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ATI PEDIATRIC FINAL PROCTORED
EXAM LATEST 2024-2025 ACTUAL
EXAM COMPLETE 70 QUESTIONS AND
CORRECT DETAILED ANSWERS
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. Give the infant fruit juice between feedings B. Use half-strength formula when feeding the infant. C. Keep the infant in a visually stimulating environment. D. Assign consistent nursing staff to care for the infant. - correct answer-D. Assign consistent nursing staff to care for the infant A nurse caring for a toddler who is in the terminal stage of neuroblastoma. The parents ask, how can we help our child now? Which of the following responses by the nurse is appropriate? A. Talk to your child about the meaning of death." B. Encourage your child's friends to visit." C. Stay close to your child." D. Change your child's schedule every day." - correct answer-C. "Stay close to your child." A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a well-child visit.Which of the following findings should the nurse report to the provider? A. Temperature 37.2C (99 F) B. Respiratory rate 26/min C. Blood pressure 118/74 mm Hg D. Pulse rate 98/min - correct answer-C. Blood pressure 118/74 mm Hg A nurse in a provider's office is caring for a preschool-age child who might have acute epiglottitis. Which of the following actions should the nurse take? A. Examine the oral mucosa using a tongue depressor.
B. Obtain a sterile throat culture. C. Provide humidified oxygen via nasal cannula. D. Allow the child to sit in a comfortable position. - correct answer-C. Provide humidified oxygen via nasal cannula. A nurse in a provider's office is providing teaching to the parents of a preschooler who has Down syndrome. Which of the following statements by one of the parents indicate an understanding of the instructions? A. We'll have soft music playing in the background when we teach our son in new skill B. We'll explain that it's best for our son to wait until kindergarten to start going to school C. we'll be sure to demonstrate a new skill before expecting our son to perform it ." D. We'll focus on our son understanding the principles of a skill rather than mastering it." - correct answer-C. "we'll be sure to demonstrate a new skill before expecting our son to perform it ." A nurse in an emergency department is assisting a toddler who has a head injury. Which of the following findings should the nurse report to the provider? A. Glasgow coma scale score of 15 B. Respiratory rate 25/min C. Vomiting- D. Negative Babinski reflex - correct answer-C. Vomiting A nurse in an emergency department is assisting an adolescent who reports inhalation of gasoline.Which of the following findings should the nurse expect? A. Ataxia B. Hypothermia C. Pinpoint pupils D. Hyperactive reflexes - correct answer-A. Ataxia A nurse in an emergency department is caring for a child following an overdose of acetylsalicylic acid. Which of the following medications should the nurse plan to administer? A. Phytonadione - aka Vitamin K
D. Weight loss - correct answer-B. Wheezing A nurse is assessing a 1-month- old infant at a well-child visit. Identify the location the nurse should stroke to elicit this rooting reflex. (You will find hot spot to select in the artwork below. Select only the hot spot that corresponds to your answer. ) - correct answer-Cheek A nurse is assessing a 3-month-old infant who has diarrhea. Which of the following findings should the nurse expect? A. Bulging fontanel - diarrhea indicated dehydration => sunken fontanel B. Decreased heart rate - diarrhea indicated dehydration => increased HR C. Polyuria - diarrhea indicated dehydration => anuria or oliguria D. Increased hematocrit - diarrhea indicated dehydration => increased hct. - correct answer-D. Increased hematocrit - diarrhea indicated dehydration A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The nurse should immediately report which of the following finding to the provider? A. Rhinorrhea B. Tachypnea C. Pharyngitis D. Coughing (and sneezing) - correct answer-B. Tachypnea A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? A. Initiate a low-iron diet for lead absorption. B. Inspect the skin for discoloration. C. Obtain a stool specimen for lead levels. D. Perform development testing for delays. - correct answer-D. Perform development testing for delays. A nurse is assessing an adolescent who has infectious mononucleosis. Which of the following findings should the nurse expect? A. Cervical adenopathy
B. Strawberry tongue - Kawasaki disease C. Koplik spots - measles (Rubeola) D. Uncontrolled drooling - correct answer-A. Cervical adenopathy A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority? A. HbA1C 11.5% B. cholesterol 189 mg/dL C. Preprandial blood glucose 124 mg/dL D. Glycosuria - correct answer-A. HbA1C 11.5% A nurse is assisting an adolescent who has Cushing's syndrome. Which of the following findings should the nurse expect? A. Cachectic appearance B. Blood glucose 320 mg/dL C. Potassium 4.2 mEq/L -this is in the normal range (3.5-5.0);Cushing's expect hypokalemia D. Advanced bone age - correct answer-B. Blood glucose 320 mg/dL A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider? A. Creatinine 1.4 mg/dL B. Creatinine 0.3 mg/dL C. BUN 6 mg/dL D. BUN 12 mg/dL - correct answer-A. Creatinine 1.4 mg/dL A nurse is caring for a child who has acute glomerulonephritis. Which of the following findings should the nurse expect? A. Temperature 39 C (102.2 F) B. Periorbital edema C. Hypotension
D. Dyspnea E. Bounding peripheral pulses A nurse is caring for a school-age child who is 1 hr postoperative following it tonsillectomy. Which of the following actions should the nurse take? (Select all that apply.) A. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing C. Provide cranberry juice to the child. D. Maintained a child in supine position. E. Discourage the child from coughing - correct answer-A. Administer an analgesic to the child on a scheduled basis. B. Observe the child for frequent swallowing E. Discourage the child from coughing A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? (ATI pg. 126) A. Administer furosemide IV twice per day. B. Apply warm compresses to the affected areas C. Decrease the child's fluid intake D. Initiate contact precautions. - correct answer-B. Apply warm compresses to the affected areas A nurse is caring for a single mother of a 6-month-old infant. During a well-baby visit, the mother expresses feeling "inexperience" in caring for the baby. The nurse should recommend which of the following community resources? A. Respite childcare B. Parent management training C. Support group for postpartum depression D. Parent enhancement center - correct answer-D. Parent enhancement center A nurse is caring for an adolescent who is one hour postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?
A. Muscle rigidity B. heart rate 63/min C. temperature 36.4 C (97.5 F) D. abdominal pain - correct answer-A. Muscle rigidity A nurse is caring for an infant who has severe dehydration. Which of the following clinical findings should the nurse expect? A. Capillary refill 3 seconds B. Rapid respirations C. Bradycardia D. Warm extremities - correct answer-B. Rapid respirations A nurse is caring for an infant who has tetralogy of Fallot and is having a hypercyanotic episodeafter crying. Which of the following interventions should the nurse implement? A. Initiate continuous positive airway pressure. B. Provide firm stimulation to the infant's trunk. C. Place the infant in the knee-chest position. D. Perform postural drainage. - correct answer-C. Place the infant in the knee-chest position A nurse is planning care for a child immediately following the insertion of a chest tube forcontinuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care? A. Change the chest tube insertion site dressing every 12 hr. B. Report the presence of tidaling of fluid in the water seal chamber. C. Ensure continuous bubbling is present in the suction control chamber D. Record the amount of chest tube drainage every 2 hr. - correct answer-A. Change the chest tube insertion site dressing every 12 hr. A nurse is planning care for a Toddler who has developed oral ulcers in response to chemotherapy. Which of the following actions should the nurse include in the plan of care? A. Clean the gums with Saline soaked gauze.
A nurse is preparing to administer imipenem/cilastatin 25 mg/kg to a child who weighs 77 Ib. Howmany mg should the nurse plan to administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - correct answer-875mg A nurse is preparing to administer immunization to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? A. Provide a pacifier coated with an oral sucrose solution prior to the injections. B. Inject the immunizations into the deltoid muscle C. Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections. D. Use a 20-gauge needle for the injections. - correct answer-A. Provide a pacifier coated with an oral sucrose solution prior to the injections. A nurse is preparing to assess a 4-year-old child's visual acuity. Which of the following actions should the nurse plan to take? A. Position the child 4.6 meters (15 feet) from the chart B. Use a trumbling E chart for the assessment. C. Test the child without glasses before testing with glasses. D. Assess both eyes together first, then each eye separately. - correct answer-B. Use a trumbling E chart for the assessment. A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? A. Mummy B. Mitten C. Jacket D. Elbow - correct answer-A. Mummy A nurse is preparing to perform peritoneal dialysis for a child who has an elevated serum creatininelevel. After explaining the procedure, which of the following action should the nurse plan to take? A. Initiate IV access B. Keep the dialysate refrigerated until time of infusion
C. Check the fistula site for a bruit. D. Obtain the child's weight - correct answer-D. Obtain the child's weight A nurse is prioritizing care for 4 clients. Which of the following clients should the nurse assess 1st? A. An adolescent who is in skin traction and report a pain level of 7 on a scale from 0 to 10 B. An adolescent who has sickle cell anemia and slurred speech C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin D. A toddler who has a partial-thickness burn on his right hand and requires a dressing change. - correct answer-B. An adolescent who has sickle cell anemia and slurred speech - indicates stroke A nurse is providing anticipatory guidance to a parent of a 1- month-old infant. The nurse should include that it is recommended to start this series of which of the following immunization first?A. Varicella B. measles, mumps, rubella C. Inactivated poliovirus D. Hepatitis A tetra - correct answer-C. Inactivated poliovirus A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicate an understanding of the teaching? A. My daughter can't drink orange juice B. I will steam carrots and cut them into small pieces for her." C. I should ensure that my daughter eats one ounce of meat every day." D. I will switch her to whole milk now that she is old enough." - correct answer-B. I will steam carrots and cut them into small pieces for her." A nurse is providing discharge instructions to the parents of a toddler who has heart failure and a new prescription for digoxin. Which of the following statements indicate an understanding of the instructions? A. We will wait to give the medication at the next scheduled time if a dose is missed B. we will mix the medication with 1 cup of fruit juice for administration C. We will avoid giving our child water for 1 hour after administrating the medication
D. I will lay my baby on her side to sleep for naps." - correct answer-B. "I will dress my baby in lightweight clothing to sleep." A nurse is providing education about dietary modifications to the parent of a school age child whohas glomerulonephritis. Which of the following information should the nurse include in the teaching? A. Increase the child calcium intake B. Decrease the Child's sodium intake C. Increase the child's intake of carbohydrates D. Decrease the child's fat intake - correct answer-B. Decrease the Child's sodium intake A nurse is providing postoperative care for a child following an arterial cardiac catheterization. Which of the following actions should the nurse take? A. Keep the affected extremity straight for at least 6 hr. B. Monitor output using an indwelling urinary catheter for the first 24 hr. C. Remove the child's pressure dressing after the first 4 hr. D. Maintain the child's NPO status for 4 to 6 hr. - correct answer-A. Keep the affected extremity straight for at least 6 hr. A nurse is providing teaching to a parent of an infant who has a 1 cm (0.4 in) umbilical hernia.Which of the following instructions should the nurse include in the teaching? A. Place a belly band around you baby's umbilicus during the day." B. You should place your baby on her abdomen to sleep at night." C. Your baby will need surgery if it doesn't close by 2 years of age." D. The bulge can temporarily enlarge when your baby cries." - correct answer-D. "The bulge can temporarily enlarge when your baby cries." A nurse is providing teaching to an adolescent who has Vulvovaginitis. Which of the following statements should the nurse include in the teaching? This is a trick question. No consensus. A. Wear a feminine deodorant pad for vaginal drainage." B. Wear nylon underwear at night." C. Apply scented baby powder to absorb residual moisture."
D. Apply a warm, moist compress three times per day." - correct answer-D. Apply a warm, moist compress three times per day." A nurse is providing teaching to the parent of a preschool-age child who has celiac disease. Which of the following instructions should the nurse include? A. Your child will be on a gluten-free diet for the rest of her life." B. Your child will need to follow a low-protein diet temporarily." C. You should place your child on a high-fiber diet when she has an exacerbation." D. You should replace white flour with wheat flour when preparing meals for your child." - correct answer-A. Your child will be on a gluten-free diet for the rest of her life." A nurse is providing teaching to the parent of a school-age child who has ADHD and a new prescription for methylphenidate. The nurse should explain that this medication will have which of the following therapeutic effects? A. Promoting rest B. Improving appetite C. Reducing anxiety D. Increasing focus - correct answer-D. Increasing focus A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus aboutmanaging diabetes during illness. Which of the following statements by the parent indicate an understanding of the teaching? A. I will monitor my child's blood glucose levels every 8 hours. B. I will offer my child 20 grams of carbohydrate every 2 hours. C. I will withhold my child's dose of insulin when his appetite is poor D. I will increase the amount of fluids I offer my child. - correct answer-D. I will increase the amount of fluids I offer my child. 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. BUN 28 mg/dL - correct answer-D. BUN 28 mg/dL A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocyticleukemia. Which of the following actions should the nurse take? (Click on the Exhibit button foradditional information about the client. There are three tabs that contain separate categories of data.) A. Obtain a rectal temperature every 4 hr. B. Apply viscous lidocaine to the oral mucosa - this can paralyze the gag reflex=> asphyxiation C. Place the child in knee-chest position. D. Initiate bleeding precautions. - correct answer-D. Initiate bleeding precautions. A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? A. Consume 1,500 to 1,700 calories per day." B. Decrease your vitamin D intake once you start to menstruate." C. Increase the amount of your dietary iron intake." D. Limit your sodium intake to 3,000 grams per day." - correct answer-C. 'Increase the amount of your dietary iron intake." A nurse is teaching a parent of a 10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Remove labels from containers that contain toxic substances B. Select a toy chest that has a heavy, hanged lid C. Place gates at the top and bottom of the stairs. D. Keep toilet lids in the upright position. E. Ensure the crib mattress is in the lowest position. - correct answer-C. Place gates at the top and bottom of the stairs. E. Ensure the crib mattress is in the lowest position. A nurse is teaching an adolescent how to manage his cystic fibrosis. which of the following statements by the adolescent indicates an understanding of the teaching? A. I will take fewer enzymes when I eat high-fiber foods."
B. I will be excused from physical education classes." C. I will limit my calcium intake to prevent kidney stones." D. I will increase my intake of vitamin D - correct answer-D. I will increase my intake of vitamin D A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg (26.5 Ib) and is postoperative following open heart surgery. Which of the following findings should the nurse report tothe provider? A. Skin temperature 36C (96.8 F) B. Pedal and posterior tibial pulses of 2+ C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL D. Drainage from the chest tube of 22 mL in the last hour - correct answer-C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL A nurses administering an opioid to an adolescent who is in sickle cell crisis. Which statement is true regarding opioid pain management? A. Oral opioid doses should be larger than parenteral doses B. Oral opioids should not be combined with other types of pain relievers. C. Opioid doses should be titrated until sedation occurs D. Opioid doses should be used for mild pain - correct answer-A. Oral opioid doses should be larger than parenteral doses A school nurse is assessing a 7-year-old student. The nurse should identify which of the following findings as a potential indicator of physical abuse? A. Weight in 45th percentile B. Front deciduous teeth missing C. Bruising around the wrists D. Abrasions on the knees - correct answer-C. Bruising around the wrists During a well-baby visit, the parent of a 2- week-old newborn tells the nurse, "My baby always keeps her head tilt to the right side. The nurse should further assess which of the following areas? A.Sternocleidomastoid muscle
