Diptheria, tetanus and pertussis (D-Tap)
b. human papillomavirus (HPV
Nurse is planning care for an 8 month old infant who has heart failure. Which of the following actions should the nurse include in the plan of care?
a. Repeat digoxin dosage is the infant vomit within 1 hour of administration
b. Place infant in a prone position
c. administer cool, humidified oxygen via nasal cannula d. provide less frequent, higher volume feeding - ...ANSWER...d. provide less frequent, higher volume feeding
A nurse is planning care for a school-age child who is admitted from the emergency department 12 hours ago. Which of the following interventions should the nurse include to promote adequate sleep for the child?
a. Provide the child with video games prior to bedtime to reduce stress
b. allow the child to adjust their bedtime to promote autonomy c. leave the lights on in the child's room to promote safety
d. follow the child home sleep routine to reduce anxiety - ...ANSWER...d. follow the child home sleep routine to reduce anxiety
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. cover the insertion site with an opaque dressing b. use a 24 gauge catheter to start the IV
c. start the IV on the infant's foot
d. change the IV site every 3 days - ...ANSWER...b. use a 24 gauge catheter to start the IV
A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a new prescription for digoxin. Which of the following manifestations should the nurse include as an indication of digoxin toxicity?
a. Diaphoresis
b. Polyuria
c. Bradycardia
d. jaundice - ...ANSWER...c. Bradycardia
A nurse is reviewing the laboratory results of a child was recently admitted or suspected rheumatic fever. The nurse should identify that which of the following laboratory tests can contribute to confirm this diagnosis select all that apply.
a. partial thromboplastin time (PTT)
b. erythrocyte sedimentation rate (ESR)
c. blood urea nitrogen (BUN)
d. C-reactive protein (CRP)
e. anti streptolysin O (ASO) titer - ...ANSWER...b. erythrocyte sedimentation rate (ESR)
d. C-reactive protein (CRP)
e. anti streptolysin O (ASO) titer
A nurse is caring for an infant who receives intermittent enteral feeding through a gastrostomy tube. Which of the following actions should the nurse take when administering a feeding? Select all that apply
a. offer the infant a pacifier during readings
b. formula to 39° C (102 degrees Fahrenheit ) prior to Administration
c. check the for residual volume by aspirating stomach contents
d. instill the formula over a period of 30 and 45 minutes - ...ANSWER...a. offer the infant a pacifier during readings
c. check the for residual volume by aspirating stomach contents
d. instill the formula over a period Of 30 and 45 minutes
A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care?
a. Encourage frequent physical activity to increase bone mass b. maintain patent intravenous catheter
c. initiate contact precaution for the child
d. provide a high calorie low protein diet - ...ANSWER...b. maintain patent intravenous catheter
A nurse is providing teaching to the guardian of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include?
a. Apply cold compress to painful areas
b. I shall wear a surgical mask to school
c. encourage physical activity as tolerated
d. offer fluids of bedtime - ...ANSWER...b. I shall wear a surgical mask to school
A nurse is assessing a 5 month old infant. Which of the following findings should the nurse report to the provider?
a. Unable to hold a bottle
b. exhibits head lag when pulled a sitting position c. absent grasp reflex
d. unable to roll from back to abdomen - ...ANSWER...b. exhibits head lag when pulled a sitting position
A nurse is caring for a five-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage?
a. Flushing of the face
b. continuous swallowing
c. blood pressure 99/ 56 mmhg
d. heart rate 54/ minutes - ...ANSWER...b. continuous swallowing
A nurse is discussing coping mechanisms with a parent of a three-month-old infant which of the following therapeutic questions should the nurse ask the parent?
a. What do you do when your infant is fussy?
b. Are you willing to take new parenting classes? c. Does parenting cause you stress?
d. Is it overwhelming when your infant is having a bad day? - ...ANSWER...a. What do you do when your infant is fussy?
A nurse is providing teaching about the effects of sun exposure to a parent of a toddler which of the following responses by the parent indicates an understanding of the teaching?
a. my child should wear a wide-brimmed hat
b. my child should remain under a beach umbrella during morning hours
c. I should apply 10 SPF sunscreen to my child's entire body d. I should dress my child in loose active clothing - ...ANSWER...c. I should apply 10 SPF sunscreen to my child's entire body
A nurse is evaluating a 6 year old child who has cystic fibrosis and has been receiving chest physiotherapy treatment. The nurse should identify which of the following findings as an indication of the therapy has been effective?
a. Increased urine output
b. increase expectoration
c. reduced pain
d. increased heart rate - ...ANSWER...d. increase expectoration
A nurse is planning care for a six-month-old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care?
a. Place the infant in a semi-private room
b. keep the television on in the room to provide background noise
c. Pad the side rails of the crib
d. provide for you can range of motion to the neck and shoulders - ...ANSWER...c. Pad the side rails of the crib (seizure precautions)
A nurse is reviewing the medical record of a child with cystic fibrosis which of the following should the nurse report to the provider? Click on the exhibit button for additional information about the client.
a. heart rate
b. HbA1c
c. oxygen saturation
d. WBC - ...ANSWER...b. HbA1c
A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching?
a. Increase the amount of your dietary iron intake b. limit your sodium intake to 3000 mg per day c. consumer 1,500 to 1700 calories per day
d. decrease your vitamin D intake once you start to menstruate - ...ANSWER...a. Increase the amount of your dietary iron intake
A nurse is assessing 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. Compartment syndrome
B. Osteomyelitis
C. Renal calculi
D. Volkmann ischemic contracture. - ...ANSWER...A. Compartment syndrome [Show Less]