2023 ATI RN Paediatrics Practice Exam With Answers (17 Solved Questions)

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RN ATI PEDIATRIC NURSING EXAM(70 NGN Questions with Answers)1.Vaso-occlusive crisis plan of care interventions 5/year old child (flower)/ Possibly mistyped theQuestion?? 15 year old adolescentA. Monitor Oxygen, Bed Rest, Oral Hydroxyurea,A nurse is caring for an adolescent who is admitted with a vaso-occlusive crisis.Exhibit 1History and PhysicalA 15-year-old adolescent is admitted for a vaso-occlusive crisis. The parent reports that theadolescent has a low-grade fever and has vomited for 3 days. The adolescent reports havingright-sided and low back pain. They also report hands and right knee are painful and swollen.The client reports pain as 8 on a scale of 0 to 10.Exhibit 2Vital SignsTemperature 37.8° C (100° F) Heart rate 100/minBlood pressure 110/72 mm Hg Respiratory rate 20/min Oxygen saturation 95% on room airExhibit 3AssessmentAwake, alert, and oriented x 3Yellow sclera of eyes noted bilaterallyRight upper quadrant tender to palpation Hands painful to touch and swollen bilaterallyRight knee is swollen, warm to palpation, and the client reports pain as 8 on a scale of 0 to 10.Exhibit 4Client is tearful and grimacing during the examination.The nurse is planning care for the adolescent. Select the 5 interventions the nurse shouldinclude.

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A.Instruct the parent to ensure the pneumococcal vaccine is current.B.Administer folic acid as prescribed.C.Monitor oxygen saturation continuously.D.Placethe 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.ANS: B C E F H2. Atopic dermatitis discharge teaching SATAA. Occasional flare ups, mild detergent laundry, apply gloves, cut nails frequency, applyemollients after bathingQuestionA nurse in the emergency department is preparing to discharge a 3-year-old childNurses' Notes

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The child's guardian states thechild has been unable to sleep recently and has been very irritable.Guardian expresses concern about the child's atopic dermatitis worsening and the childscratching excessively, which results in the areas bleeding. Guardian states the child has ahistoryof allergic rhinitis.AssessmentChild is alert and responsive.Respiratory rate even and nonlabored at rate of 24/min. No adventitious sounds auscultated.Heart rate 108/minGeneralized small clusters of reddish, scaly patches with lichenificationsand depigmentation onthe child's bilateral upper and lower extremities.Which of the following statements should the nurse plan to include in the discharge instructionsfor 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**ANS: A B D F G3. 6-week infant failure to thrive, tachypnea & tachycardia nursing actionsA. Admin digoxin, elevate HOB, CHF, Monitor respiratory & I/OA nurse is caring for a 6-week-old infant.History and PhysicalInfant was full-term at birth. Birth weight was 3.5 kg (7.7 lb). Infant is not gaining weight asexpected. One week ago at outpatient visit, weight was 3.6 kg (7.9 lb).

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Parent reports for past 2 days infant is breathing faster during feedings and does not finishfeedings. Parent also reports decreased appetite and puffiness around the infant's eyes. Parentstates that the last wet diaper was about 10 hr ago. Infant admitted for diagnostic evaluation,failure to thrive, and nutritional/fluid support.Vital SignsAdmission:Temperature 37.7° C (99.9° F) Heart rate 174/min while sleepingRespiratory rate 72/min while sleepingAssessment:Admission:Respirations: Tachypneic with moderate retractions and nasal flaring. Upon auscultation,crackles heard in all lung fields. No nasal drainage noted. Dry cough noted periodically. Skin:Pallor, scalp is diaphoretic, lower extremities are cool to touch.Cardiac: Tachycardic,regular rhythm, no murmur is heard. Peripheral pulses are full andbounding in the upper extremities and weak bilateral pedal pulses are noted.Fluids: Mucous membranes are slightly dry and pink. Skin turgor is slightly decreased. Capillaryrefill is 3seconds. Noted periorbital edema and nonpitting edema of feet.Anterior fontanel is soft and slightly depressed. Diaper remains dry. Abdomen: Soft, full, round,bowel sounds are present and active.Blood pressure in right upper extremity 60/39 mm HgOxygen saturation 90%Laboratory ResultsAdmission:Chest x-ray: mild left ventricular hypertrophy is noted. Increased pulmonary vascular markingsare noted in all lobes.Specify what condition the client is most likely experiencing, 2 actions the nurse should take toaddress that condition, and 2 parameters the nurse should monitor to assess the client's progress.Condition Most Likely Experiencing(Middle Box)

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