NGN ATI PEDS PROCTORED EXAM 2024 NEWEST COMPLETE 300+ QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT ) //BRAND NEW //ALREADY GRADED A+ • A 3-year -old child is brought to the emergency department with a high fever, sore throat, and drooling. Which of the following should be the nurse's first action? • A. Obtain a throat culture. • B. Administer antipyretics. • C. Place the child in a supine position. • D. Ensure a patent airway. Rationale: Ensuring a patent airway is the highest priority for a child with suspected epiglottitis. Drooling and a sore throat can indicate an obstructed airway. • A child with sickle cell anemia presents with severe pain. What is the priority nursing intervention? • A. Apply ice packs to the painful areas. • B. Administer prescribed analgesics. • C. Encourage the child to drink plenty of fluids. • D. Provide a high -protein diet. Rationale: Administering prescribed analgesics is the priority to manage the child's severe pain in sickle cell crisis. • The nurse is caring for a child with nephrotic syndrome. Which of the following interventions should the nurse include in the plan of care? • A. Increase fluid intake. • B. Monitor daily weight. • C. Limit protein intake. • D. Administer potassium supplements. Rationale: Monitoring daily weight helps to assess fluid balance and detect signs of fluid retention, which is common in nephrotic syndrome. • A 6-month -old infant is admitted with a diagnosis of bronchiolitis. Which of the following actions should the nurse take first? • A. Administer bronchodilators. • B. Suction the infant’s nasal passages. • C. Encourage the parents to feed the infant. • D. Place the infant in a supine position. Rationale: Suctioning the infant’s nasal passages helps to clear secretions and improve breathing. • Which of the following foods should be avoided in a child with celiac disease? • A. Wheat bread • B. Rice cakes • C. Corn tortillas • D. Quinoa salad Rationale: Wheat bread contains gluten, which should be avoided in children with celiac disease. • A child with a history of asthma is experiencing an acute asthma attack. What is the nurse's priority intervention? • A. Administer corticosteroids. • B. Administer a short -acting beta -agonist (albuterol). • C. Encourage deep breathing exercises. • D. Provide oxygen therapy. Rationale: Administering a short -acting beta -agonist like albuterol is the priority intervention to quickly relieve bronchospasm during an acute asthma attack. • The nurse is teaching the parents of a child with cystic fibrosis about chest physiotherapy (CPT). Which statement by the parents indicates understanding of the teaching? • A. "We should perform CPT immediately before meals." • B. "We should perform CPT at least twice a day." • C. "We should perform CPT only when our child is sick." • D. "We should perform CPT for at least 10 minutes each session." Rationale: Performing CPT at least twice a day helps to clear mucus from the lungs, which is essential for children with cystic fibrosis. • A nurse is providing care for a child with Kawasaki disease. Which of the following treatments is most important during the acute phase? • A. Antibiotic therapy • B. Intravenous immunoglobulin (IVIG) • C. High -dose aspirin • D. Steroid therapy Rationale: Intravenous immunoglobulin (IVIG) is crucial in the treatment of Kawasaki disease to reduce inflammation and prevent coronary artery aneurysms. • What is the best method for confirming the placement of a nasogastric (NG) tube in a pediatric patient? • A. Injecting air and listening with a stethoscope • B. Observing for gastric content aspiration • C. Measuring the external length of the tube • D. Obtaining an abdominal X -ray Rationale: Obtaining an abdominal X -ray is the most accurate method to confirm the placement of a nasogastric (NG) tube. • A nurse is assessing a 4 -year -old child who has a suspected Wilms' tumor. Which of the following actions is appropriate? • A. Avoid palpating the abdomen. • B. Prepare the child for an abdominal ultrasound. • C. Insert an intravenous line for contrast dye. • D. Administer a laxative for bowel preparation. Rationale: Avoiding palpation of the abdomen is crucial in a child with a suspected Wilms' tumor to prevent the risk of tumor rupture and spread. • A child is admitted with a diagnosis of bacterial meningitis. Which of the following is the priority nursing intervention? • A. Administer acetaminophen for fever. • B. Initiate droplet precautions. • C. Encourage oral fluid intake. • D. Monitor intake and output. Rationale: Initiating droplet precautions is essential to prevent the spread of bacterial meningitis to others. • Which of the following signs is a late indicator of increased intracranial pressure (ICP) in a child? • A. Headache • B. Nausea and vomiting • C. Bradycardia • D. Irritability Rationale: Bradycardia is a late sign of increased intracranial pressure (ICP) and indicates a need for immediate intervention.
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