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Peds Exam 1 ATI Questions with Solution
1. A nurse manager on a pediatric unit it preparing an education program on working with families for a
group of newly hired nurses. Which of the following should the nurse include when discussing the developmental theory?
a. describes that stress is inevitable
b. emphasizes that change with one member affects the entire family
c. provides guidance to assist families adapting to stress
d. defines consistencies in how families change: d
2. A nurse is assisting a group of guardians of adolescents to develop skills that will improve communication
within the family. The nurse hears one guardian state, "My sone knows he better do what I say." Which of the following parent- ing styles is the parent exhibiting?
a. authoritarian
b. permissive
c. authoritative
d. passive: a
3. A nurse is performing family assessment. Which of the following should the nurse include? Select all that
apply.
a. medical hx
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b. parent's education level
c. child's physical growth
d. support systems
e. stressors: a, b, d, e
4. A nurse is assessing a 12 month old infant during a well-child visit. Which of the following findings should
the nurse report to the provider?
a. closed anterior fontanel
b. eruption of 6 teeth
c. birth weight doubled
d. birth length increased by 50%: c
5. A nurse is performing a developmental screening on a 10 month old infant. Which of the fine motor skills
should the nurse expect the infant to perform? Select all that apply.
a. grasp a rattle by the handle
b. try building a two-block tower
c. use a crude pincer grasp
d. place objects into a container
e. walks with one hand held: a, c
6. A nurse is providing education about introducing new foods to the guardians of a 4 month old infant. The
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b. throw a ball overhead
c. walk up and down stairs
d. stand on one foot for a few seconds
e. use a spoon without rotation: b, e
10. A nurse is providing teaching about age-appropriate activities to the guardian of a 2 year old.
Which of the following statements by the guardian indicates an understanding of the teaching?
a. "I will send my child's favorite stuffed animal when napping away from will occur"
b. "My child should be able to stand on one foot for a second"
c. "The soccer team my child will be playing on starts practicing next week "d. "I should expect my child
to be able to draw circles": a
11. A nurse is providing anticipatory guidance to the caregivers of a toddler. Which of the following
should the nurse include? Select all that apply.
a. develop food habits that will prevent dental carries
b. meeting caloric needs results in an increased appetite
c. expression of bedtime fears is common d. expect behaviors associated with negativism and ritualism
e. annual screening for phenylketonuria are important": a, c, d
12. A nurse is providing teaching to the guardian of a preschool age child about methods to promote
sleep. Which of the following statements by the parent indicates an understanding of the teaching?
a. "I will sleep in the bed with my child if she wakes up during the night"
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b. "I will let me child stay up an additional 2 hours on weekend nights"
c. "I will let me child watch television for 30 minutes just before bedtime each night"
d. "I will keep a dim lamp on in my child's room during the night": d
13. A nurse is preparing an education program for a group of caregivers of preschool-age children about
promoting optimum nutrition. Which of the fol- lowing information should the nurse include in the teaching?
a. saturated dats should equal 20% of total daily caloric intake
b. Average calorie intake should be 1,800 calories per day
c. daily intake of fruits and veg should total 2 servings
d. healthy diets include a total of 8g protein each day: b
14. A nurse is performing a developmental screening on a 3 year old child. Which of the following skills
should the nurse expect the child to perform?
a. ride a tricycle
b. hop on one foot
c. jump rope
d. throw a ball overhead: a
15. A nurse is caring for a preschool age child who expresses the need to leave because their doll is
scared to be at home alone. Which of the following characteristics of pre-operational thought is the child exhibiting?
a. egocentrism
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c. riding safely in bed of pickup trucks
d. implementing firearm safety
e. wearing seat belts: b, d, e
19. A nurse is providing teaching about expected changes during puberty to a group of guardians of
early adolescent girls. Which of the following statements by one of the guardians indicates an understanding of the teaching?
a. "Girls usually stop growing about 2 years after menarche"
b. "Girls are expected to gain about 65 lbs during puberty"
c. "Girls experience menstruation prior to breast development"
d. "Girls typically grow more than 10 inches during puberty": a
20. A nurse is providing anticipatory guidance to the caregiver of a 13 year old adolescent. Which of
the following screenings should the nurse recommend for the adolescent? Select all that apply.
a. body mass index
b. blood lead level
c. 24 hour dietary recall '
d. weight
e. scoliosis: a, d, e
21. A nurse is caring for an adolescent whose guardian expresses concerns about the child sleeping
such long hours. Which of the following conditions should the nurse inform the guardian as requiring
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a. sleep terrors
b. rapid growth
c. elevated zinc levels
d. slowed metabolism: b
22. A nurse is teaching a class about puberty in boys. Which of the following conditions should the
nurse inform the guardian as requiring additional sleep during adolescence?
a. pubic hair growth
b. vocal changes
c. testicular enlargement
d. facial hair growth: c
23. A nurse is completing a pain assessment on an infant. Which of the following pain scales should the
nurse use?
a. FACES
b. FLACC
c. Oucher
d. Non-comunicating children's pain checklist: b
24. A nurse is planning care for a child following surgical procedure. Which of the following
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27. A nurse is preparing a toddler of ran intravenous catheter insertion using atraumatic care. Which of
the following actions should the nurse take? Select all that apply.
a. explain the procedure using the child's favorite toy
b. ask the parents to leave during the procedure
c. perform the procedure with the child in his bed
d. allow the child to make one choice regarding the procedure
e. apply lidocaine and prilocaine cream to three potential insertion sites: a, d, e
28. A nurse is caring for a preschooler. Which of the following is an expected behavior of a
preschool-age child?
a. describing manifestations of illness
b. relating fears to magical thinking
c. understanding cause of illness
d. awareness of body functioning: b
29. A nurse on a pediatric unit is caring for a toddler. Which of the following behaviors is an effect
of hospitalization? Select all that apply.
a. believes the experiences is a punishment
b. experiences separation anxiety
c. displays intense emotions
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d. exhibits regressive behaviors
e. manifests disturbance in body image: b, c, d
30. A nurse is teaching a guardian about parallel play in children. Which of the following statements
should the nurse include in the teaching?
a. "Children sit an observe others playing"
b. "Children exhibit organized play when in a group
c. "The child plays alone
d. "The child plays independently when in a group": d
31. A nurse is teaching a group of caregivers about separation anxiety. Which of the following
information should the nurse include in the teaching?
a. it is often observed in the school-age child
b. detachment is the stage exhibited in the hospital
c. it results in prolonged issues of adaptability
d. kicking a stranger is an example: d
32. A nurse is caring for a child who is dying. Which of the following are findings of impending death?
Select all that apply.
a. heightened sense of hearing
b. tachycardia
c. difficulty swallowing
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d. suggest that a hospital representative attend the funeral
e. demonstrate feelings of sympathy towards the family: a, b, c
36. A nurse is caring for a child who has a terminal illness and reviews palliative care with an assist personnel
(AP). Which of the following statements by the AP indicated understanding of this review?
a. "I'm sure the family is hopeful that the new medication will stop the illness"
b. "I'll miss working with this client now that only nurses will be caring for the child"
appl
y. 14 /
c. "I will get all the client's personal objects out of the room"
d. "I will listen and respond as the family talks about their child's life": d
37. A nurse is assessing an infant who has scabies. Which of the following information should
the nurse expect? Select all that apply.
a. presence of nits on the hair shaft
b. pencil-like marks on the hands
c. blisters on the soles of the feet
d. small, red bumps on the scalp
e. pimples on the trunk: b, c, e
38. A nurse is teaching a group of parents about preventing insect bites. Which of the following
information should the nurse include in the teaching? Select all that apply.
a. wear perfumes outside
b. avoid areas of tall grass
c. wear bright colored clothing
d. wear insect repellent
e. Check house pets frequently: b, d, e
39. A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following
appl
y. 16 /
42. A nurse is teaching the guardian of an infant who has seborrheic dermatitis of the scalp. Which of the
following instructions should the nurse include in the teaching?
a. "You can use petrolatum to help soften and remove patches from your infant's scalp"
b. "When patches are present, you should keep your infant away from others"
c. "You should avoid washing your infant's hair while patches are present on the scalp"
d. "When patches are present, it indicated that your infant has a systemic infection": a
43. A nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the following
actions should the nurse take? Select all that apply.
a. Remove the clothing over the rash
b. Initiate contact isolation precautions while the rash is present
c. Expose the rash to a heat lamp for 15 mins
d. Cleanse the affected skin with hydrogen peroxide solution
e. apply calamine lotion to the skin: a, e
44. A nurse is caring for an adolescent who has acne and a prescription of isotretinion from the
dermatologist. Which of the following laboratory findings should the nurse plan to monitor?
a. cholesterol and triglycerides
b. BUN and creatinine
c. blood potassium
d. blood sodium: a
appl
y. 17 /
45. A nurse is planning care for an infant who has diaper dermatitis. Which of the following actions
should the nurse include in the plan of care? Select all that
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e. keratosis pilaris: a, b, d
48. A nurse is caring for a client who has a prescription for wound irrigation. Which of the following
actions should the nurse take?
a. administer IV infusion of 0.9% sodium chloride
b. apply cool, wet compresses to the affected area
c. clean the affected area using a soft-bristle brush
d. administer morphine sulfate: b
49. A nurse is caring for a client who has major burns and suspected septic shock. which of the
following findings are consistent with septic shock? Select all that apply.
a. increased body temperature
b. altered sensorium
c. decreased cap refill time
d. decreased urine output
e. increased bowel sounds: a, b, d
50. A nurse is caring for a client who has a major burn and is experiencing sever pain. Which of the
following actions should the nurse implement to manage this client's pain?
a. administer morphine sulfate IV via continuous infusion
b. administer meperidine IM as needed
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c. administer acetaminophen PO every 4 hr
d. administer hydrocodone PO every 6 hours: a
51. A nurse is caring for a client who has a skin graft. Which of the following manifestations
indicate infection? Select all that apply.
a. pink color to subcutaneous fat
b. unstable body temp
c. generatio nok granulation tissue
d. subeschar hemorrhage
e. change in skin color around the affected area: b, d, e
52. A nurse is caring for a client who has a moderate burn. Which of the following actions should the nurse
take?
a. maintain immobilization to the affected area
b. expose affected area to the air
c. initiate a high-protein, high-calorie diet
d. implement contact isolation: c
53. A nurse is reviewing sick-day management with a parent of a child who has type 1 DM. Which of
the following should the nurse include in the teaching? Select all that apply.
a. Monitor BG levels every 3 hours
b. discontinue taking insulin until feeling better
