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This document features the latest real questions and verified correct answers from the ATI Peds (Pediatrics) Proctored Exam. It thoroughly covers high-yield pediatric nursing topics including developmental stages, disease processes in children, immunization schedules, pediatric medication administration, safety and family education, and care of the hospitalized child. Ideal for nursing students preparing for ATI proctored exams and NCLEX pediatric content.
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A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide nutrients most likely to be lacking in his diet? - CORRECT ANSWER Peanut Butter and Jelly Sandwich A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose? - CORRECT ANSWER A nurse is providing teaching to a parent of a toddler about appropriate snacks. Which of the following foods should the nurse include? - CORRECT ANSWER A: Graham crackers are appropriate snack foods for toddlers B:Apple slices are appropriate snack foods for toddlers E: Cheese cubes are appropriate snack foods for toddlers A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (select all that apply). - CORRECT ANSWER Avoid ventipucture A nurse is admitting a toddler who has respiratory syncytial virus (RSV). Which of the following actions should the nurse take? - CORRECT ANSWER Keep thermometer in the toddler's room.
A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products? - CORRECT ANSWER Recombinant A nurse is assessing a school-aged child whose blood glucose level is 280. Which of the following findings should the nurse expect? - CORRECT ANSWER Lethargy A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client? - CORRECT ANSWER Conjunctiva, lips, and oral mucous. A nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following action should the nurse take first? - CORRECT ANSWER Check the clients vital signs. A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication? - CORRECT ANSWER Decreases inflammation A nurse is caring for a client who just had a cardiac catherization. Which of the following nursing interventions should the nurse include in the clients plan of care? - CORRECT ANSWER Notify the provider of the client's allergy.
Albumin A child is admitted with suspected diagnosis of Wilms' tumor. The nurse should place a sign with which of the following warnings over the child's bed? - CORRECT ANSWER Do not palpate abdomen. A nurse in the ER is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention? - CORRECT ANSWER Airway obstruction A client tells the nurse that he is concerned because his provider told him he has a heart murmur. The nurse should explain to the client that a murmur? - CORRECT ANSWER Indicates turbulent blood flow through a valve. A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take? - CORRECT ANSWER Tell the client to blow her nose gently before the instillation. A nurse is caring for an 8-year-old who has acute rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? - CORRECT ANSWER Auscultating the rate and characteristics of the child's heart sounds. A nurse is preforming a pre-college assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering? - CORRECT ANSWER Meningococcal polysaccharide vaccine
A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect? - CORRECT ANSWER Nocturia at night A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The nurse should instruct the client that this medication can cause which of the following adverse effects? - CORRECT ANSWER Body sections turning a red orange color A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following manifestations should the nurse expect? - CORRECT ANSWER Projectile vomiting A nurse receives a call from a parent of a child who has von Willebrand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parents? - CORRECT ANSWER "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes." A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect? - CORRECT ANSWER Pain A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client who is scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration? - CORRECT ANSWER Place her hands on the sides of her rib cage A nurse is assessing a 3-year-old child who has aortic stenosis.
actions should the nurse take before administering each dose? - CORRECT ANSWER Shake the container vigorously. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care? - CORRECT ANSWER Obtain a order for an in and out catheter A nurse is planning care for a child who has suspected epiglottis. Which of the following actions should the nurse take? - CORRECT ANSWER Place the child on droplet precautions A nurse is instructing a group of clients regarding calcium rich food. Which of the following should the nurse include in the teaching as the best source of calcium? - CORRECT ANSWER 1 cup of milk A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The parent begins to cry and says " I don't understand why my child is so upset. I've never seen my child act this way around others before." Which of the following statements should the nurse make? - CORRECT ANSWER This is a normal, expected reaction for a child of this age A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the following strategies should the nurse use to elicit the child's cooperation? - CORRECT ANSWER Offer the child a choice of crushed pills or elixir A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the nurse wear when setting up the meal tray? - CORRECT
ANSWER Mask A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching? - CORRECT ANSWER The client holds his breath for 10 seconds after inhaling the medication. A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft lip. Which of the following actions should the nurse take? - CORRECT ANSWER Encourage the parents to rock the infant A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis? - CORRECT ANSWER Cardiovascular A nurse is providing teaching to a client who has oral candidiasis and a new script for nystatin suspension. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWER "I will store the medication at room temperature" A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply). - CORRECT ANSWER - An increase in neutrophils
CORRECT ANSWER Dyspnea A nurse is providing discharge teaching to a client who has SLE. Which of the following instructions should the nurse include? - CORRECT ANSWER I should wear gloves when it is cold outside A nurse is caring for an infant who has congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow? - CORRECT ANSWER Patent ductus arteriosus A community health nurse in a pediatric clinic is reviewing a history of a 12-year-old client. Which of the following immunizations should the nurse expect to administer? - CORRECT ANSWER Meningococcal conjugate A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant? - CORRECT ANSWER Trendelenburg A nurse is caring for a client who has a prescription for digoxin 0.25mg PO daily. The amount available is 0.125mg tab. The client's current vital signs are: BP 144/96, hear rate 54/min, respirations 18/min, and temperature 98.6 F. Which of the following actions should the nurse take? - CORRECT ANSWER Withhold the digoxin dose for decreased pulse rate A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the
nurse? - CORRECT ANSWER The teacher says my child has to squint to see the board A nurse is reinforcing teaching about food choices with the mother of an 8-month-old infant. Which of the following statements by the mother indicates a need for further teaching? - CORRECT ANSWER I will give my child peanut butter and mashed egg whites A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take? - CORRECT ANSWER Inspect the mouth for sings of inhalation injuries A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client? - CORRECT ANSWER A private room A nurse is reviewing the lab findings for a client who has ITP. Which of the following findings should the nurse expect to be decreased? - CORRECT ANSWER Platelets A nurse is assessing a client who has SLE. Which of the following findings should the nurse expect? - CORRECT ANSWER Decreased urine output. Butterfly rash. Joint inflammation. A nurse is caring for a group of clients in an infectious disease unit. The nurse should wear OSHA-approved N95 respirator mask