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ATI PEDIATRIC FINAL PROCTORED EXAM LATEST 2024-2025 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
A charge nurse is planning care for an infant who has failure to thrive. which of the following actions should the nurse include in the plan of care? A. Give the infant fruit juice between feedings B. Use half-strength formula when feeding the infant. C. Keep the infant in a visually stimulating environment. D. Assign consistent nursing staff to care for the infant. - ansD. Assign consistent nursing staff to care for the infant A nurse caring for a toddler who is in the terminal stage of neuroblastoma. The parents ask, how can we help our child now? Which of the following responses by the nurse is appropriate? A. Talk to your child about the meaning of death." B. Encourage your child's friends to visit." C. Stay close to your child." D. Change your child's schedule every day." - ansC. "Stay close to your child." A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a well-child visit.Which of the following findings should the nurse report to the provider? A. Temperature 37.2C (99 F) B. Respiratory rate 26/min C. Blood pressure 118/74 mm Hg D. Pulse rate 98/min - ansC. Blood pressure 118/74 mm Hg A nurse in a provider's office is caring for a preschool-age child who might have acute epiglottitis. Which of the following actions should the nurse take? A. Examine the oral mucosa using a tongue depressor. B. Obtain a sterile throat culture. C. Provide humidified oxygen via nasal cannula. D. Allow the child to sit in a comfortable position. - ansC. Provide humidified oxygen via nasal cannula.
A nurse in a provider's office is providing teaching to the parents of a preschooler who has Down syndrome. Which of the following statements by one of the parents indicate an understanding of the instructions? A. We'll have soft music playing in the background when we teach our son in new skill B. We'll explain that it's best for our son to wait until kindergarten to start going to school C. we'll be sure to demonstrate a new skill before expecting our son to perform it ." D. We'll focus on our son understanding the principles of a skill rather than mastering it." - ansC. "we'll be sure to demonstrate a new skill before expecting our son to perform it ." A nurse in an emergency department is assisting a toddler who has a head injury. Which of the following findings should the nurse report to the provider? A. Glasgow coma scale score of 15 B. Respiratory rate 25/min C. Vomiting- D. Negative Babinski reflex - ansC. Vomiting A nurse in an emergency department is assisting an adolescent who reports inhalation of gasoline.Which of the following findings should the nurse expect? A. Ataxia B. Hypothermia C. Pinpoint pupils D. Hyperactive reflexes - ansA. Ataxia A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following medications should the nurse plan to administer? A. Phytonadione - aka Vitamin K B. Midazolam C. Naloxone D. Flumazenil - ansA. Phytonadione - aka Vitamin K A nurse in an emergency department is caring for a child who weighs 18 kg (39.7 Ib) and ingested six 500 mg acetaminophen tablets 4 hr ago. Which of the following actions should the nurse take?
A. Bulging fontanel - diarrhea indicated dehydration => sunken fontanel B. Decreased heart rate - diarrhea indicated dehydration => increased HR C. Polyuria - diarrhea indicated dehydration => anuria or oliguria D. Increased hematocrit - diarrhea indicated dehydration => increased hct. - ansD. Increased hematocrit - diarrhea indicated dehydration A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following finding to the provider? A. Rhinorrhea B. Tachypnea C. Pharyngitis D. Coughing (and sneezing) - ansB. Tachypnea A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? A. Initiate a low-iron diet for lead absorption. B. Inspect the skin for discoloration. C. Obtain a stool specimen for lead levels. D. Perform development testing for delays. - ansD. Perform development testing for delays. A nurse is assessing an adolescent who has infectious mononucleosis. Which of the following findings should the nurse expect? A. Cervical adenopathy B. Strawberry tongue - Kawasaki disease C. Koplik spots - measles (Rubeola) D. Uncontrolled drooling - ansA. Cervical adenopathy A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority? A. HbA1C 11.5% B. cholesterol 189 mg/dL
C. Preprandial blood glucose 124 mg/dL D. Glycosuria - ansA. HbA1C 11.5% A nurse is assisting an adolescent who has Cushing's syndrome. Which of the following findings should the nurse expect? A. Cachectic appearance B. Blood glucose 320 mg/dL C. Potassium 4.2 mEq/L -this is in the normal range (3.5-5.0);Cushing's expect hypokalemia D. Advanced bone age - ansB. Blood glucose 320 mg/dL A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider? A. Creatinine 1.4 mg/dL B. Creatinine 0.3 mg/dL C. BUN 6 mg/dL D. BUN 12 mg/dL - ansA. Creatinine 1.4 mg/dL A nurse is caring for a child who has acute glomerulonephritis. Which of the following findings should the nurse expect? A. Temperature 39 C (102.2 F) B. Periorbital edema C. Hypotension D. Positive urine culture - ansB. Periorbital edema A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take? A. Report the disease to the state health department. B. Administer amphotericin B IV. C. Initiate contact isolation precautions. D. Applying lidocaine ointment topically. - ansC. Initiate contact isolation precautions.
D. Maintained a child in supine position. E. Discourage the child from coughing - ansA. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing E. Discourage the child from coughing A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? (ATI pg. 126) A. Administer furosemide IV twice per day. B. Apply warm compresses to the affected areas C. Decrease the child's fluid intake D. Initiate contact precautions. - ansB. Apply warm compresses to the affected areas A nurse is caring for a single mother of a 6-month-old infant. During a well-baby visit, the mother expresses feeling "inexperience" in caring for the baby. The nurse should recommend which of the following community resources? A. Respite childcare B. Parent management training C. Support group for postpartum depression D. Parent enhancement center - ansD. Parent enhancement center A nurse is caring for an adolescent who is one hour postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? A. Muscle rigidity B. heart rate 63/min C. temperature 36.4 C (97.5 F) D. abdominal pain - ansA. Muscle rigidity A nurse is caring for an infant who has severe dehydration. Which of the following clinical findings should the nurse expect? A. Capillary refill 3 seconds B. Rapid respirations
C. Bradycardia D. Warm extremities - ansB. Rapid respirations A nurse is caring for an infant who has tetralogy of Fallot and is having a hypercyanotic episodeafter crying. Which of the following interventions should the nurse implement? A. Initiate continuous positive airway pressure. B. Provide firm stimulation to the infant's trunk. C. Place the infant in the knee-chest position. D. Perform postural drainage. - ansC. Place the infant in the knee-chest position A nurse is planning care for a child immediately following the insertion of a chest tube forcontinuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care? A. Change the chest tube insertion site dressing every 12 hr. B. Report the presence of tidaling of fluid in the water seal chamber. C. Ensure continuous bubbling is present in the suction control chamber D. Record the amount of chest tube drainage every 2 hr. - ansA. Change the chest tube insertion site dressing every 12 hr. A nurse is planning care for a Toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? A. Clean the gums with Saline soaked gauze. B. Administer oral viscous lidocaine. C. Schedule routine oral care every 8 hr. D. Moisten the mucosa with lemon glycerin swabs - ansA. Clean the gums with Saline soaked gauze. A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following actions should the nurse include in the plan of care? A. Administer total parenteral nutrition. B. Teach the client about ostomy care. C. Initiate long-term antibiotic therapy.
A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take? A. Position the child 4.6 meters (15 feet) from the chart B. Use a trumbling E chart for the assessment. C. Test the child without glasses before testing with glasses. D. Assess both eyes together first, then each eye separately. - ansB. Use a trumbling E chart for the assessment. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? A. Mummy B. Mitten C. Jacket D. Elbow - ansA. Mummy A nurse is preparing to perform peritoneal dialysis for a child who has an elevated serum creatininelevel. After explaining the procedure, which of the following action should the nurse plan to take? A. Initiate IV access B. Keep the dialysate refrigerated until time of infusion C. Check the fistula site for a bruit. D. Obtain the child's weight - ansD. Obtain the child's weight A nurse is prioritizing care for 4 clients. Which of the following clients should the nurse assess 1st? A. An adolescent who is in skin traction and report a pain level of 7 on a scale from 0 to 10 B. An adolescent who has sickle cell anemia and slurred speech C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin D. A toddler who has a partial-thickness burn on his right hand and requires a dressing change. - ansB. An adolescent who has sickle cell anemia and slurred speech - indicates stroke A nurse is providing anticipatory guidance to a parent of a 1- month-old infant. The nurse should include
that it is recommended to start this series of which of the following immunization first?A. Varicella B. measles, mumps, rubella C. Inactivated poliovirus D. Hepatitis A tetra - ansC. Inactivated poliovirus A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicate an understanding of the teaching? A. My daughter can't drink orange juice B. I will steam carrots and cut them into small pieces for her." C. I should ensure that my daughter eats one ounce of meat every day." D. I will switch her to whole milk now that she is old enough." - ansB. I will steam carrots and cut them into small pieces for her." A nurse is providing discharge instructions to the parents of a toddler who has heart failure and a new prescription for digoxin. Which of the following statements indicate an understanding of the instructions? A. We will wait to give the medication at the next scheduled time if a dose is missed B. we will mix the medication with 1 cup of fruit juice for administration C. We will avoid giving our child water for 1 hour after administrating the medication D. We will repeat the dose if our child vomits shortly after administration." - ansA. We will wait to give the medication at the next scheduled time if a dose is missed A nurse is providing discharge teaching to a parent of a toddler who has a ventriculoperitoneal shunt. which of the following statements by the parents indicates an understanding of the teaching? A. My child will need to take prophylactic antibiotics daily until they shunt is removed." B. I should call my doctor if my child begins vomiting." C. I should pump the shunt at the same time each day." D. I should check my child's heart rate before administering medications." - ans A nurse is providing discharge teaching to the parents of a school-age child who has cystic fibrosis. Which of the following responses by the parents indicate an understanding of the teaching? A. I will limit my child's daily fluid intake."
B. Monitor output using an indwelling urinary catheter for the first 24 hr. C. Remove the child's pressure dressing after the first 4 hr. D. Maintain the child's NPO status for 4 to 6 hr. - ansA. Keep the affected extremity straight for at least 6 hr. A nurse is providing teaching to a parent of an infant who has a 1 cm (0.4 in) umbilical hernia.Which of the following instructions should the nurse include in the teaching? A. Place a belly band around you baby's umbilicus during the day." B. You should place your baby on her abdomen to sleep at night." C. Your baby will need surgery if it doesn't close by 2 years of age." D. The bulge can temporarily enlarge when your baby cries." - ansD. "The bulge can temporarily enlarge when your baby cries." A nurse is providing teaching to an adolescent who has Vulvovaginitis. Which of the following statements should the nurse include in the teaching? This is a trick question. No consensus. A. Wear a feminine deodorant pad for vaginal drainage." B. Wear nylon underwear at night." C. Apply scented baby powder to absorb residual moisture." D. Apply a warm, moist compress three times per day." - ansD. Apply a warm, moist compress three times per day." A nurse is providing teaching to the parent of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include? A. Your child will be on a gluten-free diet for the rest of her life." B. Your child will need to follow a low-protein diet temporarily." C. You should place your child on a high-fiber diet when she has an exacerbation." D. You should replace white flour with wheat flour when preparing meals for your child." - ansA. Your child will be on a gluten-free diet for the rest of her life." A nurse is providing teaching to the parent of a school-age child who has ADHD and a new prescription for methylphenidate. The nurse should explain that this medication will have which of the following therapeutic effects? A. Promoting rest
B. Improving appetite C. Reducing anxiety D. Increasing focus - ansD. Increasing focus A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus aboutmanaging diabetes during illness. Which of the following statements by the parent indicate an understanding of the teaching? A. I will monitor my child's blood glucose levels every 8 hours. B. I will offer my child 20 grams of carbohydrate every 2 hours. C. I will withhold my child's dose of insulin when his appetite is poor D. I will increase the amount of fluids I offer my child. - ansD. I will increase the amount of fluids I offer my child. A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?A. Administer as acyclovir PO two times per day. B. Soak hairbrushes in boiling water for 10 minutes C. Apply bactericidal ointment to lesions. D. Seals soft toys in a plastic bag for 14 days. - ansC. Apply bactericidal ointment to lesions. A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizuredisorder. The nurse should teach the parents to take which of the following actions during a seizure? A. Minimize movement of the limbs B. Insert a tongue blade between the teeth C. Clear the area of hard object D. Place the child in a prone position - ansC. Clear the area of hard object A nurse is providing teaching to the parents of a toddler who is exhibiting negativism during meal times. Which of the following statements by the nurse is appropriate? A. Tell her she is having her favorite sandwich for lunch." B. Ask her if she would like to have her favorite sandwich for lunch." C. Ask her if she is ready to eat her sandwich for lunch."
intake." A nurse is teaching a parent of a 10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Remove labels from containers that contain toxic substances B. Select a toy chest that has a heavy, hanged lid C. Place gates at the top and bottom of the stairs. D. Keep toilet lids in the upright position. E. Ensure the crib mattress is in the lowest position. - ansC. Place gates at the top and bottom of the stairs. E. Ensure the crib mattress is in the lowest position. A nurse is teaching an adolescent how to manage his cystic fibrosis. which of the following statements by the adolescent indicates an understanding of the teaching? A. I will take fewer enzymes when I eat high-fiber foods." B. I will be excused from physical education classes." C. I will limit my calcium intake to prevent kidney stones." D. I will increase my intake of vitamin D - ansD. I will increase my intake of vitamin D A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 Ib) and is postoperative following open heart surgery. Which of the following findings should the nurse report tothe provider? A. Skin temperature 36C (96.8 F) B. Pedal and posterior tibial pulses of 2+ C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL D. Drainage from the chest tube of 22 mL in the last hour - ansC. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL A nurses administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management? A. Oral opioid doses should be larger than parenteral doses B. Oral opioids should not be combined with other types of pain relievers.
C. Opioid doses should be titrated until sedation occurs D. Opioid doses should be used for mild pain - ansA. Oral opioid doses should be larger than parenteral doses A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? A. Weight in 45th percentile B. Front deciduous teeth missing C. Bruising around the wrists D. Abrasions on the knees - ansC. Bruising around the wrists During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, "My baby always keeps her head tilt to the right side. The nurse should further assess which of the following areas? A.Sternocleidomastoid muscle B. Posterior fontanel C. Trapezius muscle D. Cervical vertebrae - ansA.Sternocleidomastoid muscle
