ATI PN Pediatric Nursing Proctored Exam with NGN
,Answer
The correct answer is D. "Your baby has an increased risk for a heart defect."
Explanation
The question requires identifying a statement that a nurse should include when teaching parents
about Down syndrome. Down syndrome, also known as Trisomy 21, is a genetic disorder
associated with several health risks and developmental differences.
Option D: "Your baby has an increased risk for a heart defect." is the correct statement
because congenital heart defects are commonly associated with Down syndrome.
Here are further explanations.
Option A: "Your baby should have no issues with eyesight." Children with Down syndrome are at
higher risk for various eye conditions, such as strabismus, cataracts, and refractive errors.
Option B: "Expect your baby to grow in height more rapidly than weight." Children with Down
syndrome typically have slower growth patterns compared to their peers.
Option C: "Expect your baby to need factor replacement therapy every month." Factor
replacement therapy is typically used for bleeding disorders like hemophilia, not Down syndrome.
,Answer
Decreased sodium level.
Explanation
In this scenario, the nurse is tasked with identifying which finding in the electronic medical record of
a school-age child with gastroenteritis should be reported to the provider. Each option needs to be
evaluated based on its clinical significance.
The decreased sodium level indicates potential hyponatremia, which can be a serious electrolyte
imbalance, especially in a child experiencing gastroenteritis, as it may lead to complications such
as seizures or neurological issues. Therefore, this finding is critical and warrants immediate
attention.
A heart rate of 100 beats per minute is within the normal range for a school-age child, which
typically ranges from 70 to 110 bpm. Thus, this finding does not require reporting.
Non-fenting skin turgor suggests that the child is likely dehydrated, but it does not specify the
severity of dehydration or other critical signs that would necessitate immediate reporting. While it is
important, it is not as urgent as the decreased sodium level.
The urinalysis result showing negative ketones is a reassuring finding, indicating that the child is
not in a state of ketosis, which can occur with significant dehydration or starvation. This finding
does not need to be reported.
Based on this analysis, the most appropriate finding that should be reported to the provider is the
decreased sodium level.
, Answer
The nurse should include the statements:
1. "Your child will need to take oral antibiotics after completing their IV antibiotics."
2. "Your child will need to have blood work drawn to make sure their vancomycin levels are in a safe
range."
3. "Your child will need to follow up with a cardiologist after they are discharged."
Explanation
C. The core claim of the question is to identify the statements that the nurse should include when
reinforcing teaching with the toddler's parents based on the diagnostic results and vital signs
provided.
Rationale:
The statement regarding the child needing to take oral antibiotics after completing IV antibiotics is
essential for the parents to understand the treatment plan.
The need for blood work to monitor vancomycin levels is crucial for ensuring the child's safety during
treatment.
Following up with a cardiologist after discharge is important for continued care and monitoring.
,Answer
The correct answer is D. "Your baby has an increased risk for a heart defect."
Explanation
The question requires identifying a statement that a nurse should include when teaching parents
about Down syndrome. Down syndrome, also known as Trisomy 21, is a genetic disorder
associated with several health risks and developmental differences.
Option D: "Your baby has an increased risk for a heart defect." is the correct statement
because congenital heart defects are commonly associated with Down syndrome.
Here are further explanations.
Option A: "Your baby should have no issues with eyesight." Children with Down syndrome are at
higher risk for various eye conditions, such as strabismus, cataracts, and refractive errors.
Option B: "Expect your baby to grow in height more rapidly than weight." Children with Down
syndrome typically have slower growth patterns compared to their peers.
Option C: "Expect your baby to need factor replacement therapy every month." Factor
replacement therapy is typically used for bleeding disorders like hemophilia, not Down syndrome.
,Answer
Decreased sodium level.
Explanation
In this scenario, the nurse is tasked with identifying which finding in the electronic medical record of
a school-age child with gastroenteritis should be reported to the provider. Each option needs to be
evaluated based on its clinical significance.
The decreased sodium level indicates potential hyponatremia, which can be a serious electrolyte
imbalance, especially in a child experiencing gastroenteritis, as it may lead to complications such
as seizures or neurological issues. Therefore, this finding is critical and warrants immediate
attention.
A heart rate of 100 beats per minute is within the normal range for a school-age child, which
typically ranges from 70 to 110 bpm. Thus, this finding does not require reporting.
Non-fenting skin turgor suggests that the child is likely dehydrated, but it does not specify the
severity of dehydration or other critical signs that would necessitate immediate reporting. While it is
important, it is not as urgent as the decreased sodium level.
The urinalysis result showing negative ketones is a reassuring finding, indicating that the child is
not in a state of ketosis, which can occur with significant dehydration or starvation. This finding
does not need to be reported.
Based on this analysis, the most appropriate finding that should be reported to the provider is the
decreased sodium level.
, Answer
The nurse should include the statements:
1. "Your child will need to take oral antibiotics after completing their IV antibiotics."
2. "Your child will need to have blood work drawn to make sure their vancomycin levels are in a safe
range."
3. "Your child will need to follow up with a cardiologist after they are discharged."
Explanation
C. The core claim of the question is to identify the statements that the nurse should include when
reinforcing teaching with the toddler's parents based on the diagnostic results and vital signs
provided.
Rationale:
The statement regarding the child needing to take oral antibiotics after completing IV antibiotics is
essential for the parents to understand the treatment plan.
The need for blood work to monitor vancomycin levels is crucial for ensuring the child's safety during
treatment.
Following up with a cardiologist after discharge is important for continued care and monitoring.
