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ATI Pediatric Proctored Exam | Latest Real Questions and Correct Answers – Grade A, Exams of Health sciences

Bellevue CollegeHealth sciences

ATI Pediatric Proctored Exam | Latest Real Questions and Correct Answers – Grade A This document includes the most recent and verified real questions with correct answers from the ATI Pediatric Proctored Exam. It covers high-priority pediatric nursing topics such as developmental milestones, pediatric medication dosing, communicable diseases, chronic and acute pediatric conditions, family education, and safety interventions. Ideal for nursing students preparing for ATI proctored assessments and NCLEX-style pediatric content.

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ATI PEDIATRIC PROCTORED EXAM
LATEST REAL QUESTIONS AND CORRECT
ANSWERS GRADE A
1. What is the correct amount of wet diapers a mature infant should produce each day? An
infant should have 6 to 8 wet diapers/day.
2. The nurse goes in to check on a new mother to see how breast-feeding is going with her new
son. The nurse observes the infant is on the mother's lap with the blanket unwrapped, and the
mother is washing his face, and gently stroking the baby. The mother has trouble breastfeeding the
last few times. What is the appropriate response from the nurse? "You are doing a wonderful job
attempting to wake the baby."
3. The nurse is observing a 6-month-old boy for developmental progress. For which typical
milestone should the nurse look?
Puts down a little ball to pick up a stuffed toy
4. The nurse is completing a developmental assessment on a 6-month-old infant. Which findings
indicate the need for additional follow-up? Select all that apply.
The infant has frequent episodes of crossed eyes.
The infant does not pay attention to noises behind him.
The infant seems disinterested in the surrounding environment.
5. The nurse is assessing a 1-year-old at the well-child annual visit and notes the child is
meeting the growth parameters. After noting the birth weight was 8 pounds (3.6 kg) and length was
20 inches (50.8 cm) long, which measurements would the nurse prepare to document for this visit?
24 pounds (10.8kg) and 30 inches (75 cm)
6. Which developmental milestone would the nurse expect an 11-month-old infant to have
achieved? Sitting independently
7. The nurse is assessing the sleeping practices of the parents of a 4-month-old girl who wakes
repeatedly during the night. Which parent comment might reveal a cause for the night waking? They
put her to bed when she falls asleep.
8. The nurse is educating the mother of a newborn about feeding practices. The nurse correctly
advises the mother that:
the newborn's stomach can hold between one-half and 1 ounce.
9. A mother of a 9-month-old 18-pound (8.2 kg) infant asks the nurse about choosing the best
car seat. What should the nurse recommend?
a rear-facing 5-point harness restraint
10. The nurse is providing helpful feeding tips to the mother of a 2-week-old boy. Which
recommendations will best help the child feed effectively?
Maintain a feed-on-demand approach
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Download ATI Pediatric Proctored Exam | Latest Real Questions and Correct Answers – Grade A and more Exams Health sciences in PDF only on Docsity!

ATI PEDIATRIC PROCTORED EXAM

LATEST REAL QUESTIONS AND CORRECT

ANSWERS GRADE A

  1. What is the correct amount of wet diapers a mature infant should produce each day? An infant should have 6 to 8 wet diapers/day.
  2. The nurse goes in to check on a new mother to see how breast-feeding is going with her new son. The nurse observes the infant is on the mother's lap with the blanket unwrapped, and the mother is washing his face, and gently stroking the baby. The mother has trouble breastfeeding the last few times. What is the appropriate response from the nurse? "You are doing a wonderful job attempting to wake the baby."
  3. The nurse is observing a 6-month-old boy for developmental progress. For which typical milestone should the nurse look? Puts down a little ball to pick up a stuffed toy
  4. The nurse is completing a developmental assessment on a 6-month-old infant. Which findings indicate the need for additional follow-up? Select all that apply. The infant has frequent episodes of crossed eyes. The infant does not pay attention to noises behind him. The infant seems disinterested in the surrounding environment.
  5. The nurse is assessing a 1-year-old at the well-child annual visit and notes the child is meeting the growth parameters. After noting the birth weight was 8 pounds (3.6 kg) and length was 20 inches (50.8 cm) long, which measurements would the nurse prepare to document for this visit? 24 pounds (10.8kg) and 30 inches (75 cm)
  6. Which developmental milestone would the nurse expect an 11-month-old infant to have achieved? Sitting independently
  7. The nurse is assessing the sleeping practices of the parents of a 4-month-old girl who wakes repeatedly during the night. Which parent comment might reveal a cause for the night waking? They put her to bed when she falls asleep.
  8. The nurse is educating the mother of a newborn about feeding practices. The nurse correctly advises the mother that: the newborn's stomach can hold between one-half and 1 ounce.
  9. A mother of a 9-month-old 18-pound (8.2 kg) infant asks the nurse about choosing the best car seat. What should the nurse recommend? a rear-facing 5-point harness restraint
  10. The nurse is providing helpful feeding tips to the mother of a 2-week-old boy. Which recommendations will best help the child feed effectively? Maintain a feed-on-demand approach
  1. The nurse is assessing the oral cavity of a 4-month-old infant. Which finding is consistent with a child of this age? No teeth
  2. The nurse is making a home visit and observes the 7-month-old pulling the family dog's hair and ears.Which parenting skill does the nurse determine is most effective? The parent tells the child "no" with a stern voice and pulls the child's hand away from the dog
  3. The mother of an infant is confused after being told by her dentist not to let her baby go to bed with a bottle of milk. She does not agree with that suggestion. Which response should the nurse prioritize when addressing this situation with the mother? "Bottles given at bedtime can cause erosion of the enamel on the teeth."
  4. The nurse is educating a new parent regarding nutritional needs for the newborn. Which is accurate and should be taught about the nutritional needs of a newborn? Formula is designed to provide similar amounts of calories as breast milk would provide.
  5. The parent of a 3-month-old infant is concerned because the infant does not yet sit by oneself. Which statement best reflects average sitting ability? Most infants do not sit steadily until 8 months; this infant is normal.
  6. The best way for an infant's parent to help the child complete the developmental task of the first year is to: respond to the infant consistently.
  7. Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone? be able to turn over onto the back
  8. An infant is breastfed. When assessing the stools,which findings would be typical? Less constipation than bottle-fed infants
  9. Which milestone would the nurse expect an infant to accomplish by 8 months of age? Sitting without support
  10. The nurse is promoting a healthy diet to the mother of a 6-month-old. What action would have the most effect on the infant's neurologic development? Promoting continuation of breast-feeding
  11. The nurse is providing client education to the parent about bathing the infant. What would be important to instruct the parent? Bath time provides an opportunity for play
  12. The nurse conducting a 6-month well-baby check-up assesses for the presence/absence of the asymmetric tonic neck reflex. At this age the reflex: should have disappeared by 4 months
  13. The father of a 6-week-old infant voices concerns about his son's stooling. He further shares that his son grunts and cries when having a bowel movement. What response by the nurse is most appropriate? "What does his stool look like?"
  1. Parents and their 35-month-old child have returned to the clinic for a follow-up appointment. Which of the findings may signal a speech delay? Uses two-word sentences or phrases
  2. What statement by the mother of a 20-month-old indicates a need for further teaching about nutrition? "I give my daughter juice at breakfast and when she is thirsty during the day."
  3. The father of a 2-year-old girl tells the nurse that he and his wife would like to begin toilet training their daughter soon. He asks when the right time is to begin this process. What should the nurse say in response? "When she starts tugging on a wet or dirty diaper, she is letting you know she's ready."
  4. The nurse is assessing a 3-year-old child. The nurse notes the child is able to understand that objects hidden from sight still exist. The nurse correctly documents the child is displaying: object permanence.
  5. The nurse is supervising a play group of children on the unit. The nurse expect the toddlers will most likely be involved in which activity? Playing with the plastic vacuum cleaner and pushing it around the room
  6. Once a temper tantrums has started, which intervention is appropriate? Move objects outof the way or move the toddler to prevent injury.
  7. When assessing a toddler's language development,what is the standard against which you measure language in a 2-year-old toddler? The toddler should speak in two-word sentences ("Me go").
  8. The nurse is examining a 3-year-old girl during a regular visit. Which finding would disclose a developmental delay in this child? The child demonstrates separation anxiety.
  9. The parents of a 2-year-old boy report to the nurse because their child is "such a picky eater." Which recommendation would be most helpful for developing healthy eating habits in this child? Offering a variety of foods along with the foods the child likes
  10. The 18-month-old toddler has most likely attained which gross motor skill? The ability to walk independently.
  11. A group of caregivers of toddlers are discussing the form of discipline in which the toddler is placed in a "time-out" chair. Which statement made by these caregivers is most appropriate related to this form of discipline? l
  12. Parents of a toddler describe how they handled their child's temper tantrum in a shopping mall. What action of the parents indicates need for additional teaching? Reasoned with the child to stop the behavior
  13. The nurse is teaching parents how to avoid a power struggle with their 2-year-old girl. Which comment indicates that more teaching is needed? "When my son starts getting frustrated and aggressive, I remind him that if he throws a fit he wil have to go to time out."

"We will make sure she shares her toys with cousins her age."

  1. The nurse is promoting language and cognitive development to the parents of a 3-year-old boy. Which guidance about reading with their child will be most helpful? Ask the child questions as you read.
  2. A single mother with three young children is reluctant to leave her crying and upset 16-month-old daughter overnight in the hospital but needs to go home to care for the other children. Which suggestion from the nurse will best address the fears and concerns of both the child and mother? Encourage the mother to give the child a personal item of the mother's to hold on to until she returns and to tell the child a specific time she will return, such as "when breakfast comes in the morning."
  3. The toddler grows about how many inches (centimeters) in height per year? 3 in (7.5 cm)
  4. What advice should the nurse provide the parent of a toddler, regarding how to handle temper tantrums? Appear to ignore the toddler
  5. The parents of an overweight 2-year-old boy admit that their child is a bit "chubby," but argue that he is a picky eater who will eat only junk food. Which healthy choices response by the nurse is best to facilitate a healthier diet? "Give him more healthy choices with less junk food available."
  6. A 2-year-old toddler holds the breath until passing out when the toddler wants something the parent does not want the toddler to have. The nurse would base evaluation of whether these temper tantrums are a form of seizure on the basis that: seizures are not provoked; temper tantrums are.
  7. A parent tells the nurse that no matter what is asked of the toddler, the toddler says, "No." What suggestion might the nurse make to help the parent handle this situation? give the toddler secondary, not primary, choices
  8. The nurse is discussing proper discipline with the mother of a 15-month-old boy. Which statement is most important? Physical punishment such as spanking is discouraged.
  9. The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing? Playing independently and are side by side
  10. The nurse is talking to the parent of a 19-month-old toddler about setting limits and supervising activities. In which situation will the nurse recommend letting the toddler do as he or she pleases? Exploring one's body
  11. The parents of a 30-month-old toddler have brought the toddler into the emergency department because of a seizure. During the health history, the nurse suspects the toddler had a breath- holding spell. Which parental report suggests breath-holding? A tantrum preceded the event.
  12. During the toddler years, the child attempts to become autonomous. Which statement by a 3- year-old toddler's caregiver indicates that the toddler is developing autonomy? "My toddler uses the potty chair and s dry all day long."
  1. The nurse is asessing a 3-year-old at a routine well-child visit. Which assessment should the nurse prioritize in the vision check? Eye coordination
  2. The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish? Hop on one foot
  3. A nurse is caring for a 4-year-old child that will be undergoing a procedure to remove a mass from the abdomen. In order to help the child remain calm in preparation for getting an IV catheter placed, what intervention might the nurse implement? Allow the child to play with a procedure doll.
  4. When planning how to respond to a 3-year-old child about telling stories ("tall tales"), the nurse would base the statement on the fact that: imagination in a 3-year-old is at its peak.
  5. The mother of a 4-year-old boy reports her son has voiced curiosity about her breasts. She asks the nurse what she should do. Which information is best for the nurse to give the parent? Encourage the parent to determine what the child's specific questions are and answer them briefly.
  6. What suggestions regarding the evaluation of a child care center would the nurse share with a preschooler's mother? Specific program goals to be accomplished should be available.
  7. The mother and father of a 5-year-old boy are discussing bicycle safety with the nurse. What comment indicates further teaching is needed? "We just got him a new bike he can grow into."
  8. During a well-child visit, the mother of a preschooler tells the nurse that her daughter is "daddy's girl." She says, "It seems like I don't exist." Which response by the nurse would be most appropriate? "Your daughter is showing normal behavior for her age."
  9. A nurse is assessing a preschooler and asks the child a question about pets. The child responds by saying,"I-I-I have a t-t-turtle and a f-f-fish." The child's parent states that this problem just started over the past month or so. The nurse interprets this as which? Broken fluency.
  10. The nurse is watching a 4-year-old child play with another preschool child. The children are playing a game with rules. The nurse notes that the child is demonstrating what type of play? Cooperative play
  11. The mother of a 4-year-old girl reports her daughter has episodes of wetting her pants. The nurse questions the mother about the frequency. The nurse determines these episodes occur about once every 1 to 2 weeks. Which response by the nurse is indicated? "At this age it is helpful to remind children to go to the bathroom."
  12. The nurse has completed an educational program on normal growth and development in children. Which statement by a participant would indicate a need for further education? "I am so glad I can get rid of all of those bath toys because they take up so much room."
  13. If the child is gaining weight at an expected rate, a child who weighs 36 lb (16.3 kg) at 3 years of age would weigh what amount at age 5?

44 to 46 lb (20 to 21 kg)

  1. Parents of a 3½-year-old indicate they spend time with grandparents who live near a lake. The nurse will emphasize: having the child wear a personal flotation device whenever near or on the water.
  2. The nurse is providing teaching about good nondairy sources of calcium for preschoolers. Which of these fruits contains the most calcium? Orange
  3. A 5-year-old girl is pretending to be a crocodile during a physical examination. Her mother just smiles and rolls her eyes at the nurse. What would be the best response for the nurse to give the child? "What a wonderful imagination you have! I've never seen anyone who was so good at pretending to be a crocodile."
  4. The nurse is caring for a preschool child in the hospital with severe developmental delays. The parents have 3 other younger children at home and both parents work full-time outside the home. The family has just moved to this area. Which nursing diagnosis would be the highest priority in regard to the parents at this time? Risk for caregiver role strain
  5. The nurse is presenting nutritional information at a community health fair. Which suggestion should the nurse prioritize when illustrating proper nutrition for preschoolers? Snacks throughout the day help the child meet nutritional requirements
  6. During a well-child visit, the caregiver expresses concern that the 3-year-old child often stutters when speaking. Which response should the nurse prioritize to best assist this family? "Children of this age may stutter while they search for just the right word."
  7. What are some negative effects that chronic pain can have on the pediatric population? Sleep disturbances exhaustion irritability, mood disturbances depression
  8. What scenario demonstrates the nurse's knowledge when using guided imagery to relieve pain in pediatric clients? After achieving a relaxed state, begin by guiding the 13-year-old client to image of walking down a sandy beach and collecting seashells, a favorite activity
  9. A client questions how long it will take for the oral pain medication administered to begin to take effect.What information can be provided by the nurse? One to two hours is needed for oral medications to begin to take effect.
  10. The nurse is caring for children on a postoperative unit. Which nursing action promotes the most efficient pain control? Anticipate when pain will occur and plan interventions to prevent it.
  11. Parents are to bring their kindergarten child to the outpatient department for a venous blood sample.They have EMLA cream to apply at home prior to the procedure and have been shown two areas on the child's arms where they should place the cream.Transportation time is 15 minutes. Their appointment is for 2:45 p.m. At what time should the parents apply the cream and occlusive dressings to both arms? Between 1:15 p.m. and 1:45 p.m.
  12. A nurse is instructing the parents of a toddler on the use of an anesthetic cream in advance of an upcoming procedure the child will have. What information should the nurse mention to them? Be
  1. During a routine wellness examination, the nurse is trying to determine how well a 5-year-old boy communicates and comprehends instructions. What is the best specific trigger question to determine the preschooler's linguistic and cognitive progress? "How well does your son communicate or follow instructions?"
  2. The parents of a 9-year-old child voice concern that their daughter seems to be gaining weight rapidly.The nurse reviews the medical record and notes the child has increased his weight by 6 or 7 pounds (2.7 to 3.2 kg) per year for the past 2 years. What response by the nurse is indicated? "Weight gains of about 7 pounds per year are normal for children in this age range."
  3. A mother tells the nurse she is having difficulty getting her 6-year-old to do chores. Based on the child's developmental level, what activity would be best for the nurse to recommend to the mother? putting books on shelf
  4. The nurse is conducting a support group for parents of 9- and 10-year-olds. The parents express concern about the amount of time their children want to spend with friends outside the home. What should the nurse teach the parents that peer groups provide? a sense of security as children gain independence
  5. A parent calls the health care provider about the 7-year-old child's dental hygiene. The child has had three cavities. The parent does not know what to do and asks the nurse for guidance. How should the nurse respond? "Are you able to supervise your child's brushing?"
  6. The school-age child develops the ability to recognize that if a block of clay is in a round ball and then is flattened, the shape changes but not the amount of clay. What understanding has this child developed? conservation
  7. The parents of a 7-year-old girl report concerns about her seemingly low self-esteem. The parents question how self-esteem is developed in a young girl. Which response by the nurse is best? "Your daughter's self-esteem is influenced by feedback from people they view as authorities at this age."
  8. On physical examination, the nurse discovers that a 6-year-old child's palatine tonsils are somewhat enlarged in the back of the throat. What would be the best action? Record this as a normal finding in an early school-age child.
  9. A mother brings her 8-year-old daughter into the doctor's office because over the past year her tonsils have increased in size to the point that the mother is concerned that her breathing will be obstructed. The girl has no pain, fever or other symptoms. Following this data collection, which instruction is best? "This may be normal growth of lymphatic tissue for this age."
  10. The nurse is about to see a 9-year-old girl for a well-child checkup. Knowing that the child is in Piaget's period of concrete operational thought, which characteristic should the child display? Consider an action and its consequences.
  11. An adolescent's parent states not knowing what to do with the adolescent. The parent reports the adolescent is taking two or three showers a day when not that long ago the parent could barely get the adolescent to take a shower at all. What should the nurse's reply be to the parent? "Reinforce the family rules but also allow the adolescent to develop one's own routine."
  1. Computer use at home and at school has increased adolescents' comfort in gaining access to and using the Internet. This has expanded their exposure to risks. What potential risks are there for an adolescent to be exposed to? Teens can be exposed to inappropriate materials, harassment,threats, and potential for molestation.
  2. The nurse is caring for an 11-year-old girl. The girl's mother reports that the girl does not want to play team sports like soccer or volleyball anymore. Her daughter insists she does not enjoy them. The mother is concerned that her daughter will not get enough physical activity and asks the nurse for guidance.How should the nurse respond? "Give her some options; it's important to find something she enjoys."
  3. According to Erikson, the adolescent develops his or her own sense of being an independent person with individual thoughts and goals. This stage is referred to as: identity vs. role confusion.
  4. The nurse is admitting a 15-year-old adolescent to the hospital pediatric unit. What does the nurse recognize as a priority for this adolescent? The adolescent's need for privacy should be respected.
  5. The nurse is talking with parents of a depressed 16-year-old boy. Which question is of the most importance? Is there a gun in your home?
  6. The school nurse is assessing a 16-year-old girl who was removed from class because of disruptive behavior. She arrives in the nurse's office with dilated pupils and is talking rapidly. Which drug might she be using? Amphetamines
  7. The school nurse is preparing health promotion presentations regarding unintentional injuries for a high school health fair. On which topic should the nurse place as the priority when preparing the presentation? Motor vehicle safety
  8. A 15-year-old female adolescent tells the nurse she would like to get a tattoo. What response by the nurse is most appropriate? "Tattoos are invasive and there is the potential for disease with their application."
  9. The parents of a 16-year-old are fearful that their child may be using illegal drugs. They report to the nurse that they have noticed recently that their child seems much more focused when doing homework or chores, is losing weight, displays a high level of energy, and becomes agitated easily. The nurse is aware that the teen is displaying symptoms of which type of drug use? Methamphetamine
  10. The parents of a 16-year-old male are worried about recent changes in his behavior, ignoring his schoolwork and sports, and spending almost all of his free time interacting with his girlfriend. Which suggestion should the nurse point out would best address this situation?
  1. A high-school athlete comes to the emergency department with hypertension, aggressiveness, and psychosis. What question would be important for the nurse to ask the client? "Do you take anabolic steroids?"
  2. A chronically ill adolescent is readmitted to the hospital with an infected wound requiring long- term dressing changes. What is the best way the nurse can encourage independence for this client? Allow the adolescent to choose the time for the dressing change.
  3. A 15-year-old adolescent shows a pattern of gaining weight, not a large amount but a little more each visit.The adolescent is not active in any sports and eat out frequently with parents. What is the best way for the nurse to assess the adolescent's eating pattern? Have the adolescent keep a food diary for 1 week.
  4. Nurses should provide anticipatory guidance to males to prepare them for what particular pubertal change in late adolescence? Nocturnal emissions
  5. A nurse is explaining cognitive development in children to a client, with the help of Piaget's theory of cognitive development. What would be the best explanation by the nurse about the formal operations level of cognitive development? A nurse is explaining cognitive development in children to a client,with the help of Piaget's theory of cognitive development. What would be the best explanation by the nurse about the formal operations level of cognitive development?
  6. A 16-year-old girl has arrived for her sports physical with a new piercing in her navel. Which response by the nurse is best? "Be sure to clean the navel several times a day."
  7. The nurse is counseling an overweight, sedentary 15-year-old girl. The nurse is assisting her to make appropriate menu choices. Which statement indicates the adolescent understands how to make appropriate dietary selections? "I need to have 4 servings of fruit each day."
  8. The physician has made a notation in the medical record of a 17-year-old that the teen is not demonstrating successful completion of Erikson's stages of development. What behavior would be consistent with this assessment? The teen is uncertain and frequently unable to make decisions.
  9. A teenage boy tells the nurse that his parents embarrass him in front of his friends when they kiss him goodbye. The nurse is aware that this teenager is revisiting which stage of development identified by Erikson? Autonomy
  10. The school nurse is developing a school wellness program to promote healthy eating habits and regular physical activity. Each class will be engaging in lessons, contests, and goal setting to develop healthy habits. What is the most important element to emphasize to maximize compliance and long-term change? Include both parents and children in the wellness program.
  1. The nurse is performing an assessment on a 12-year-old boy. Which finding is consistent with the child's age? Curling pubic hair
  2. The nurse is assessing a teenage client and notes his lower front teeth are slightly crossed over. The nurse points out to his caregiver that he should see an orthodontist about this to prevent which potential situation? Even slight mal-occlusions make chewing and jaw function less efficient.
  3. The nurse is providing anticipatory guidance to the parents of a 15-year-old who voice concerns with their teenager's sleep habits. They state, "Left to her own devices, I'm sure she'd stay up until 3:00 in the morning on the weekends and sleep until after lunchtime." Which should the nurse explain to the parents? "That must be hard for you to manage. Perhaps we can explore some strategies with her to es- tablish more predictable sleep patterns."
  4. The father of a 15-year-old daughter is concerned she is not getting adequate nutrition to play high school basketball. Her games are on Friday nights. Which suggestion should the nurse point out will best suit the needs of this adolescent? Three daily meals that include choices from each of the food groups; Friday's lunch eaten around 2p.m. with a small amount of fat and a somewhat larger than usual portion of complex carbohydrates.
  5. When testing the deep tendon reflexes of a child, a four-point grading scale is used. What would a 1+ result mean for a reflex tested? The reflex is diminished.
  6. The nurse is assessing the growth of a premature infant. What would be the appropriate action by the nurse to complete this assessment? Plot the infant's weight, height,and length on a growth chart.
  7. When 12-year-old Chelsie comes in for her annual check-up, the nurse must take a health history and do a physical exam. What is the most appropriate manner for the nurse to obtain a health history? Ask Chelsie if she minds if her mother is in the room with her.
  8. To obtain an accurate heart rate in an infant, what would be most important for the nurse to do? Take the apical pulse.
  9. The nurse is preparing to assess the internal ear structures of a 3-year-old. The child is resistant to the otoscope. How should the nurse respond? "Let's see if I can find some puppies or kittens."
  10. Parents bring a toddler age 19 months to the clinic for a regular checkup. When palpating the toddler's fontanels, what should the nurse expect to find? Closed anterior and posterior fontanels
  11. At what age is measuring occipital head circumference in a child discontinued? 36 months
  12. A young client is admitted with a fever, vomiting, and diarrhea. Upon taking the health history, the nurse asks the client's parent, "What did you do to help your child before coming to health facility?" This is an example of which type of question? Open-ended
  1. What is typical of a grade II heart murmur? The murmur is soft but easily heard.
  2. When questioning a 15-year-old about his health history, what would be an appropriate way for the nurse to ask about the child's drug history? "Have you heard that some teens like to smoke? Have you tried this?"
  3. A nursing instructor is teaching about taking a health history and how to elicit a chief concern. The instructor realizes a need for further education when a student makes with statement? "Intensity refers to how often the concern occurs during the day."
  4. The nursing students are learning how to perform a health assessment on a pediatric client. The nursing instructor identifies a need for further teaching when a student states: "I should take blood pressure on a child beginning at age 2 years."
  5. The health care provider has prescribed a rectal temperature for an 11-month-old infant. The thermometer has been lubricated with a water-soluble lubricant.How far into the rectum would the nurse insert the thermometer? 1/4 to 1/2 inch (0.64 to 1.27 cm)
  6. The nurse is auscultating the lungs of a lethargic, irritable 6-year-old boy and hears wheezing. The nurse will most likely include which teaching point if the child is suspected of having asthma? "I'm going to have this hospital worker take a picture of your lungs."
  7. A 5-year-old child is being seen at the ambulatory care clinic for a well-child visit. The child is hiding behind the mother behind his mother.What initial action by the nurse is indicated? Allow the child to remain "hidden" during the initial part of the interview.
  8. The nurse is assessing the vital signs of several toddlers in the pediatric medical unit. Which findings are of most concern to the nurse? Heart rate 60 beats per minute;respiratory rate 14 breaths per minute
  9. The nurse is completing an assessment on a 2-year-old child. The nurse notes the presence of a raised reddish purple spot on the back of the child's neck. Which statement about this finding is correct? These lesions will normally fade as the child ages.
  10. The nurse is preparing to perform a physical examination of a toddler. Which is the preferred location to complete the assessment? With the child seated on the caregiver's lap.
  11. A neonate is to receive a hepatitis B vaccine within a few hours after birth. What is the best approach for the nurse to take when giving this medication? Administer the medication in the neonate's vastus lateralis with a 25-gauge needle.
  12. The nurse is giving discharge instructions to a parent of a 3-month-old infant. What is the best information to give the parent concerning oral medication administration? Give the medication with a syringe and direct the liquid toward the posterior side of the mouth while holding the infant upright.
  13. The nurse is preparing to administer an IV antibiotic to a child. After calculating the recommended dose with the child's weight, the nurse discovers the prescribed dose exceeds

the safe dose range in a pediatric drug book. The medication has been given to the child at this dose for 3 days. What action should the nurse take next? Verify the dose with the prescribing health care provider.

  1. If a medication is being administered by the otic route, it will be administered in which way? Warmed to room temperature and dropped into the ear
  2. In caring for the child with asthma, the nurse recognizes that bronchodilator medications are administered to children with asthma for which reason? Relief of acute symptoms
  3. The pediatric nurse recognizes that what statement is true regarding medications administered via the intravenous route? Giving medications through the intravenous route is less traumatic than other routes.
  4. A child needs a peripheral IV start as well as a venous blood sample for a laboratory test. The nurse will take what action? Coordinate placing the peripheral IV and the lab blood draw.
  5. A preschooler who is receiving gastrostomy feedings occasionally vomits following a feeding. When the parent describes the feeding process, what does the nurse note as the likely cause of the vomiting? The mother does not check gastric residual prior to feedings.
  6. The mother of a 9-year-old girl calls the physician's office complaining that her daughter continues to vomit soon after being given an oral amoxicillin capsule for her strep throat. The nurse recognizes that the child's vomiting will interfere with which pharmacokinetic process? Absorption
  7. When preparing to administer medication to an infant, the nurse should utilize which device? Oral syringe without a needle
  8. The nurse is showing the student nurse how to flush a pediatric client's peripherally inserted central catheter (PICC) line. The nurse prepares a 3-mL normal saline flush using a 5-mL syringe. The student asks the nurse why the flush was prepared this way. What is the most accurate response by the nurse? "Using a larger-volume syringe exerts less pressure on the PICC line."
  9. The nurse is administering 2 puffs of an albuterol sulfate inhaler to a 4-year-old. Which side effect would the nurse instruct the parent to most likely expect? Increased heart rate and restlessness
  10. A medical/surgical nurse has been floated to the pediatric unit. Which action by the float nurse would require the pediatric nurse to intervene? asking the child his or her name prior to giving medications
  11. A nurse has been administering normal saline intravenously to a pediatric client and notes edema, pallor,and blanching at the intravenous site. What should the nurse do next? Discontinue the infusion and remove the cannula.
  1. Included in the nursing care plan for the child receiving total parenteral nutrition (TPN) will be which intervention? Regularly monitoring the child's blood glucose
  2. A pediatric nurse is mentoring a new graduate nurse.Which action by the new nurse would require intervention by the pediatric nurse? taking a rectal temperature on a newborn
  3. A nurse is administering subcutaneous deferoxamine to a client as a treatment for sickle cell anemia.The nurse should monitor the client for several potential side effects. Which side effect requires the nurse's immediate attention? Tachycardia
  4. The nurse enters the room to give a subcutaneous injection of insulin to a 6-year-old female who is diabetic. What is the best method of medication administration? Ask her where she would like to have the nurse give the injection.
  5. A child is having difficulty swallowing pills. What is the best action for the nurse to take to help this child swallow medications? Place the pills in a bite of ice cream or applesauce.
  6. A 5-year-old boy is receiving an analgesic intravenously while in the hospital. What should the nurse do to determine whether the drug is being properly excreted from this child? Monitor the child's fluid intake and output.
  7. The nurse is caring for a 4-year-old child who requires a venipuncture. To prepare the child for the procedure, which explanation is most appropriate? "The doctor will look at your blood to see why you are sick’’