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ATI Peds proctored exam questions with solution
1. a nurse is planning care for a child who has severe diarrhea. which of the following
actions is the nurse priority?: Assess fluid balance
2. A nurse is caring for a toddler who's parent states that the child has a mass in his abdominal
area and his urine is a pink color. Which of the following actions is the nurse's priority?: Instruct the parent to avoid pressing on the abdominal area
3. A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions is the nurse's priority?: Check the Childs weight daily
4. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis.
Which of the following is the nurse's priority?: Administer antibiotics when available
5. A nurse is collecting data from an adolescent. Which of the following repre- sents the
greatest risk for suicide?: Active psychiatric disorder (Mark, mental problems, patients mind is unstable)
6. A nurse is collecting data from an infant who has otitis media (middle ear infection). The
nurse should expect which of the following findings?: Tugging on the attected ear lobe
7. A nurse is reinforcing reaching with a parent of a 1 month old infant who is to
undergo the initial surgery to treat Hirschsprung's disease (a ganglionic megacolon, part of the colon isn't connected to the nerves or not functioning, so there will be an increase size of the colon and stool gets stuck in there). Which of the following statements should indicate to the nurse that the parent understanding the goal of surgery?: "I'm glad that the ostomy is only temporary " (1st there going to cut the nonfunctioning of the colon, and then apply temporary colostomy, after a couple of months they will suture it together)
8. A nurse is caring for an infant who is 1 day postoperative following surgical
repair of a cleft lip. Which of the following actions should the nurse take?: Apply an antibiotic ointment to the suture site
9. A nurse is reinforcing discharge instructions with a parent of a child who has cystic
fibrosis. Which of the following statements by the parent indicates an understanding of the teaching?: "I will make sure my child washes her hands before eating"
10. A nurse working at a clinic speaks on the telephone with a parent of a
2-monthold infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following response by the nurse is appropriate?: "Bring your infant into the clinic today to be seen"
11. A nurse is caring for a 4 year old child who is 2 days postoperative following the
insertion of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify as the priority. (causes icp hydrocephalus): lethargy (high pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability
12. a nurse is caring for a child following an open reduction and internal fixation of a
fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first?: Perform neurovascular checks of the attected extremity (check for infection, color, capillary refill, redness)
13. A nurse is an urgent care clinic is assisting with the care of a toddler who
ingested 30 tablets of aspirin. Which of the following substances should the nurse administer to the toddler?: Activated charcoal (can work with toxin, poison. Given through ng tube absorbs toxins)
14. A nurse is caring for a 3 year old client who has persistent otitis media. To help
identify contributing factors, the nurse should ask the parents which of the following questions?: Does anyone smoke in the same house as your daughter? (smoking can cause irritation, cause mucus in respiratory and
th following instructions should the nurse include in the teaching: Apply a cool wet compress to the attected area
24. A nurse is caring for a child who has juvenile rheumatoid arthritis. Which of the
following actions should the nurse take?: Maintain night splints to the attected joint
25. A nurse is reinforcing teaching with a parent of an 8-year-old child who has a fracture
of the epiphyseal plate. Which of the following statements should the nurse include in the teaching.: Normal bone growth can be attected by the fracture
26. A nurse is collecting data from an 8 month old infant who has increased
intracranial pressure (ICP) which of the following manifestations should the nurse expect?: Bulging fontane
27. A nurse is caring for a school age child who has a fracture to the right femur. Which of
the following findings is the nurse priority?: tingling in the right foot
28. A nurse is caring for a child who has atopic dermatitis. Which of the following
findings should the nurse expect?: Rash with thick skin
29. A nurse is assisting with the care of a school age child who has respiratory failure
due to pneumonia. Which of the following positons should the nurse encourage to allow maximal lung expansions?: Upright (orthopnic positon, semi fowler, high fowler)
30. A nurse in a provider's office is reinforcing teaching with a parent of a school
age child who has pediculosis capitis. Which of the following instructions should the nurse include in the teaching?: Wash all bed linens and dry them in a dryer for at least 20 min
31. A nurse is reinforcing teaching with the mother of an infant who has oral
candidiasis and is breastfeeding which of the following instructions should the nurse include in the teaching?: Wash hands prior to each breastfeeding
32. A nurse is caring for a school age child who has mild persistent asthma. Which
of the following findings should the nurse expect? (select all the apply)- : -Daytime symtoms occur more than twice per week -Minor limitations occur with normal activity -Peak expiratory fow (PEF) is greater than or equal to 80% of the predicted value
33. A nurse is collecting data from a child who has acute appendicitis. Which of the
following findings should the nurse expect?: WBC 17,000/mm
34. A nurse is caring for a toddler who has a cast applied 2 hr ago due to multiple
fractures of the right hand of the following findings should the nurse report immediately to the charge nurse?: The fingers on the right hand have a capillary refill of 4 seconds
35. A nurse is collecting data from a 3-year-old child who has acute diarrhea and
dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?: urine specific gravity 1.
36. A nurse is caring for a school age child who has a new plaster cast on
her right arm. Which of the following actions should the nurse take?: Administer diphenhydramine to relieve itching
37. A nurse is caring for a child who is to receive percussion, vibration, and
postural drainage. Which of the following actions should the nurse take first?- : Administer albuterol by nebulizer (open the airway, and loosen the secretions it will be more ettective to loosen it up)
38. A nurse is caring for an infant who has spina bifida. Which of the following actions
should the nurse take?: Place the infant in prone position
39. A nurse is planning care for a child who has epiglottitis. Which of the follow- ing
actions should the nurse plan to take?: prepare the child for a neck radiograph
should the nurse make?: You should place your baby on her back when sleeping to decrease the risk of SIDS
49. A nurse is caring for a newly admitted adolescents who has anorexia ner- vosa.
Which of the findings should the nurse expect: Lanugo
50. A nurse is collecting data from a child who has (beta) B-thalassemia. Which of the
following findings should the nurse expect?: Fever
51. A nurse in a clinic is preparing to administer pre-k-kindergarten vaccines to a 5
year old child whose medical record indicates that his immunization are up to date which of the following vaccines should the nurse plan to adminiser: Mealsles, mumps, rubella (MMR)
52. A nurse is caring for a toddler who is scheduled to have a lumbar puncture. Which
of the following actoons should the nurse take?: Place the toddler in a side lying knee chest position
53. A nurse is planning to speak to a group of adolescents about toxic shock
syndrome (TSS) the nurse include that TSS is a commonly assoiciated with which of the folloqing?: High absorbency tampons
54. A nurse is talking with a 13 year old female clients who is having her annual health
screening visit. Which of the following comments by the client should concern the nurse?: None of the kids at my school like me and I don't like them either
55. A nurse is caring for a 6 month old child. The childs provider has ordered
a diphtheria, tetanus, and pertussis (DTAP) vaccine to be administered. Which of the following should cause the nurse to question the administration of this vaccine?: Temp of 40.5 C (104.9F) after last DTAP
56. A nurse is caring for an adolescent. The nurse should expect that the ado- lescent
is working on which of the following developmental tasks?: Defining a sense of self (Adolescence)
57. A nurse is selecting a toy for a 7 month old infant. Which of the following toys should the
nurse choose?: A soft toy that squeaks or crackles when squeezed
58. A nurse is reinforcing teaching with the parents of an 8 month old infant who
will be admitted for surgery. Which of the following instructions should the nurse include in the teaching?: You should bring the infants favorite blanket to the hospital
59. A nurse is collecting data regarding the pain level of a 3 year old child on the second
postoperative day following an appendectomy. Which of the following actions should the nurse take?: Use the FACES scale to assess the childs pain level
60. A nurse in a pediatric clinic is collecting data from a preschool age child who has
suspected impetigo contagiosa. Which of the following manifestations should the nurse expect to find with this skin infection?: Red macule with honey colored crusts
61. A nurse is reinforcing teaching with an adolescent regarding administration of the
Gardasil vaccine. The vaccine provides Immunity against which of the following sexually transmitted infections?: Human papillomavirus (HPS)
62. A nurse is collecting data from a 7 month old infant which of the following
findings should indicate to the nurse a need for further evaluation?: Babbles one syllable sounds
63. A nurse is collecting data from a child who is postoperative following a ton-
sillectomy. Which of the following is a clinical manifestation of hemorrhage?: - Continuous swallowing
64. A nurse is assisting with the admission of a child who has pertussis. Which
of the following actions should the nurse take?: Initiate droplet precautions
65. A nurse is caring for a child who has erythema infectiousm. Which of the
following findings should the nurse expect?: Facial erythema
10 / 13 following findings should alert the nurse tha one of the children is a potential victim of abuse?: An adolescent who asks to stay in the hospital because he likes the room
76. A nurse is prepeating to administer IM injection to a preschool-age child. Which of
the following actions should the nurse take?: Allow the child to hold a favorite toy.
77. A nurse is contributing to the plan of care of an unconscious adolescent who
ingested a non corrosive substance that has no recommended antitode. The nurse should recommend to perform gastric lavage with which of the following substances?: Activated Charcoal (absorbs toxins in the stomach , Mixed with Saline for aspiration via NG tube )
78. A nurse is reinforcing teaching about preventing disease tansmission with the
parents of a child who has a streptococcal infection. Which of the following instructions should the nurse include?: Ill discard his toothbrush and buy another "
79. A nurse on a pedicatric unit is caring for a client who has brain tumor. To help
ensure the lcients safety, which of the following actions should the nurse take?: Have the child use a wheelchair for all out-of-bed activities
80. A nurse is caring for a child who is having seizure. Which of the following
actions should the nurse take? ( select all that apply ): Elbow
81. A nurse is caring for a child who is having seizure. Which of the following actions
should the nurse take ( SELECT ALL THAT APPLY): -loosen restrictive clothing -clear the area of hard objects
82. A nurse is assiting with the care of a child with spina bifida. Which of the folloing
precations should nurse take while caring for this child?: Latex Precautions
83. A nurse is assisting with the admission of an infant who has resp. Syncytial Virus
(RSV) which of the following rooms should the nurse assign the infant?: A private room with contact/droplet precautions
11 / 13
84. A nurse is reinforcing teaching with new parents about risk factors for the sudden
infant death syndrome (SIDS). Which of the following statements by a parent indicates an understanding of the teaching?: My baby will be placed on her back when sleeping
85. A nurse is caring for an adolescent client who is receiving carbamazepine for partial
seizure disorder. Which of the following statements by the adolescent parent is the priority for the nurse to addresss?": He seems to be getting a lot more bumps and bruises lately
86. A nurse is caring for a toddler who has laryngotrachobronchitis ( LTB ) For which of
the following findings should the nurse monitor to detect airway ob struction?: Increased Heart rate ( in order to deliver more blood pump more oxygen
87. A nurse is reinforcing teaching with the mother of a 2-month old infant whose
provider applied a Paylik Harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements. Which of the following statements by the mother indicates an understanding of the teaching?: I will check my baby's skin three times each day.
88. A nurse reinforcing teaching with the parents of a school-age child who has cystic
fibrosis. Which of the following statements should the nurse make?: Engage the child in daily aerobic exercise. "(help promote erection of the mucus. Endorphine will Rise. YEEEE)
89. A nurse is a collecting data from an infant which of the following is a clinical
manifestation of pyloric stenosis?": Projectile Vomiting after feedings
90. A nurse is planning meals for a 2-year child who has a fractured jaw and is having
difficult swallowing. The surgeon has prescribed a pureed diet. Which of the following food selections should the nurse make?: scrambled egg
91. A nurse reincofrcing teaching the parents of a pre schooler who has a atopic
13 / 13 statements by the adolescent indicates a need for further teaching ?: " I need to catheterize myself twice a day. " ( Catheterize every 4-6 Hours )
99. A parent asks a nurse about toys to provide for a 10-month old infant. Which of the
following toys should suggest?: Push- Pull Toy
