NGN ATI PEDIATRICS PROCTORED EXAM
LATEST QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
1. An adolescent is hospitalized for treatment of gunshot wounds
acquired in a gang conflict. The teen often shouts at the nurses
and uses vulgar language. Which activity is the best example of
client advocacy?
a. Accepting the rude behavior without comment.
b. Avoiding entering the room except for scheduled treatments.
c. Meeting all demands in order to achieve peace.
d. Asking the teen to describe any fears about current treatment.
2. An adolescent is seen in the ED and diagnosed with a bowel
obstruction. Despite the nurse ’s best attempt to explain the reason
for a nasogastric (NG) tube, the teen refuses to let the nurse insert the
tube. The parent ’s approach is also ineffective. Which would be most
appropriate for the nurse to do first?
a. Obtain an order for sedation, physically restrain the client, and
insert the tube.
b. Page the physician and document the client ’ s refusal to accept
the nasogastric tube.
1
, c. Explain the against-medical-advice (AMA) form to the adolescent
and parent.
d. Notify the hospital ’ s client advocate to meet with the adolescent
and parent.
3. An infant returned from GI surgery 4 hours ago. The parent refuses
pain medication for the baby and states, “The baby is crying because
of hunger. Can I offer a bottle?” How should the nurse best advocate
for the infant?
a. Review the results of the observational pain scale with the parent
and explain why the infant must have nothing by mouth.
b. Use nonpharmacological measures fi rst to see if the pain rating of 8
(out of 10)
decreases.
c. Ask the parent to use the observational pain tool to measure the
infant ’ s pain.
d. Call the physician to obtain an order to feed the infant.
4. At lunch, several nurses are discussing how difficult it is to care for
an adolescent who constantly complains of pain unrelieved by
morphine via a patient-controlled analgesia (PCA) pump. One nurse
comments, “The teen is addicted to drugs. What do you expect?!”
Which is the best response to this statement?
a. “The teen should be moved to an adult unit, where the teen will be
told what to do.”
2
, b. “We should make sure that the teen has a nursing student to give
the staff some relief.”
c. “Perhaps we should call a team conference to review the pain
complaints and treatment.”
d. “I think we should speak with the physician about changing to non-
narcotic pain medications.”
5. A case manager works in an outpatient clinic that administers
palivizumab (Synagis) to premature infants at high risk for respiratory
syncytial virus (RSV). Which outcome is most signifi cant as an
indication of effective treatment?
1. Prevention of hospitalization.
2. Optimal weight gain.
3. Promotion of parent-infant bonding.
4. Early detection and treatment of congenital defects.
6. A case manager is called to arrange for medical equipment and
medications at discharge for a child with multiple social problems.
Which problem is likely to have the greatest impact on discharge
planning?
1. The child and family are homeless.
2. The child is not covered by insurance.
3. The family cannot pay for medications.
4. The child does not have a primary care provider.
3
LATEST QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
1. An adolescent is hospitalized for treatment of gunshot wounds
acquired in a gang conflict. The teen often shouts at the nurses
and uses vulgar language. Which activity is the best example of
client advocacy?
a. Accepting the rude behavior without comment.
b. Avoiding entering the room except for scheduled treatments.
c. Meeting all demands in order to achieve peace.
d. Asking the teen to describe any fears about current treatment.
2. An adolescent is seen in the ED and diagnosed with a bowel
obstruction. Despite the nurse ’s best attempt to explain the reason
for a nasogastric (NG) tube, the teen refuses to let the nurse insert the
tube. The parent ’s approach is also ineffective. Which would be most
appropriate for the nurse to do first?
a. Obtain an order for sedation, physically restrain the client, and
insert the tube.
b. Page the physician and document the client ’ s refusal to accept
the nasogastric tube.
1
, c. Explain the against-medical-advice (AMA) form to the adolescent
and parent.
d. Notify the hospital ’ s client advocate to meet with the adolescent
and parent.
3. An infant returned from GI surgery 4 hours ago. The parent refuses
pain medication for the baby and states, “The baby is crying because
of hunger. Can I offer a bottle?” How should the nurse best advocate
for the infant?
a. Review the results of the observational pain scale with the parent
and explain why the infant must have nothing by mouth.
b. Use nonpharmacological measures fi rst to see if the pain rating of 8
(out of 10)
decreases.
c. Ask the parent to use the observational pain tool to measure the
infant ’ s pain.
d. Call the physician to obtain an order to feed the infant.
4. At lunch, several nurses are discussing how difficult it is to care for
an adolescent who constantly complains of pain unrelieved by
morphine via a patient-controlled analgesia (PCA) pump. One nurse
comments, “The teen is addicted to drugs. What do you expect?!”
Which is the best response to this statement?
a. “The teen should be moved to an adult unit, where the teen will be
told what to do.”
2
, b. “We should make sure that the teen has a nursing student to give
the staff some relief.”
c. “Perhaps we should call a team conference to review the pain
complaints and treatment.”
d. “I think we should speak with the physician about changing to non-
narcotic pain medications.”
5. A case manager works in an outpatient clinic that administers
palivizumab (Synagis) to premature infants at high risk for respiratory
syncytial virus (RSV). Which outcome is most signifi cant as an
indication of effective treatment?
1. Prevention of hospitalization.
2. Optimal weight gain.
3. Promotion of parent-infant bonding.
4. Early detection and treatment of congenital defects.
6. A case manager is called to arrange for medical equipment and
medications at discharge for a child with multiple social problems.
Which problem is likely to have the greatest impact on discharge
planning?
1. The child and family are homeless.
2. The child is not covered by insurance.
3. The family cannot pay for medications.
4. The child does not have a primary care provider.
3
