Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
This **2023 ATI PN Peds Proctored Actual Exam** covers all fundamental pediatric nursing topics, ranging from developmental milestones and common childhood illnesses to medication administration and emergency pediatric care. This exam resource incorporates a comprehensive range of questions that test not only memorization but also critical thinking, application, and clinical decision-making skills essential for pediatric nursing practice. Each question is formulated to mimic the structure and content of the official ATI exam, providing a genuine testing experience. 2023 ATI PN Peds Proctored Actual Exam, ATI Practical Nursing pediatric exam 2023, ATI PN Pediatrics practice test 2023, PN ATI pediatrics proctored exam 2023, Practical Nursing ATI pediatric questions 2023, ATI PN peds exam prep 2023, Pediatric nursing ATI PN practice exam, ATI PN pediatric nursing test 2023, ATI PN pediatrics study guide 2023, ATI PN pediatric proctored test, ATI pediatric nursing exam 2023
Typology: Exams
1 / 32
This page cannot be seen from the preview
Don't miss anything!
A. Zinc B. Vitamin D C. Thiamine D. Folic acid
Correct Answer: B. Vitamin D
Rationale: Children with lactose intolerance must avoid most dairy products, which can lead to inadequate calcium and vitamin D intake. Vitamin D promotes calcium absorption from other dietary sources, helping support bone density. ────────────────────────────────────────────────────────
A. Hemoglobin (Hgb) 9.0 g/dL B. Hematocrit (Hct) 37% C. Serum iron 100 mcg/dL D. Total iron binding capacity (TIBC) 325 mcg/dL
Correct Answer: A. Hemoglobin (Hgb) 9.0 g/dL
Rationale: A child with iron deficiency anemia typically has a hemoglobin level below the normal reference range (approximately 9.5 to 15.5 g/dL for a school-age child). A value of 9.0 g/dL is indicative of iron deficiency anemia. ────────────────────────────────────────────────────────
A. “Tell me more about what you are feeling.” B. “I understand how you feel.” C. “Let’s discuss home care options for your child.” D. “I’m sure you’re just tired right now.”
Correct Answer: A. “Tell me more about what you are feeling.”
Rationale: This open-ended statement encourages the parent to express emotions and shows the nurse is actively listening, which is important during the grieving process. ────────────────────────────────────────────────────────
A. “I’m not sure I follow you. Can you explain?” B. “I understand. Other parents say the same thing.” C. “Let’s talk about your child’s home care arrangements.” D. “I disagree; you’re a great parent.”
Correct Answer: A. “I’m not sure I follow you. Can you explain?”
Rationale: Asking for clarification in an open-ended manner encourages further expression of feelings. This approach supports therapeutic communication. ────────────────────────────────────────────────────────
A. Pinpoint pupils B. Decreased heart rate
C. Increased systolic blood pressure D. Dry skin
Correct Answer: C. Increased systolic blood pressure
Rationale: Epinephrine activates the sympathetic nervous system, often resulting in increased heart rate and blood pressure. Monitoring for hypertension is essential after administration. ────────────────────────────────────────────────────────
A. Creating a rock collection B. Learning the alphabet with flash cards C. Putting together a large-piece puzzle D. Riding a tricycle
Correct Answer: C. Putting together a large-piece puzzle
Rationale: Large-piece puzzles develop a toddler’s fine motor skills. Other recommended fine motor activities at this age include using thick crayons or finger painting. ────────────────────────────────────────────────────────
A. Pulling self to a standing position B. Creeping on hands and knees C. Taking intentional steps when standing D. Sitting only with support by leaning on hands
Correct Answer: D. Sitting only with support by leaning on hands
A. 1 cup (8 oz) shredded wheat cereal B. 1 cup (8 oz) apple juice C. ½ cup (4 oz) sweet green peppers D. 1 oz (¼ cup) low-fat cheese
Correct Answer: A. 1 cup (8 oz) shredded wheat cereal
Rationale: Iron-fortified cereals, such as shredded wheat, are a rich source of iron. This makes them ideal for individuals whose diets lack animal-derived sources of iron. ────────────────────────────────────────────────────────
A. “Mix the medication with ¼ cup of juice.” B. “Mix the medication with 1 teaspoon of honey.” C. “Mix the medication with ¼ cup of formula.” D. “Mix the medication with 1 teaspoon of applesauce.”
Correct Answer: D. “Mix the medication with 1 teaspoon of applesauce.”
Rationale: Mixing an oral medication with a small amount of a sweet, nonessential food can improve acceptance. Avoid honey in infants under 1 year due to botulism risk. ────────────────────────────────────────────────────────
A. “My child coughs a lot at night.” B. “My child’s voice is very hoarse, and she has a low-grade fever.” C. “My child has refused to drink any fluids for the past 8 hours.” D. “My child recently had the flu.”
Correct Answer: C. “My child has refused to drink any fluids for the past 8 hours.”
Rationale: Refusing fluids for 8 hours places the preschooler at greatest risk for dehydration, which requires immediate evaluation. ────────────────────────────────────────────────────────
A. Place ice on the child’s forehead B. Apply pressure to the child’s nose C. Have the child lie flat until the bleeding stops D. Tape cotton gauze under the child’s nose
Correct Answer: B. Apply pressure to the child’s nose
Rationale: Pinching the anterior portion of the nose for at least 10 minutes can control epistaxis (nosebleeds). Tilting the head forward helps prevent blood from draining into the throat. ────────────────────────────────────────────────────────
A. 4.5 mL B. 5.0 mL C. 6.25 mL D. 7.5 mL
Rationale: Premature infants sometimes experience impaired bonding due to prolonged hospitalizations or complex care needs, increasing their risk for abuse. ────────────────────────────────────────────────────────
A. Feeding the infant in a supine position B. Encouraging exclusive breastfeeding C. Burping the infant frequently D. Performing routine nasotracheal suctioning
Correct Answer: C. Burping the infant frequently
Rationale: Infants with cleft palates tend to swallow more air while feeding. Frequent burping helps expel air to reduce regurgitation and risk of aspiration. ────────────────────────────────────────────────────────
A. Remove weights while changing linens B. Maintain the leg in an extended position C. Monitor the halo device every 4 hours D. Provide pin care per facility protocol
Correct Answer: B. Maintain the leg in an extended position
Rationale: Keeping the affected leg extended helps reduce pain, muscle spasms, and further injury. Traction weights should remain in place unless specifically ordered. ────────────────────────────────────────────────────────
A. Stop breastfeeding until symptoms resolve completely. B. Clean the pacifier every other day. C. Continue nystatin for 2 weeks after the lesions disappear. D. Wipe away the white patches with gauze.
Correct Answer: C. Continue nystatin for 2 weeks after the lesions disappear.
Rationale: Discontinuing antifungal therapy prematurely can lead to recurrence. Nystatin should be continued at least 2 weeks beyond visible symptom resolution. ────────────────────────────────────────────────────────
A. Radial pulse B. Carotid pulse C. Femoral pulse D. Apical pulse
Correct Answer: D. Apical pulse
Rationale: The apical pulse (auscultated for a full minute at the fourth intercostal space, lateral to the midclavicular line) is the most reliable site to assess an infant’s heart rate. ────────────────────────────────────────────────────────
A. Ask the toddler to say their full name B. Ask the pharmacist for the child’s room number C. Ask the toddler to state her birthday D. Ask the guardian to verify the child’s name
Rationale: Cleansing removes discharge and improves contact of medication with the conjunctiva, thereby preventing contamination before administering the drops. ────────────────────────────────────────────────────────
A. “My child’s temperature should be around 96.8°F.” B. “A normal pulse could go as low as 60 beats per minute when sleeping.” C. “My child could take 40 breaths per minute regularly.” D. “My child’s heart rate might reach 150 beats per minute with activity.”
Correct Answer: D. “My child’s heart rate might reach 150 beats per minute with activity.”
Rationale: A toddler’s normal heart rate can range from about 80 to 150 bpm depending on rest or activity level. ────────────────────────────────────────────────────────
A. Peak flow reading B. Lung sounds C. Arterial blood gases D. Inspiratory reserve volume
Correct Answer: B. Lung sounds
Rationale: The nurse must assess breath sounds before and after treatment to evaluate whether the bronchodilator is effective in improving air exchange. ────────────────────────────────────────────────────────
A. Decrease the room temperature B. Administer an antipyretic C. Dress the child in minimal clothing D. Apply cool compresses
Correct Answer: B. Administer an antipyretic
Rationale: Using the urgent vs. nonurgent approach, the immediate priority is to manage fever and prevent possible febrile seizures or further discomfort. ────────────────────────────────────────────────────────
A. Compare the adolescent’s behavior to older siblings. B. Remain open to the adolescent’s point of view. C. Select school activities on behalf of the adolescent. D. Provide strictly enforced household rules without exceptions.
Correct Answer: B. Remain open to the adolescent’s point of view.
Rationale: Adolescent development involves autonomy and identity formation. Encouraging open communication and listening supports healthy psychosocial development. ────────────────────────────────────────────────────────
A. Provide a lengthy, detailed explanation to the child
Correct Answer: C. Hemolytic reaction
Rationale: Chills and flank pain indicate an acute hemolytic transfusion reaction, which occurs if the blood product is incompatible with the client’s blood type. ────────────────────────────────────────────────────────
A. Deltoid B. Ventrogluteal C. Vastus lateralis D. Dorsogluteal
Correct Answer: C. Vastus lateralis
Rationale: The vastus lateralis is preferred for infants and small children due to its thick muscle mass and fewer nerves and blood vessels compared to gluteal sites. ────────────────────────────────────────────────────────
A. “When your child is fever-free for 24 hours.” B. “Three days after the rash began.” C. “Six days after lesions appear, if they have crusted.” D. “When the rash has completely cleared.”
Correct Answer: C. “Six days after lesions appear, if they have crusted.”
Rationale: Children with varicella (chickenpox) are contagious until all lesions have crusted over, typically around 6 days after onset of the rash. ────────────────────────────────────────────────────────
A. Over the sacrum B. Back of the hand C. Over the sternum D. On the abdomen
Correct Answer: D. On the abdomen
Rationale: Evaluating skin turgor on the abdomen provides a reliable assessment in children. Tenting can indicate fluid volume deficit, common with vomiting/diarrhea. ────────────────────────────────────────────────────────
A. Adolescent sleep patterns become stable and predictable B. Boys are more likely to have suicidal ideations than girls C. Motor vehicle crashes are the number-one cause of adolescent death D. Adolescents need fewer daily calories than school-age children
Correct Answer: C. Motor vehicle crashes are the number-one cause of adolescent death
Rationale: Unintentional injuries, especially motor vehicle crashes, remain the leading cause of mortality among adolescents. ────────────────────────────────────────────────────────
A. Respiratory rate of 25/min B. Blood pressure of 120/80 mm Hg
Rationale: Infants with HIV should follow recommended immunization schedules (with some live vaccines considered based on immune status), as protection against infections is crucial. ────────────────────────────────────────────────────────
A. Mask → goggles → gown → gloves B. Gloves → mask → goggles → gown C. Gloves → goggles → gown → mask D. Gown → goggles → mask → gloves
Correct Answer: C. Gloves → goggles → gown → mask
Rationale: Gloves are most contaminated and should be removed first. Goggles are next, then the gown, and lastly the mask to minimize exposure to pathogens. ────────────────────────────────────────────────────────
A. “I should inject glucagon at the first sign of shakiness.” B. “I’ll offer 5 g of simple carbs, like 1 oz of juice.” C. “I’ll give 4 oz of orange juice, then cheese and crackers.” D. “I’ll give a snack equal to 10% of the daily caloric intake.”
Correct Answer: C. “I’ll give 4 oz of orange juice, then cheese and crackers.”
Rationale: Mild hypoglycemia is best treated with 10–15 g of simple carbohydrate, such as 4 oz of juice, then followed by a starch-protein snack to maintain blood glucose levels. ────────────────────────────────────────────────────────
A. Excessive salivation B. Depression C. Bradycardia D. Hyperreflexia
Correct Answer: B. Depression
Rationale: Isotretinoin has been associated with mood changes, including depression and suicidal ideations. Any mental status alterations must be reported promptly. ────────────────────────────────────────────────────────
A. “I should keep unopened vials in the freezer.” B. “I can use each vial for at least 3 weeks.” C. “My child might feel very sleepy while taking this medication.” D. “My child might experience heart palpitations with this medication.”
Correct Answer: D. “My child might experience heart palpitations with this medication.”
Rationale: Palpitations are an adverse effect of levalbuterol. If the child experiences significant tachycardia or palpitations, the provider should be notified. ────────────────────────────────────────────────────────
A. Drowsiness
