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RN ATI PEDS CMS 2025 questions
with correct answers
A nurse is assessing the pain level of a 3 year old toddler. Which of the following assessment scales should the nurse use? A. FACES B. Numeric C. CRIES D. Visual analog - CORRECT ANSWERS ✔✔A. FACES The nurse should use the FACES pain rating scale for pediatric clients who are 3 years old and older. this scale allows the toddler to point to the face that depicts their current level of pain. the nurse can then determine the need for pain management. A nurse is planning an educational program to teach parents about protecting their children from sunburns. Which of the following instructions should the nurse plan to include? A. "allow your child to play outside during the hours between 10:00am and 2:00pm." B. "choose a waterproof sunscreen with a minimum SPF of 15." C. "dress you child in loose weave polyester fabric prior to sun exposure." D. "reapply sunscreen every 4 hours." - CORRECT ANSWERS ✔✔B. "choose a waterproof sunscreen with a minimum SPF of 15."
The nurse should instruct parents to apply a waterproof sunscreen with a minimum SPF of 15 for children. the parents should apply the sunscreen prior to sun exposure to reduce the risk of sunburn. A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing evaluation? A. an 18 month old toddler who has unintelligible speech B. a 3 month old infant who has exaggerated startle response C. a 4 year old preschooler who prefers playing with others rather than alone D. an 8 month old infant who is not yet making babbling sounds - CORRECT ANSWERS ✔✔D. An 8-month-old who is not yet making babbling sounds. The nurse should refer an infant who is not making babbling sounds by the age of 7 mo to a provider for amore extensive eval of hearing A nurse in an emergency department is assessing a 3 month old infant who has rotavirus and is experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse identify as an indication that the infant has moderate to severe dehydration? A. HR 124 B. increased tear production C. sunken anterior fontanel
C. access the site suing a noncoring angle needle D. use a semipermeable transparent depressing to cover the site - CORRECT ANSWERS ✔✔D. use a semipermeable transparent depressing to cover the site The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of infection. A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected behavior characteristics of toddlers should the nurse include? A. controls impulsive feelings B. understands right from wrong C. easily separates from parents for long periods of time D. expresses likes and dislikes - CORRECT ANSWERS ✔✔D. expresses likes and dislikes This is the time in life when a toddler is developing autonomy and self- concept. they will try to assert themselves and frequently refuse to comply. the parent should allow the child to have some control, but also set limits for them so they learn from their behavior and learn to control their actions. A nurse is providing discharge teaching to the parent of a school age child who has moderate persistent asthma. Which of the following instructions should the nurse include?
A. "you should give your child their salmeterol inhaler every 4 hours when they are having an acute episode of wheezing." B. "you should monitor your child's weight weekly while they are receiving inhaled corticosteroids therapy." C. "pulmonary function tests will be performed every 12-24 months to evaluate how your child is responding to therapy." D. "when using the peak expiratory flow meter, record your child's average of three readings." - CORRECT ANSWERS ✔✔C. "pulmonary function tests will be performed every 12-24 months to evaluate how your child is responding to therapy." AThe nurse should include this to evaluate the presence of lung disease and how the child is responding to the current treatment regimen. as children grow, sometimes their manifestations can improve or decline, and treatment needs to change accordingly. A nurse is assessing an adolescent who received a sodium polystyrene sulfonate enema. Which of the following findings indicates effectiveness of the medication? A. reports an absence of nausea and vomiting B. reports experiencing an onset of loose stools within 15 minutes of administration C. serum potassium level 4.1 mEq/L D. blood pressure 86/52 mm Hg - CORRECT ANSWERS ✔✔C. serum potassium level 4.1 mEq/L The nurse should monitor the serum potassium (K) level following the administration of sodium polystyrene sulfonate. this med is used to treat
The nurse should instruct the parent that frequent swallowing is an indication of bleeding and, if it is observed to notify the MD immediately. A nurse is discussing organ donation with the parents of a school age child who has sustained brain death due to a bicycle crash. Which of the following actions should the nurse take first? A. inform the parents that written consent is required prior to organ donation B. provide written information to the parents about organ donation C. ask the provider to explain misconceptions of organ donation to the parents. D. explore the parents feelings and wishes regarding organ donation - CORRECT ANSWERS ✔✔D. explore the parents feelings and wishes regarding organ donation The first action should be assessment using the nursing process. the nurse should first explore the parents' feelings and wishes regarding the organ donation to assist in determining if organ donation is the right choice for the family. A nurse is caring for a newly admitted school age child who has hypopituitarism. Which of the following medications should the nurse expect the provider to prescribe? A. Desmopressin B. Luteinizing hormone-releasing hormone C. Recombinant growth hormone
D. Levothyroxine - CORRECT ANSWERS ✔✔C. Recombinant growth hormone Recombinant growth hormone injections are used to treat hypopituitarism, which inhibits cell growth and results in growth failure. the nurse should expect the provider to prescribe this treatment A nurse is providing discharge teaching to the parents of a 3 month old infant following a cheiloplasty. Which of the following instructions should the nurse include? A. "clean your baby's sutures daily with a mixture of chlorhexidine and water." B. "expect your baby to swallow more than usual over the next few days." C. "inspect your baby's tongue for white patches using a tongue depressor every 8 hours." D. "apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days." - CORRECT ANSWERS ✔✔D. "apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3 days." The nurse should instruct the parents to apply a thin layer of antibiotic ointment on the infant's suture line daily for 3 days and then continue to apply petroleum jelly to the area for several weeks to promote healing. A nurse is caring for a school age child who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema? A. palpate the dorsum of the child's feet
A. "I will plan to increase the amount of homework I assign to students who have ADHD." B. "I will give students who have ADHD the same amount of time as other students to complete tests." C. "I will allow students who have ADHD one rest break throughout the day." D. "I will teach challenging academic subjects to students who have ADHD in the morning." - CORRECT ANSWERS ✔✔D. "I will teach challenging academic subjects to students who have ADHD in the morning." Faculty should plan to teach challenging academic subjects in the morning when students who have ADHD are most able to focus and their med is most likely to be effective A nurse is providing discharge teaching to the parent of an 18 month old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching? A. "I will offer my child small amounts of fruit juice frequently." B. "I will avoid giving my child solid foods until the diarrhea has stopped." C. "I will monitor my child's number of wet diapers." D. "I will give my child polyethylene glycol daily for 7 days." - CORRECT ANSWERS ✔✔C. "I will monitor my child's number of wet diapers." The nurse should teach the parent to closely monitor the child's number of wet diapers. monitoring the number of wet diapers per day is an effective way for the parent to monitor adequate output and hydration status.
A nurse is teaching a school age child and their parent about postoperative care following cardiac catheterization. Which of the following instructions should the nurse include? A. "Stay home from school for 1 week following the procedure." B. "follow a diet that is low in fiber for 1 week." C. "wait 3 days before taking a tub bath." D. "apply a pressure dressing to the site for 3 days." - CORRECT ANSWERS ✔✔C. "wait 3 days before taking a tub bath." The child should keep the site clean and dry for at least 3 days to reduce the risk of infection. Tub baths should be avoided for 3 days to avoid immersion of the incision in water. A nurse is planning care to address nutritional needs for a preschooler who has cystic fibrosis. Which of the following interventions should the nurse include in the plan? A. administer pancreatic enzymes 2 hours after meals B. discontinue the use of pancreatic enzymes if steatorrhea develops C. limit fluid intake to 750 mL per day D. increase fat content in the child's diet to 40% of total calories. - CORRECT ANSWERS ✔✔D. increase fat content in the child's diet to 40% of total calories. A child who has CF is unable to properly digest fats due to fibrosis of the pancreas and limited secretion of pancreatic enzymes. the nurse should increase the child's fat intake to 35-40% of total caloric intake.
The next actions the nurse should take when using the ABS approach to pt care is to establish IV access to maintain the child's circulatory volume. A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which of the following statements by the adolescent indicates an understanding of the teaching? A. "I should buy plastic shoes to wear at the swimming pool." B. "I should wear sandals as much as possible." C. "I should place the permethrin cream between my toes twice daily." D. "I should seal my nonwashable shoes in plastic bags for a couple of weeks." - CORRECT ANSWERS ✔✔B. "I should wear sandals as much as possible." Sandals allow air to circulate around the feet , decreasing perspiration and eliminating the medium for bacteria and fungus to grow. the nurse should inform the adolescent that wearing sandals, open-toed, or well-ventilated shoes will promote healing of the fungal infection. A nurse is caring for a school age child who has diabetes mellitus and was admitted with a diagnosis of diabetic ketoacidosis. When performing the respiratory assessment, which of the following findings should the nurse expect? A. deep respirations of 32/min B. shallow respirations of 10/min C. paradoxic respirations of 26/min D. periods of apnea lasting for 20 seconds - CORRECT ANSWERS ✔✔A. deep respirations of 32/min
The nurse should expect Kussmaul respirations in a child who has diabetic ketoacidosis. these deep and rapid respirations are the body's attempt to eliminate excess carbon dioxide and achieve a state of homeostasis. A nurse is assessing a 6 month old infant during a well child visit. Which of the following findings should the nurse report to the provider? A. presence of a central incisor tooth B. presence of strabismus C. presence of an open anterior fontanel D. presence of external cerumen - CORRECT ANSWERS ✔✔B. presence of strabismus Strabismus, or crossing of the eyes, typically disappears at 3-4 mo of age. if not corrected early, this can lead to blindness. therefore, the nurse should report to MD A charge nurse is preparing to make a room assignment for a newly admitted school age child. Which of the following considerations is the nurse's priority?A. length of stay B. treatment schedule C. disease process D. self-care ability - CORRECT ANSWERS ✔✔C. disease process
The nurse should recognize that dressing the toddler in minimal clothing will expose the skin to air and maximize heat evaporation from the skin, thus reducing the toddler's temperture. A nurse is creating a plan of care for a newly admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? A. until the adolescent is afebrile B. for 7 days following admission to the facility C. until the adolescent has a negative blood culture D. for 24 hrs following initiation of antimicrobial therapy - CORRECT ANSWERS ✔✔D. for 24 hrs following initiation of antimicrobial therapy The nurse should plan to maintain the adolescent on droplet precaution for at least 24hr following initiation of antimicrobial therapy. This practice will ensure that the adolescent is no longer contagious, which protects family members and the personnel caring for the pt. prophylactic antibiotic might be prescribed to individuals who were in close contact with adolescent. A nurse in a health department is caring for an emancipated adolescent who has an STI and is unaccompanied by a guardian. Which of the following actions should the nurse take? A. have the adolescent sign a consent form for treatment B. instruct the adolescent to return with a guardian C. obtain consent from the adolescent's guardian over the phone D. treat the adolescent without a consent form - CORRECT ANSWERS ✔✔A. have the adolescent sign a consent form for treatment
The nurse should identify that an emancipated minor can sign the consent form for treatment of an STI or any other form of medical tx requiring consent. A nurse is caring for a 1 month old infant who is breastfeeding and requires a heel stick. Which of the following actions should the nurse take to minimize that infant's pain? A. Use a manual lancet to obtain the heel blood sample B. apply an ice pack to the infant's heel prior to obtaining the sample C. allow the mother to breastfeed while the sample is being obtained D. apply a topical lidocaine cream prior to obtaining the sample - CORRECT ANSWERS ✔✔C. allow the mother to breastfeed while the sample is being obtained Evidence based practice indicates breastfeeding or non-nutritive sucking with a pacifier can provide nonpharmacological pain management in infants. A nurse is receiving change of shift report for four children. Which of the following children should the nurse assess first? A. a toddler who has a concussion and an episode of forceful vomiting B. an adolescent who has infective endocarditis and reports having a headache C. an adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale of 0-
B. refrain form auscultating the child's bowel sounds during the postoperative assessment C. encourage the child to play with other children on the unit prior to surgery D. explain to the child that their pain will be managed after the surgery - CORRECT ANSWERS ✔✔A. avoid palpating the abdomen when bathing the child before surgery The nurse should avoid this movement of the tumor can cause cancer cells to disseminate to other sites, adjacent and distant to the tumor site A nurse in a provider's office is caring for a school age child who has varicella. The parent asks the nurse when their child will no longer be contagious. Which of the following responses should the nurse make? A. "When your child no longer has an increased temperature." B. "Three days after you first noticed the rash appear on your child." C. "When you child's lesions are crusted, usually 6 days after they appear." D. "Two to three weeks, when your child's lesions completely disappear." - CORRECT ANSWERS ✔✔C. "When you child's lesions are crusted, usually 6 days after they appear." The nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and until the vesicles have crusted over, which usually takes about 6 days.
A nurse is providing dietary teaching to the guardian of a school age child who has cystic fibrosis. Which of the following statements should the nurse make? A. "You should offer your child high protein meals and snacks throughout the day." B. "You should decrease your child's dietary fat intake to less than 10% of their caloric intake." C. "You should restrict your child's calorie intake to 1200 per day." D. "you should give your child a multivitamin once weekly." - CORRECT ANSWERS ✔✔A. "You should offer your child high protein meals and snacks throughout the day." Children who have CF require a higher percentage of the recommended dietary allowances of all nutrients to meet their energy requirements. children who have good nutritional intake have improved lung function and decrease risk of infection. A nurse is reviewing the dietary choices of an adolescent who has iron deficiency anemia. The nurse should identify that which of the following menu items has the highest amount of nonheme iron? A. 1/2 cup whole milk B. 1 cup orange juice C. 1/2 cup raisins D. 1 cup raw carrots - CORRECT ANSWERS ✔✔C. 1/2 cup raisins Raisins contain the highest amount of nonheme iron.
