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ATI PEDIATRIC FINAL PROCTORED EXAM, Exams of Nursing

University of Toronto Nursing

ATI PEDIATRIC FINAL PROCTORED EXAM LATEST 2024-2025 ACTUAL EXAM COMPLETE 70 QUESTIONS AND CORRECT DETAILED ANSWERS

Typology: Exams

2024/2025

Available from 07/02/2025

kennedy-wanjiru 🇨🇦

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ATI PEDIATRIC FINAL PROCTORED

EXAM LATEST 2024-2025 ACTUAL

EXAM COMPLETE 70 QUESTIONS AND

CORRECT DETAILED ANSWERS

A nurse is providing education about dietary modifications to the parent of a school age

child whohas glomerulonephritis. Which of the following information should the nurse

include in the teaching?

A. Increase the child calcium intake

B. Decrease the Child's sodium intake

C. Increase the child's intake of carbohydrates

D. Decrease the child's fat intake

- B. Decrease the Child's sodium intake

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

- C. Clear the area of hard object

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

- A. HbA1C 11.5%

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

- C. Inactivated poliovirus

A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic

syndrome. Which of the following findings should the nurse expect?

Partial preview of the text

Download ATI PEDIATRIC FINAL PROCTORED EXAM and more Exams Nursing in PDF only on Docsity!

ATI PEDIATRIC FINAL PROCTORED

EXAM LATEST 2024-2025 ACTUAL

EXAM COMPLETE 70 QUESTIONS AND

CORRECT DETAILED ANSWERS

A nurse is providing education about dietary modifications to the parent of a school age child whohas glomerulonephritis. Which of the following information should the nurse include in the teaching? A. Increase the child calcium intake B. Decrease the Child's sodium intake C. Increase the child's intake of carbohydrates D. Decrease the child's fat intake

B. Decrease the Child's sodium intake 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
C. Clear the area of hard object 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
A. HbA1C 11.5% 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
C. Inactivated poliovirus A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect?

A. Creatinine 0.3 mg/dL B. Hbg 18 g/dL C. Urine casts absent D. BUN 28 mg/dL

D. BUN 28 mg/dL 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.
B. Apply warm compresses to the affected areas 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)
B. Tachypnea A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? A. You can drink milk on an empty stomach. B. You should consume flavored yogurt instead of plain yogurt. C. You can tolerate plain milk better than chocolate milk. D. You can replace milk with nondairy source of calcium
D. You can replace milk with nondairy source of calcium A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26. 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
C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL 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."

C. Vomiting- D. Negative Babinski reflex

C. Vomiting 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."
C. "Stay close to your child." A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has otitis media and weighs 22 kg (48.5 Ib). Available is Cephalexin solution 250 mg/5 mL how many mL should thenurse administer? (Round to the nearest whole number. Using a leading Zero if applies. Do not use a trailing zero.)
11 mL 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
A.Sternocleidomastoid muscle 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
D. Parent enhancement center A nurse is admitting an infant who has GERD. Which of the following is the priority assessment finding? A. Regurgitation B. Wheezing C. Excessive crying D. Weight loss
B. Wheezing

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

B. Rapid respirations A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? A. Consume 1,500 to 1,700 calories per day." B. Decrease your vitamin D intake once you start to menstruate." C. Increase the amount of your dietary iron intake." D. Limit your sodium intake to 3,000 grams per day."
C. 'Increase the amount of your dietary iron intake." A nurse is preparing to administer immunization to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? A. Provide a pacifier coated with an oral sucrose solution prior to the injections. B. Inject the immunizations into the deltoid muscle C. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections. D. Use a 20-gauge needle for the injections.
A. Provide a pacifier coated with an oral sucrose solution prior to the injections. 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.
C. Initiate contact isolation precautions. 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. I will restrict the amount of sodium in my child's diet." C. I will give my child pancreatic enzymes with snacks and meals." D .I will prepare low-fat meals with limited protein for my child."
C. "I will give my child pancreatic enzymes with snacks and meals." 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

A nurse is reviewing the laboratory report of a school age child who has rheumatic fever. Which of the following laboratory findings should the nurse expect? A. Decreased BUN B. Increased antistreptolysin O titer (ASO) C. Increased immunoglobulin G (IgG) D. Decreased erythrocyte sedimentation rate (ESR)

B. Increased antistreptolysin O titer (ASO) 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
A. Oral opioid doses should be larger than parenteral doses 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. D. Maintain an NG tube for decompression.
D. Maintain an NG tube for decompression. 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
D. Obtain the child's weight 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
A. Muscle rigidity A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her throat frequently. Which of the following actions should the nurse take first? A. Give the child small sips of water. B. Observe the child's throat with a flashlight.

C. Administer an Analgesic. D. Offer the child an ice collar

B. Observe the child's throat with a flashlight. 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
A. Clean the gums with Saline soaked gauze. 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.
A. Change the chest tube insertion site dressing every 12 hr. 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.
B. An adolescent who has sickle cell anemia and slurred speech - indicates stroke 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
B. Blood glucose 320 mg/dL A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider? A. Nightmares B. Pruritus

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."

C. "we'll be sure to demonstrate a new skill before expecting our son to perform it ." 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.
C. Place gates at the top and bottom of the stairs. E. Ensure the crib mattress is in the lowest position. 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."

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

C. Blood pressure 118/74 mm Hg A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect? 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.
D. Increased hematocrit - diarrhea indicated dehydration A nurse is preparing to administer imipenem/cilastatin 25 mg/kg to a child who weighs 77 Ib. Howmany mg should the nurse plan to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
875mg

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."

D. "The bulge can temporarily enlarge when your baby cries." A nurse is admitting a child who has pertussis. Which of the following transmission- based precautions should the nurse initiate? A. Airborne B. Contact C. Protective D. Droplet
D. Droplet 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.
D. Perform development testing for delays. A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocyticleukemia. Which of the following actions should the nurse take? (Click on the Exhibit button foradditional information about the client. There are three tabs that contain separate categories of data.) A. Obtain a rectal temperature every 4 hr. B. Apply viscous lidocaine to the oral mucosa - this can paralyze the gag reflex=> asphyxiation C. Place the child in knee-chest position. D. Initiate bleeding precautions.
D. Initiate bleeding precautions. 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
C. Bruising around the wrists 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?

C. Remove nits from the child's hair using a fine-tooth comb D. Discard the child's non washable items.

C. Remove nits from the child's hair using a fine 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
A. Cervical adenopathy 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
A. Ataxia 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.
B. Use a trumbling E chart for the assessment. 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
A. Phytonadione - aka Vitamin K 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." D. Tell her that she may have a sandwich or soup for lunch."
D. "Tell her that she may have a sandwich or soup for lunch."

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. Prepare to give oral N-acetylcysteine. B. send a child home on increased fluid intake. C. Begin hemodialysis within the next 24 hr. D. Perform gastric lavage with activated charcoal

A. Prepare to give oral N- acetylcysteine.

ATI PEDIATRIC FINAL PROCTORED EXAM, Exams of Nursing

Related documents

Partial preview of the text

Download ATI PEDIATRIC FINAL PROCTORED EXAM and more Exams Nursing in PDF only on Docsity!

ATI PEDIATRIC FINAL PROCTORED

EXAM LATEST 2024-2025 ACTUAL

EXAM COMPLETE 70 QUESTIONS AND

CORRECT DETAILED ANSWERS