RN ATI PEDIATRICS NGN PREDICTOR NEWEST
VERSION 2025 NGN QUESTION BANK 180
QUESTION AND CORRECT DETAILED
ANSWERS WITH RATIONALES
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-
old. Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. - answer-B.
Tell the child they will feel discomfort during the catheter insertion.
2. A nurse is caring for a client who has arteriovenous fistula Which of the
following findings should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation. - answer-B. Absence of a bruit.
,3. A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator which of the following statements
demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" - answer-
B. "I will wear loose clothing around my ICD"
25. A nurse is working on a surgical unit is developing a care plan for a client
who has paraplegia. The client has an area of nonbankable erythema over his
ischium. Which of the following interventions should the nurse include in the
care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every 24 hr - answer-A. Place the client upright on a
donut-shaped cushion
A nurse is caring for a client who is dilated to 10 cm and pushing. Which
of the following pain-management is a safe option for the client?
A. Naloxone hydrochloride.
,B. Spinal anesthesia.
C. Pudendal block.
D. Butorphanol tartrate. - answer-C. Pudendal block.
27. A nurse is assessing a client who has major depressive disorder. Which of
the following findings should the nurse identify as the priority (Most
important?)
A. The client changes the subject when future plans are mentioned.
B. The client talks about being in pain constantly.
C. The client sleeping over 12 hr. each day.
D. The client reports giving away personal items. - answer-D. The client reports
giving away personal items.
28. A nurse is providing teaching about immunizations to a client who is
pregnant. The nurse should inform the client that she can receive which of
the following immunizations during pregnancy? (Select all that apply)
A. Varicella vaccine.
B. Inactivated polio vaccine.
C. Tetanus diphtheria and acellular pertussis vaccine
D. Rubella vaccine.
E. Inactivated influenza vaccine. - answer-C,E
29. A nurse is caring for a client who has end-stage kidney disease. The client's
adult child asks the nurse about becoming a living kidney donor for her father.
, Which of the following condition in the child's medical history should the nurse
identify as a contraindication to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma - answer-C. Hypertension
30. A nurse is providing discharge teaching for a group of clients. The nurse
should recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states "I will need to
limit how much spinach I eat".
B. A client who has gout and states, "I can continue to eat anchovies on
my pizza."
C. A client who has a prescription for spironolactone and states "I will
reduce my intake of foods that contain potassium".
D. A client who has (Unable to read) and states "I'll plan to take my
calcium carbonate with a full glass of water". - answer-B. A client who has gout
and states, "I can continue to eat anchovies on my pizza."
31. A hospice nurse is visiting with the son of a client who has terminal
cancer. The son reports sleeping very little during the past week due to
caring for his mother. Which of the following responses should the nurse
make?
A. "I can give you information about respite care if you are interested."
VERSION 2025 NGN QUESTION BANK 180
QUESTION AND CORRECT DETAILED
ANSWERS WITH RATIONALES
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-
old. Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. - answer-B.
Tell the child they will feel discomfort during the catheter insertion.
2. A nurse is caring for a client who has arteriovenous fistula Which of the
following findings should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation. - answer-B. Absence of a bruit.
,3. A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator which of the following statements
demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" - answer-
B. "I will wear loose clothing around my ICD"
25. A nurse is working on a surgical unit is developing a care plan for a client
who has paraplegia. The client has an area of nonbankable erythema over his
ischium. Which of the following interventions should the nurse include in the
care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every 24 hr - answer-A. Place the client upright on a
donut-shaped cushion
A nurse is caring for a client who is dilated to 10 cm and pushing. Which
of the following pain-management is a safe option for the client?
A. Naloxone hydrochloride.
,B. Spinal anesthesia.
C. Pudendal block.
D. Butorphanol tartrate. - answer-C. Pudendal block.
27. A nurse is assessing a client who has major depressive disorder. Which of
the following findings should the nurse identify as the priority (Most
important?)
A. The client changes the subject when future plans are mentioned.
B. The client talks about being in pain constantly.
C. The client sleeping over 12 hr. each day.
D. The client reports giving away personal items. - answer-D. The client reports
giving away personal items.
28. A nurse is providing teaching about immunizations to a client who is
pregnant. The nurse should inform the client that she can receive which of
the following immunizations during pregnancy? (Select all that apply)
A. Varicella vaccine.
B. Inactivated polio vaccine.
C. Tetanus diphtheria and acellular pertussis vaccine
D. Rubella vaccine.
E. Inactivated influenza vaccine. - answer-C,E
29. A nurse is caring for a client who has end-stage kidney disease. The client's
adult child asks the nurse about becoming a living kidney donor for her father.
, Which of the following condition in the child's medical history should the nurse
identify as a contraindication to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma - answer-C. Hypertension
30. A nurse is providing discharge teaching for a group of clients. The nurse
should recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states "I will need to
limit how much spinach I eat".
B. A client who has gout and states, "I can continue to eat anchovies on
my pizza."
C. A client who has a prescription for spironolactone and states "I will
reduce my intake of foods that contain potassium".
D. A client who has (Unable to read) and states "I'll plan to take my
calcium carbonate with a full glass of water". - answer-B. A client who has gout
and states, "I can continue to eat anchovies on my pizza."
31. A hospice nurse is visiting with the son of a client who has terminal
cancer. The son reports sleeping very little during the past week due to
caring for his mother. Which of the following responses should the nurse
make?
A. "I can give you information about respite care if you are interested."
