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ATI PEDIATRIC FINAL PROCTORED EXAM LATEST
1. 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: B. Decrease the Child's sodium intake
2. A nurse is providing teaching to the parents of a school-age child newly diagnosed with a seizuredisorder. The
nurse should teach the parents to take which of the following actions during a seizure?
A. Minimize movement of the limbs
B. Insert a tongue blade between the teeth
C. Clear the area of hard object
D. Place the child in a prone position: C. Clear the area of hard object
3. 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: A. HbA1C 11.5%
4. 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: C. Inactivated poliovirus
5. A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic syndrome. Which of the
following findings should the nurse expect?
A. Creatinine 0.3 mg/dL
B. Hbg 18 g/dL
C. Urine casts absent
D. BUN 28 mg/dL: D. BUN 28 mg/dL
6. 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.: B. Apply warm compresses to the affected areas
should = 1mL/kg/hr =>24mL
10. 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.": B. I will steam carrots and cut them into small
pieces for her."
11. 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 exacerba-
tion."
D. You should replace white flour with wheat flour when preparing meals for your child.": A. Your child will be
on a gluten-free diet for the rest of her life."
12. A nurse is administering albuterol by metered dose inhaler for a preschool-age child who is experiencing
an asthma exacerbation. Which of the following findings should the nurse report to the provider?
A. Respiratory rate 24 /min
B. Peak flow rate of 80%
C. Intercoastal retractions
D. Elevated heart rate: C. Intercoastal retractions
13. 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: A. Administer an analgesic to the child on a scheduled basis.
B. Observe the child for frequent swallowing E. Discourage the child from coughing
14. A nurse is caring for a school-age child who has heart failure. Which of the following findings should the
nurse expect? (select all that apply.)
A. Tachycardia
B. Weight loss
C. Cyanosis
D. Dyspnea
E. Bounding peripheral pulses: A. Tachycardia
D. Dyspnea E. Bounding peripheral pulses
C. Trapezius muscle
D. Cervical vertebrae: A.Sternocleidomastoid muscle
19. 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: D. Parent enhancement center
20. A nurse is admitting an infant who has GERD. Which of the following is the priority assessment finding?
A. Regurgitation
B. Wheezing
C. Excessive crying
D. Weight loss: B. Wheezing
21. 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: B. Rapid respirations
22. 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.": C. 'Increase the amount of your dietary iron intake."
23. 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 injec- tions.
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.: A. Provide a pacifier coated with an oral sucrose solution prior to the
injections.
24. A nurse is caring for a child who has impetigo contagiosa that developed in the hospital. Which of the
following actions should the nurse take?
A. Report the disease to the state health department.
B. Improving appetite
C. Reducing anxiety
D. Increasing focus: D. Increasing focus
28. 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."
A.I will increase my intake of vitamin D: D. I will increase my intake of vitamin D
29. 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.: C. Provide humidified oxygen via nasal cannula.
30. 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 teach- ing?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.: C. Apply bactericidal ointment to lesions.
31. 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: A. Mummy
35. 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: D. Obtain the child's weight
36. A nurse is caring for an adolescent who is one hour postoperative follow- ing 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: A. Muscle rigidity
37. A nurse is caring for a preschool-age child who is postoperative following a tonsillectomy and is clearing her
throat frequently. Which of the following actions should the nurse take first?
A. Give the child small sips of water.
B. Observe the child's throat with a flashlight.
C. Administer an Analgesic.
D. Offer the child an ice collar: B. Observe the child's throat with a flashlight.
38. 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.
B. Administer oral viscous lidocaine.
C. Schedule routine oral care every 8 hr.
D. Moisten the mucosa with lemon glycerin swabs: A. Clean the gums with Saline soaked gauze.
39. 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.: A. Change the chest tube insertion site dressing every 12
hr.
40. 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.: B. An
adolescent who has sickle cell anemia and slurred speech
41. A nurse is assisting an adolescent who has Cushing's syndrome. Which of the following findings should the
syndrome is (SIDS). Which of the following statements by the parents indicates an understanding of the teaching? A. I will move my baby stuffed animal to the corner of her crib while she sleeps." B. I will dress my baby in lightweight clothing to sleep." C. I will have my baby sleep next to me in bed during the night." D. I will lay my baby on her side to sleep for naps.": B. "I will dress my baby in lightweight clothing to sleep."
45. 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. Positive urine culture: B. Periorbital edema
46. 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. ): Cheek
47. 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.: A. Keep the affected extremity straight for at least 6 hr.
48. 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.": C. "we'll be sure to
demonstrate a new skill before expecting our son to perform it ."
49. 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.: C. Place gates at the top and bottom of the stairs.
E. Ensure the crib mattress is in the lowest position.
50. A nurse is providing discharge teaching to a parent of a toddler who has a ventriculoperitoneal shunt. which
of the following statements by the parents indicates an understanding of the teaching?
A. My child will need to take prophylactic antibiotics daily until they shunt is removed."
B. I should call my doctor if my child begins vomiting."
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.": D. "The bulge can temporarily enlarge when your
baby cries."
55. A nurse is admitting a child who has pertussis. Which of the following transmission-based precautions
should the nurse initiate?
A. Airborne
B. Contact
C. Protective
D. Droplet: D. Droplet
56. 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.: D. Perform development testing for delays.
57. 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.: D. Initiate bleeding precautions.
58. 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: C. Bruising around the wrists
59. A nurse is providing teaching to the parent of a school-age child who has diabetes mellitus aboutmanaging
diabetes during illness. Which of the follow- ing 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.: D. I will increase the amount of fluids I offer my child.
60. A nurse is providing discharge teaching to the parents of a toddler who has iron deficiency anemia and new
prescription for ferrous sulfate elixir. Which of the following instructions should the nurse include?
A. Don't allow your child to have orange juice while taking this medication.
