NGN ATI RN PEDIATRICS 2023 AND 2019 EXAMS/NEXT GEN ATI PEDIATRICS PROCTORED EXAM 2023 AND 2019 EACH EXAM CONTAINS 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES |ALREADY GRADED A+||BRAND NEW!!

NGN ATI RN PEDIATRICS 2023 AND 2019 EXAMS/NEXT GEN

ATI PEDIATRICS PROCTORED EXAM 2023 AND 2019 EACH

EXAM CONTAINS 70 QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES |ALREADY GRADED

A+||BRAND NEW!!

NGN ATI RN PEDIATRICS 2023

A nurse is providing anticipatory guidance to the parent of a toddler. Which of the

following expected behavior characteristics of toddlers should the nurse include?

a. controls impulsive feelings

b. understands right from wrong

c. easily separates from parents for long periods of time

d. expresses likes and dislikes - ANSWER- D

Rationale: Controlling impulsive feelings is expected behavior of school-age

children. Toddler is more likely to have difficulty controlling strong and impulsive

feelings as they try to assert their independence and gain control of situations.

Understanding right from wrong and modifying their behavior in response to

others' expectations is the expected behavior of preschoolers. Toddlers tend to have

a great deal of curiosity and ask many questions but are not able to fully

understand what behaviors are right or wrong.

A toddler might be able to separate from their parents for a short period of time,

but toddlers are more likely to experience acute separation anxiety when separated

from their parents for an extended period of time. The toddler might offer

resistance if they are left with a new babysitter or at a new daycare center.

Nurses should include that expressing likes and dislikes is an expected behavior of

toddlers. This is the time in life when a toddler is developing autonomy and selfconcept. They will try to assert themselves and frequently refuse to comply. The

parent should allow the child to have some control, but also set limits for them so

they learn from their behavior and learn to control their actions.

A nurse is providing discharge teaching to the parent of a school age child who has

moderate persistent asthma. Which of the following instructions should the nurse

include?

a. "you should give your child their salmeterol inhaler every 4 hours when they are

having an acute episode of wheezing."

b. "you should monitor your child's weight weekly while they are receiving inhaled

corticosteroids therapy."

c. "pulmonary function tests will be performed every 12-24 months to evaluate

how your child is responding to therapy."

d. "when using the peak expiratory flow meter, record your child's average of three

readings." - ANSWER- C

Rationale: "You should give your child their salmeterol inhaler every 4 hours

when they are having an acute episode of wheezing."The nurse should inform the

parent that long-acting beta2 agonists are to be used in conjunction with a low- or

medium-dosage inhaled corticosteroid, and never used alone. Using this

medication alone on an as-needed basis during an acute asthma attack is dangerous

and can lead to worsening of the child's condition.

"You should monitor your child's weight weekly while they are receiving inhaled

corticosteroid therapy."The nurse should instruct the parent that the use of inhaled

corticosteroids has not been shown to have any negative effects on growth. The

provider might monitor the child's growth for systemic absorption; however, it is

not necessary for the parent to weigh the child weekly.

"Pulmonary function tests will be performed every 12 to 24 months to evaluate

how your child is responding to therapy."MY ANSWERThe nurse should inform

the parent that their child will need pulmonary function tests every 12 to 24 months

to evaluate the presence of lung disease and how the child is responding to the

current treatment regimen. As children grow, sometimes their manifestations can

improve or decline, and treatment needs to change accordingly.

"When using the peak expiratory flow meter, record your child's average of three

readings."The nurse should instruct the parent to measure the child's airflow using

a peak expiratory flow meter. This should be done twice daily, taking three

measurements each time and waiting 30 seconds between each measurement. The

parent should record the highest of the three readings, rather than the average.

A nurse is assessing an adolescent who received a sodium polystyrene sulfonate

enema. Which of the following findings indicates effectiveness of the medication?

a. reports an absence of nausea and vomiting

b. reports experiencing an onset of loose stools within 15 minutes of administration

c. serum potassium level 4.1 mEq/L

d. blood pressure 86/52 mm Hg - ANSWER- C

Rationale: The absence of nausea and vomiting indicates the effectiveness of the

antiemetic medication. Sodium polystyrene sulfonate is an antidote, which

exchanges sodium ions in the intestine. Therefore, the absence of nausea and

vomiting is not an indicator of the medication's effectiveness.

The nurse should monitor the adolescent for diarrhea because it is an adverse effect

of sodium polystyrene sulfonate.

The nurse should monitor the adolescent's serum potassium level following the

administration of sodium polystyrene sulfonate. This medication is used to treat

hyperkalemia by exchanging sodium ions for potassium ions in the intestine.

Therefore, a potassium level within the expected reference range of 3.4 to 4.7

mEq/L indicates the effectiveness of the medication.

Blood pressure of 86/52 mm Hg is below the expected reference range of 90 to 110

mm Hg systolic and 60 to 80 mm Hg diastolic for an adolescent and does not

indicate the effectiveness of the medication. The nurse should continue to monitor

blood pressure as an indicator of fluid and electrolyte imbalance.

A nurse is assessing an infant who has pneumonia. Which of the following

findings is the priority for the nurse to report the provider?

a. nasal flaring

b. WBC count 11,300/mm^3

c. diarrhea

d. abdominal distension - ANSWER- A

Rationale: Nasal flaringMY ANSWERWhen using the airway, breathing, and

circulation approach to client care, the nurse should determine that the priority

finding to report to the provider is nasal flaring. Nasal flaring indicates the infant is

experiencing acute respiratory distress.

WBC count 11,300/mm3The nurse should report a WBC count of 11,300/mm3

because it is above the expected reference range of 5,000 to 10,000/mm3 and

indicates infection. However, there is another finding that is the priority for the

nurse to report.