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ATI PEDIATRIC PROCTORED EXAM
LATEST REAL QUESTIONS AND CORRECT
ANSWERS GRADE A
A nurse is contributing to the plan of care for a school-age child who has acute poststreptococcal glomerulonephritis (APSGN) and is mildly hypertensive. Which of the following actions should the nurse include in the plan of care? A. Restrict the child's sodium intake B. Weigh the child every other day C. Monitor the child's blood pressure every 12 hour D. Place the child on bed rest - CORRECT ANSWER Restrict the child's sodium intake 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 son knows he better do what I say." Which of the following parenting styles is the parent exhibiting? A. Authoritarian B. Permissive C. Authoritative D. Passive - CORRECT ANSWER Authoritarian A nurse is reviewing the medical record of a newborn who has necrotizing enterocolitis (NEC). The nurse should identify that which of the following findings is a risk factor for NEC? a. Macrosomia
b. Transient tachypnea of the newborn (TTN) c. Maternal gestational hypertension d. Gestational age 36 weeks - CORRECT ANSWER Gestational age 36 weeks A nurse is collecting data from a newborn who has congenital hypothyroidism. Which of the following findings should the nurse expect? (select all that apply) a. Hypertonicity b. Cool extremities c. Short neck d. Tachycardia e. Hyperreflexia - CORRECT ANSWER 1. cool extremities
- short neck A nurse is reinforcing teaching with the parent of a newborn who has plagiocephaly. Which of the following statements by the parent indicates an understanding of the instructions? a. "I should put my baby to sleep on the belly during her afternoon nap." b. "I should ensure my baby's head is in the same position whenever sleeping." c. "I should have my baby wear the prescribed helmet 23 hours a day." d. "I should allow my baby to sleep in an infant swing." - CORRECT ANSWER "I should have my baby wear the prescribed helmet 23 hours a day."
- Diaphoresis
- Restlessness A nurse in an urgent in an urgent care clinic is caring for a child whose guardian reports that the child has swallowed paint thinner. The child is lethargic, gagging, and cyanotic. Which of the following actions should the nurse anticipate assisting with? a. Induce vomiting with syrup of ipecac b. Insert a nasogastric tube, and administer activated charcoal c. Prepare for intubation with a cuffed endotracheal tube d. Administer chelation therapy using deferoxamine mesylate - CORRECT ANSWER Prepare for intubation with a cuffed endotracheal tube A nurse in an urgent care clinic is admitting an infant who experienced a life threatening event. Which of the following prescriptions by the provider should the nurse anticipate? (select all that apply) a. Electroencephalogram b. Electrocardiogram c. Urine culture d. Arterial blood gases e. Blood culture - CORRECT ANSWER 1. Electroencephalogram
- Electrocardiogram
- Blood culture A nurse is reinforcing teaching with a caregiver about acetaminophen poisoning. Which of the following information should the nurse include?
a. Nausea begins 24 hr after ingestion b. Pallor can appear as early as 2 hr after ingestion c. Jaundice will appear in 12 hr if the child is toxic d. Children can have 4 g/day of acetaminophen - CORRECT ANSWER Pallor can appear as early as 2 hr after ingestion A nurse in a community center is assisting with an in-service to a group of guardians on management of airway obstructions in toddlers. Which of the following responses by one of the caregivers indicates an understanding of the information? (select all that apply) a. "I will push on my child's abdomen." b. "I will hyperextend my child's head to open the airway." c. "I will use my finger to check my child's mouth for objects." d. "I will use my finger to check my child's mouth for objects." e. "I will place my child in my car and take them to the closest emergency facility." - CORRECT ANSWER 1. "I will push on my child's abdomen."
- "I will place my child in my car and take them to the closest emergency facility." A nurse is reinforcing teaching with a group of guardians about characteristics of infants who have failure to thrive. Which of the following characteristics should the nurse include? a. intense fear of strangers b. Increased risk for childhood obesityc. c. inability to form close relationships with siblings d. developmental delays - CORRECT ANSWER developmental delays
a. formula-feeding as an infant b. history of head trauma c. history of postterm birth d. child of a single guardian - CORRECT ANSWER history of head trauma A nurse is collecting data from a toddler at a well-child visit. Which of the following findings should the nurse identify as a possible indication of child maltreatment? A. diaper dermatitis B. bruise on the front of the lower leg C. inflamed unilateral conjunctiva D. laceration on the side of the torso - CORRECT ANSWER laceration on the side of the torso A nurse is reinforcing discharge teaching with the parent of a school-age child who is being treated for nephrotic syndrome. The parents asks the nurse why it is necessary to check the child's urine for protein. Which of the following explanations should the nurse offer? A. "A decrease in urine protein indicates that treatment is effective." B. "Protein in the urine indicates your child's protein intake is adequate." C. "Protein in the urine indicates a need to begin dialysis." D. "An increase in urine protein indicates your child has a secondary infection." - CORRECT ANSWER "A decrease in urine protein indicates that treatment is effective."
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of the following parent statements indicates an understanding of the teaching? A. "We will keep our child out of the sun between 3 p.m. and 5 p.m." B. "We will transition our child to a toddler bed when he is 2 feet tall." C. "We will purchase a toy storage box with a lightweight lid." D. "We will provide a healthy snack of peanuts." - CORRECT ANSWER "We will purchase a toy storage box with a lightweight lid." A nurse is contributing to the plan of care for a child who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following is the priority intervention for the nurse to recommend to include in the plan? A. promote oxygen utilization B. Administer antibiotics C. encourage fluid intake D. apply a warm compress to the joints - CORRECT ANSWER promote oxygen utilization A nurse is reviewing the medical record of a female adolescent client who has primary amenorrhea. Which of the following findings should the nurse identify as a risk factor for this disorder? (select all that apply) A. hypothyroidism B. obesity C. cannabis use
B. negative Babinski reflex C. birth weight doubled D. unable to build a two-block tower - CORRECT ANSWER birth weight doubled A nurse is assisting the provider with a developmental assessment of a toddler. Which of the following behaviors should the nurse recognize as an expected finding? A. Walks backwards with heel to toe B. Stands on one foot for several seconds C. Uses scissors to cut out shapes D. Prints letters with a pencil - CORRECT ANSWER Stands on one foot for several seconds A nurse is caring for a school-age child who has been admitted to the facility in sickle cell crisis. The nurse is measuring the child's oral intake for the shift. The child consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 z of gelatin, and drank 7 oz of water. What is the child's oral intake for this shift in milliliters? (round to the nearest whole number) - CORRECT ANSWER 690 ml
of oz x 30=mL
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a child who is recovering from acute glomerulonephritis. Which of the following food choices by the parents indicates an understanding of the teaching? A. pretzels B. apples
C. canned corn D. peanut butter - CORRECT ANSWER apples A nurse is collecting data from an infant who has severe dehydration. Which of the following findings should the nurse expect? A. capillary refill of 2 seconds B. flushed skin C. weight loss of 10% D. bulging anterior fonanel - CORRECT ANSWER weight loss of 10% A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile idiopathic arthritis (JIA). Which of the following statements by the guardian indicates an understanding of the teaching? A. "I will have my child sleep in knee, wrist, and hand splints." B. "I will encourage my child to take an afternoon nap." C. "I will apply topical hydrocortisone to my child's joints as needed." D. "I will administer opioids to my child for the next several months to control the pain." - CORRECT ANSWER "I will have my child sleep in knee, wrist, and hand splints." A nurse is caring for a preschooler who has a new diagnosis of asthma. Which of the following medications should the nurse instruct the parent to administer for an acute asthma attack? A. Levalbuterol B. Fluticasone
motor skills. The nurse should expect the preschooler to be able to perform which of the following activities? A. Hopping on one foot B. Skipping on alternate feet C. Jumping rope D. Roller skating - CORRECT ANSWER hopping on one foot A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and is taking pancrelipase as a pancreatic enzyme replacement. The nurse should plan to inform the child's parents that the therapeutic effects of this medication can be evaluated by which of the following? A. Blood glucose levels B. amount and consistency of stools C. chloride sweat tests D. BUN and creatinine clearance tests - CORRECT ANSWER amount and consistency of stools A nurse is auscultating heart sounds on an infant. The nurse should identify this sounds as which of the following? A. Sinus rhythm B. ventricular septal defect C. pulmonic stenosis D. atrial septal defect - CORRECT ANSWER sinus rhythm A nurse is caring for an adolescent client who is experiencing sickle cell crisis. Which of the following laboratory values should the nurse report to the provider?
A. total bilirubin 0.5 mg/dL B. reticulocyte count 1% C. WBC count 8,000/mm D. Hgb 6 g/dL - CORRECT ANSWER Hgb 6 g/dL A nurse is preparing to administer ophthalmic drops to a child. Which of the following action should the nurse take? A. Position the child with hs head flexed while administering the medication B. Apply pressure to the lacrimal punctum for 1 min following administratio n C. Hold the dropper 5 cm (2 in) above the eye to administer the medication D. Wipe the excess medication toward the inner canthus with a cotton swab - CORRECT ANSWER Apply pressure to the lacrimal punctum for 1 min following administration A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the following actions should the nurse take? A. Ensure the availability of soft extremity restraints B. Place a padded tongue blade at the bedside C. Have a suction canister and tubing available in the room D. Keep the child's bed in the highest position - CORRECT ANSWER Have a suction canister and tubing available in the room A nurse is assisting with a sterile dressing change for an adolescent who has a partial thickness burn on the right hip. Which of the following actions should the nurse take first?
B. green, tarry stools C. tolerates milk D. weight gain - CORRECT ANSWER green, tarry stools A nurse is reinforcing teaching with the family of a preschooler whose parent has a terminal diagnosis. Which of the following statements should the nurse include when discussing age- appropriate responses to death? A. "Your child will likely exhibit fear of the impending death with verbal uncooperativeness." B. "At this age, your child will understand that death is irreversible." C. "Your child will likely be curious about what happens to the body after death." D. "At this age, your child likely believes his thoughts can cause another person's death." - CORRECT ANSWER "At this age, your child likely believes his thoughts can cause another person's death." A nurse is monitoring a preschooler following an abdominal CT scan with contrast dye. The nurse should identify which of the following as an indication that the preschooler experienced an allergic reaction to the contrast dye? A. jaundice B. hematuria C. urticaria D. petechiae - CORRECT ANSWER urticaria A nurse is reinforcing discharge teaching with the guardian of a school-age child who has acute lymphocytic leukemia and an
absolute neutrophil count of 450/mm3. Which of the following instructions should the nurse include? A. "Allow your child to receive the varicella immunization." B. "Take your child's rectal temperature twice per day." C. "Increase your child's intake of fresh fruits and vegetables." D. "Keep your child away from crowded areas." - CORRECT ANSWER "Keep your child away from crowded areas." A nurse is collecting data from a 6 month old child who is experiencing a sickle cell crisis. Which of the following areas should the nurse observe when monitoring for manifestation of splenic sequestration? A B C - CORRECT ANSWER B *splenic sequestration is an enlargement of the spleen due to pooling of sickled cells in the blood. LUQ A nurse is reinforcing teaching with the parents of a toddler who has strabismus. Which of the following treatments should the nurse plan to include in the teaching? A. corrective biconcave lenses B. laser surgery C. eye patch D. artificial tears - CORRECT ANSWER eye patch
A nurse is caring for a child who has a fractured tibia and is in Buck's traction. Which of the following actions should the nurse take? A. ensure the weights are hanging freely B. allow the child to change positions frequently C. use palms of hands when handling the traction boot D. check the pin site every 8 hr - CORRECT ANSWER ensure the weights are hanging freely A nurse is reinforcing teaching with the guardian of an infant who has Down syndrome. Which of the following instructions should the nurse include to decrease the child's risk of an upper respiratory infection? A. rinse the infant's mouth with water before feeding B. limit the infant's fluid intake C. use a cool mist vaporizer in the infant's room D. avoid applying lip balm to the infant's lips - CORRECT ANSWER use a cool mist vaporizer in the infant's room A nurse is reinforcing discharge teaching with the guardian of a school-age child who has a new prescription for home oxygen therapy. Which of the following statements by the guardian indicates an understanding of the teaching? A. "I will restrict the length of the oxygen tubing to no longer than 3 feet." B. "I will place the extra oxygen tanks in a horizontal position for storage." C. "I will check the oxygen delivery equipment once every week." D. "I will make sure that electrical devices in the house are
grounded." - CORRECT ANSWER "I will make sure that electrical devices in the house are grounded." A nurse is collecting data from a 12 month old infant during a well child visit. Which of the following findings should the nurse report to the provider? A. heart rate 130/min B. respiratory rate 30/min C. BP 155/70 mm Hg D. temperature 37.5 C (99.5 F) - CORRECT ANSWER BP 155/70 mm Hg A nurse in a pediatric clinic is collecting data from an infant who recently started taking digoxin. Which of the following manifestations should the nurse identify as an indication of digoxin toxicity and report to the provider? A. irritability B. diaphoresis C. vomiting D. tachycardia - CORRECT ANSWER vomiting A nurse has just received change-of-shift report for four children in a pediatric unit. Which of the following children should the nurse collect data from first? A. A child who is 2 days postoperative following an appendectomy and reports incisional pain B. A child who has a new diagnosis of diabetes mellitus and HbA1c level of 7.5% C. A child who has a fever and nuchal rigidity
