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ATI PEDIATRICS ACTUAL RETAKE EXAMS A & B (
VERSIONS) 2023 ALL QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |2023 ATI PEDIATRICS (PEDS)
RETAKE EXAM WITH ANSWERS (BRAND NEW!!)
VERSION A
A nurse is caring for a child who has epiglottitis due to an infection with influenza B. Which of the following should the nurse take? SATA? - ANSWER-Begin droplet precautions Monitor oxygen saturation Initiate IV access A nurse is preparing to administer amoxicillin 80 mg / kg / day divided into two doses daily to a 2 - year - old client who weighs 10kg ( 22lbs ). available is amoxicillin suspension 400mg / 5 mL. How many mL of amoxicillin should the nurse administer per doses number? - ANSWER-5 mL A nurse in a community health clinic is assessing the needs of a single parent who has three young children and works full time. Which of the following resources should the nurse recommend? - ANSWER-Respite childcare A nurse is providing teaching to the guardian of a school age child who has idiopathic arthritis. Which of the following instructions should the nurse provide?
- ANSWER-Give the child ibuprofen on a routine schedule A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Kolpik's spots. - ANSWER-Mouth A nurse is planning to administer immunizations to a 2 - month - old infant. Which of the following actions should the nurse take to decrease the infant's pain?
- ANSWER-Administer the injections while the infant is breastfeeding A nurse is providing teachings about home care to the parent of a child who has scabies. Which of the following instructions should the nurse include in the teaching? - ANSWER-Treat everyone who came into contact with the child
A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan? - ANSWER-Avoid raw fruits and vegetables in the diet A nurse is providing discharge teaching to the parents of a school - age child following placement of a ventriculoperitoneal shunt. Which of the following statements by the parents indicate an understanding of the teaching? - ANSWER-I should call my doctor if my child begins vomiting A nurse is caring for a school aged child who has acute renal failure. Which of the following manifestations should the nurse expect? - ANSWER-Oliguria A nurse is caring for a child who has disseminated intravascular coagulation. Which of the following laboratory findings should the nurse expect? - ANSWER- Decreased platelet count A nurse is reviewing safety measures with a group of parents to prevent burn injuries for toddlers. Which of the following safety measures should the nurse include in the teaching? - ANSWER-Keep electrical wires hidden from view A nurse is teaching the parent of an infant who has a Pavlik harness to treat developmental dysplasia of the hip. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching? - ANSWER-" I will place my infant's diapers under the harness straps. " A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the following interventions should the nurse include in the plan? - ANSWER-Encourage the adolescent to perform incentive spirometry to maintain lung capacity A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the following findings should the nurse expect? - ANSWER- BUN 28mg / dL A nurse is planning care for an 8 - month - old infant who has bronchiolitis. Which of the following actions should the nurse include in the plan of care? - ANSWER-Use a bulb syringe to suction the nares.
A nurse is caring for a school age child who is experiencing pain. Which of the following assessment techniques will provide the nurse with the most accurate information regarding the child's pain? - ANSWER-Observe the child's facial expressions A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 - month - old Infant Which of the following actions should the nurse plan to take? - ANSWER-Use a 24 - gauge catheter to start the IV A nurse is planning to complete dressing changes of an adolescent who has multiple burn injuries. Which of the following interventions addresses the greatest risk to the client? - ANSWER-Check the wound sites for manifestations of infection A nurse is assessing the cognitive development of a preschooler. The nurse should expect that the child to be in which of the following phases? - ANSWER- Preoperational A nurse in the emergency department is caring for a school - age child. Which of the following actions should the nurse take? - ANSWER-Administer antiviral medication to the child A nurse is caring for a toddler who is in the terminal stage of neuroblastoma. The parents ask how we can help our. Which of the following responses by the nurse is appropriate? - ANSWER-Talk to your child about the meaning of death nurse in a community center is providing an in - service for parents about nutritional guidelines. Which of the following should nurse include in the teaching ? - ANSWER-Provide 36 oz of milk per day to a toddler A nurse is planning care for a six - month - old infant who has bacterial meningitis
. Which of the following interventions should the nurse include in the plan of care ? - ANSWER-Place the infant in a semiprivate room A nurse is conducting a class about parenting styles for a group of parents of school - age children. Which of the following parent statements Indicates the permissive style of parenting? - ANSWER-" I allow my children to determine their own bedtime routines. "
A nurse is caring for a child who has cystic fibrosis. The nurse should identify that this client is at an increased risk for developing which of the following conditions?
- ANSWER-Diabetes A nurse is providing discharge teaching to the parents of a toddler that has iron deficient anemia and a new prescription for ferrous sulfate elixir. Which of the following instructions should the nurse include? - ANSWER-" Administer this medication to your child with a dropper. " A nurse is preparing to perform peritoneal dialysis for a child who has an elevated serum creatinine level. After explaining the procedure , which of the following actions should the nurse plan to take? - ANSWER-Obtain the child's weight A nurse is reviewing the laboratory values of a school age child who has nephrotic syndrome. Which of the following laboratory values should the nurse expect? - ANSWER-Serum protein 4.2g / dL A nurse is caring for an infant who has heart failure and is receiving digoxin. Which of the following findings indicate a positive response to the medication? - ANSWER-Urine output 2 ml / kg / hr. The nurse is caring for an infant who has heart failure and vomited following administration of digoxin. Which of the following actions should the nurse take? - ANSWER-Administer the next does as prescribed A nurse is reviewing the medical records have a 15 - month - old child who is scheduled to receive the measles mumps and rubella ( MMR ) vaccine. Which of the following findings should the nurse identify as a contra indication for receiving this vaccine? - ANSWER-Allergy to neomycin A nurse is caring for a 7 - year - old child who has acute glomerulonephritis. Which of the following findings is the priority for the nurse to report to the provider? - ANSWER-BP 150/90 mm Hg A nurse in the emergency department is caring for an adolescent who is requesting testing for STIS. Which of the following actions is appropriate for the nurse to take? - ANSWER-Obtain written consent from the client
instructions should the nurse include? - ANSWER-Anticipate gradual loss of function in the lower extremities A nurse is planning care for a school - age child who has autism spectrum disorder
. Which of the following actions should the nurse include in the plan? - ANSWER-Introduce the child to new situations slowly A nurse is planning care for a 4 - year - old child who has leukemia and receiving chemotherapy. The child has an absolute neutrophil count 140 / mm 3. Which of the following interventions should the nurse include in the plan? - ANSWER- Avoid taking the child's temperature rectally. A nurse is caring for a school - age child following the application of a cast to a fractured right tibia. Which of the following actions should the nurse take first? - ANSWER-Elevate the child's leg A nurse is caring for a child who is postoperative following surgical correction up tetralogy of Fallot. Which of the following findings should the nurse identify as an indication o f heart failure? - ANSWER-Decrease respirations A nurse is teaching the family of a child who has cystic fibrosis about preventing pulmonary complications. Which of the following instructions should the nurse include in the teaching? - ANSWER-Perform chest physiotherapy at least twice per day A nurse is assessing a 2 - week - old newborn. Which of the following manifestations should the nurse report to the provider? - ANSWER-Irregular bluish pigmentation on the sacral area ) A nurse is caring for a 6 - month - old who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe dehydration? - ANSWER-Sunken anterior fontanel A nurse is prioritizing care for four clients. Which of the following client should the nurse assess first? - ANSWER-An adolescent who has sickle cell anemia and slurred speech The nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instruction should the nurse include in the teaching? - ANSWER-" You can replace milk with non - dairy sources of calcium
A school nurse is assessing a 7 - year - old student. The nurse should Identify which of the following findings as a potential indicator abuse? - ANSWER- Bruising around the wrists A nurse is preparing to administer immunizations to a 3 - month - old Infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? - ANSWER-Provide a pacifier coated with an oral sucrose solution prior to the injections A nurse is caring for a 4year old who has meningitis and is receiving gentamicin. Which of the following labs values should the nurse report to the provider? - ANSWER-Creatinine 1.4 mg / dL A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? - ANSWER-Ataxia A nurse is providing teaching to the parents of a school - age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take which of the following actions during a seizure? - ANSWER-Clear the area of hard objects A nurse is providing teaching to the parents of a child who has impetigo. Which of the following Instructions should the nurse Includes in teaching? - ANSWER- Apply bactericidal ointment to lesions A nurse in an emergency department is caring for a preschool - age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect? - ANSWER-Hyperpyrexia A nurse is assessing a 6 - month - old infant who has respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider? - ANSWER-Tachypnea
d. an adolescent who has Crohn's disease and recent weight loss of 5kg (11 lb) - ANSWER-b. a preschool-age child who has a muffled voice and no spontaneous cough A nurse in the emergency department is caring for an adolescent who is requesting testing for STI. Which of the following action is appropriate for the nurse to take? a. Request verbal consent from the social worker b. contact the client's parents to obtain phone consent c. postpone the testing until the client's parents are present d. obtain written consent from the client - ANSWER-d. obtain written consent from the client A nurse in the emergency department is assessing the toddler who has hyperpyrexia severe dyspnea and drooling which of the following actions should the nurse take first? a. obtain a blood culture from the toddler b. administering antibiotic to the toddler c. insert an IV catheter for the toddler d. prepare the toddler for nasotracheal intubation - ANSWER-d. prepare the toddler for nasotracheal intubation A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac catheterization. Which of the following information should the nurse include in the teaching? a. You will have your dressing removed 12 hours after the procedure b. you will need to keep your legs straight for 8 hours following the procedure c. you will be on a clear liquid diet for 24 hours following the procedure d. you will be on bed rest for 2 days after the procedure - ANSWER-b. you will need to keep your legs straight for 8 hours following the procedure A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child is now ready to resume oral intake which of the following dietary choices should the nurse offer the child? a. sugar-free Cherry gelatin b. vanilla ice cream c. chocolate milk d. lime flavored ice pop - ANSWER-d. lime flavored ice pop
A nurse is caring for a 10 month old child was brought to the emergency department by his parents following a head injury. Which of the following actions should the nurse take first? a. Inspect for fluid leaking from the ears b. assess respiratory status c. check pupil reactions d. examine the scalp for lacerations - ANSWER-b. assess respiratory status A charge nurse is planning care for an infant who has failure to thrive. Which of the following actions should the nurse include in the plan of care? a. Assign consistent nursing staff care for the infant b. Keep the infant in a visually stimulating environment c. use half-strength formula when feeding the infant d. give the infant fruit juice between feedings - ANSWER-c. use half-strength formula when feeding the infant A nurse is providing teaching about home care to the parent of a child who has scabies. Which of the following instruction should the nurse include in the teaching? a. Wash your clients hair with shampoo containing Ketoconazole b. soak combs and brushes in boiling water for 10 minutes c. apply petroleum jelly to the affected areas d. treat everyone who came into close contact with a child - ANSWER-b. soak combs and brushes in boiling water for 10 minutes A nurse is caring for a preschooler who refuses to take a start dose of oral diphenhydramine. Which of the following statements should the nurse make? a. "The medication isn't bad it taste like candy." b. "Let me know when you want to take the medication." c. "The medication will treat your hypersensitivity reaction." d. "Sometimes, when a child has to take medication, they feel sad." - ANSWER-a. "The medication isn't bad it taste like candy." A nurse is teaching the parent of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? a. Your child should walk the bicycle through intersections b. your child's feet should be three to six inches off the ground when Seated on the bicycle c. you should try to keep the bicycle at least three feet from the curb while riding in thestreet
A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? A. Administer as acyclovir PO two times per day. B. Soak hairbrushes in boiling water for 10 minutes C. Apply bactericidal ointment to lesions. D. Seals soft toys in a plastic bag for 14 days. - ANSWER-C. Apply bactericidal ointment to lesions A nurse is providing discharge teaching to the parents of an infant who is at risk for sudden infant death syndrome (SIDS). Which of the following statements by the parent indicates an understanding of the teaching? a. I will have my baby sleep next to me in the bed during the night b. I will move my baby's stuffed animal to the corner of her crib while she sleeps c. I will dress my baby in lightweight clothing to sleep d. I will lay my baby on her side to sleep for her naps - ANSWER-c. I will dress my baby in lightweight clothing to sleep A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect? a. Increased blood pressure b. Limb withdrawal c. relaxed facial expression d. bradycardia - ANSWER-c. relaxed facial expression A nurse is caring for a three-month-old infant who has cleft of the soft palate. Which of the following actions should the nurse take? a. discontinue feeding if the client's eyes become watery b. postpone burping the infant until after completing each feeding c. Elevate the infant's head to a 10 degree angle during feedings d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day - ANSWER-a. discontinue feeding if the client's eyes become watery A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube. Which of the following actions should the nurse take first? a. Set the administration rate on the feeding pump b. flush the tube with water c. check the pH of the gastric secretion d. attach the feeding bag tubing to the end of the NG tube - ANSWER-d. attach the feeding bag tubing to the end of the NG tube
A nurse is caring for an adolescent who is 1 hour post-operative following anappendectomy. Which of the following findings should the nurse report to the provider? a. Heart rate 63 / minute b. muscle rigidity c. temperature 36.4 Celsius (97.5 Fahrenheit) d. abdominal pain - ANSWER-b. muscle rigidity A nurse in a provider's office is preparing to administer immunization to a 12 year old client during a well-child visit. Which of the following immunization should the nurse plan to administer? a. Diptheria, tetanus and pertussis (D-Tap) b. human papillomavirus (HPV) c. Varicella d. hepatitis A - ANSWER-a. Diptheria, tetanus and pertussis (D-Tap) Nurse is planning care for an 8 month old infant who has heart failure. Which of the following actions should the nurse include in the plan of care? a. Repeat digoxin dosage is the infant vomit within 1 hour of administration b. Place infant in a prone position c. administer cool, humidified oxygen via nasal cannula d. provide less frequent, higher volume feeding - ANSWER-c. administer cool, humidified oxygen via nasal cannula A nurse is planning care for a school-age child who is admitted from the emergency department 12 hours ago. Which of the following interventions should the nurse include to promote adequate sleep for the child? a. Provide the child with video games prior to bedtime to reduce stress b. allow the child to adjust their bedtime to promote autonomy c. leave the lights on in the child's room to promote safety d. follow the child home sleep routine to reduce anxiety - ANSWER-d. follow the child home sleep routine to reduce anxiety A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month old infant. Which of the following actions should the nurse plan to take? a. cover the insertion site with an opaque dressing b. use a 24 gauge catheter to start the IV c. start the IV on the infant's foot
offer the infant a pacifier during feedings check for residual volume by aspirating stomach contents A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care? a. Encourage frequent physical activity to increase bone mass b. maintain patent intravenous catheter c. initiate contact precaution for the child d. provide a high calorie low protein diet - ANSWER-c. initiate contact precaution for the child A nurse is providing teaching to the guardian of a school-age child who has sickle cell disease about management of the illness. Which of the following instructions should the nurse include? a. Apply cold compress to painful areas b. but I shall wear a surgical mask to school c. encourage physical activity as tolerated d. offer fluids of bedtime - ANSWER-c. encourage physical activity as tolerated A nurse is assessing a 5 month old infant. Which of the following findings should the nurse report to the provider? a. Unable to hold a bottle b. exhibits head lag when pulled a sitting position c. absent grasp reflex d. unable to roll from back to abdomen - ANSWER-d. unable to roll from back to abdomen A nurse is caring for a five-year-old child following a tonsillectomy and adenoidectomy. Which of the following findings should the nurse identify as an indication of hemorrhage? a. Flushing of the face b. continuous swallowing c. blood pressure 99/ 56 mmhg d. heart rate 54/ minutes - ANSWER-b. continuous swallowing A nurse is discussing coping mechanisms with a parent of a three-month- old infant which of the following therapeutic questions should the nurse ask the parent? a. What do you do when your infant is fussy? b. Are you willing to take new parenting classes?
c. Does parenting cause you stress? d. Is it overwhelming when your infant is having a bad day? - ANSWER-d. Is it overwhelming when your infant is having a bad day? A nurse is providing teaching about the effects of sun exposure to a parent of a toddler. which of the following responses by the parent indicates an understanding of the teaching? a. my child should wear a wide-brimmed hat b. my child should remain under a beach umbrella umbrella during morning hours c. I should apply 10 SPF sunscreen to my child's entire body d. I should dress my child in loose-weave clothing - ANSWER-d. I should dress my child in loose-weave clothing A nurse is evaluating a 6 year old child who has cystic fibrosis and has been receiving chest physiotherapy treatment. The nurse should identify which of the following findings as an indication of the therapy has been effective? a. Increased urine output b. increased expectoration c. reduced pain d. increased heart rate - ANSWER-b. increased expectoration A nurse is planning care for a six-month-old infant who has bacterial meningitis. Which of the following interventions should the nurse include in the plan of care? a. Place the infant in a semi-private room b. keep the television on in the room to provide background noise c. Pad the side rails of the crib d. provide for you can range of motion to the neck and shoulders - ANSWER-a. Place the infant in a semi-private room Next Gen A nurse is reviewing the medical record of a child with cystic fibrosis which of the following should the nurse report to the provider? Click on the exhibit button for additional information about the client. a. heart rate b. HbA1c c. oxygen saturation d. WBC - ANSWER-b. HbA1c
A nurse in the PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actions should the nurse take? a. Place the child in a side-lying position b. offer the child ice cream when alert c. instruct a child to drink fluids through a straw d. encourage the child to deep breathe and cough - ANSWER-a. Place the child in a side-lying position A nurse is reviewing the medical record of a 15 month old child who is scheduled to receive measles, mumps, rubella1. Which of the following findings Should the nurse identify as a contradiction for receiving the vaccine? a. Allergy to neomycin b. upper respiratory infection 2 days ago c. temperature of 37.2 (99 Fahrenheit) d. family history of seizures - ANSWER-a. Allergy to neomycin A nurse is assessing a school-age child cranial nerve function. Which of the following actions should the nurse ask the child to take when assessing the accessory nerve? a. Move their tongue in all directions b. follow a light in the six cardinal position c. shrug their shoulders against mild pressure d. show their teeth while smiling - ANSWER-c. shrug their shoulders against mild pressure A nurse is performing a cranial nerve assessment on a school-age child. Which of the following findings indicates proper function of the child trigeminal nerve? a. The child montanes balance when standing with eyes closed b. the child correctly identify specific scent c. the child has asymmetrical jaw strength when biting down d. the child exhibits a gag reflex when stimulated with a tongue blade - ANSWER- c. the child has asymmetrical jaw strength when biting down A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS). Which of the following actions should the nurse take? a. discourage the parents from allowing siblings to view the body b. avoid discussing details of the attempt to revive the infant c. provide a follow-up phone call one week following the infant's death d. acknowledge the family members feelings of guilt - ANSWER-d. acknowledge the family members feelings of guilt
A nurse in the emergency department is caring for a child who has a temperature of 39.1 degrees C (102.4 Fahrenheit) and suspect the diagnosis of bacterial meningitis. Which of the following actions should the nurse take first? a. prepare the child for a lumbar puncture b. dim the lights in the child's room c. administering an antipyretic to the child d. Implement droplet precautions for the child - ANSWER-d. Implement droplet precautions for the child A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?a. capillary refill 1 second b. weight loss 7% c. respiratory rate 28/ min d. bradycardia - ANSWER-b. weight loss 7% A nurse is providing teaching to the guardian of a school-age child who has seizuredisorder. Which of the following factors should the nurse include as a common trigger that increases the risk of seizure?a. prolonged headache b. decrease temperature c. lack of sleep d. exposure to second-hand smoke - ANSWER-a. prolonged headache A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the clients potassium level is 3.2 meq L which of the following assessment findings should the nurse expect?a. Hypertension b. Hyporeflexia c. hyperactive bowel sounds d. Oliguria - ANSWER-b. Hyporeflexia A nurse is planning care for an adolescent who has sickle cell anemia. Which of thefollowing immunizations should the nurse include in the plan? a. Respiratory sync functional virus (RSV) b. Rotavirus c. measles, mumps, and rubella (MMR) d. pneumococcal conjugate (pcv13) - ANSWER-d. pneumococcal conjugate (pcv13) A nurse is planning care for a child who has varicella. Which of the following interventions should the nurse plan to include?
