ATI CAPSTONE PEDIATRICS EXAM 2023-2024 FORM
A & B EACH FORM CONTAINS 70 QUESTIONS AND
CORRECT ANSWERS|ALREADY GRADED A+
(ACTUAL EXAM)
FORM A
a nurse in a pediatric clinic is performing a history and physical for a toddler who
is going to receive a MMR immunization, what indicates that it should be withheld
- ANSWER- receiving prednisone for nephrotic syndrome
a nurse is providing teaching to a mother who plans to breastfeed her 3 day old
infant, what info should the nurse include in the teaching – ANSWER- your baby
will need a follow up evaluation by her provider within the next 3 days
a nurse is assessing a toddler who is toilet-trained and has a temperature of
38.5/101.3, what findings should the nurse suspect a UTI – ANSWERincontinence
a nurse is caring for a school-age child who has hemophilia and reports increased
bruising, what lab values provides an explanation for the finding – ANSWER- plt
count 120,000
a nurse is preparing a teaching plan for the parent of a school-age child who has
asthma, the nurse should include what manifestation as an “exacerbation” of
asthma – ANSWER- hacking, non-productive cough
a nurse is providing discharge teaching to the parents of a 6 month old infant
following a surgical procedure to repair a hypospadias, what instructions should
the nurse include in the teaching – ANSWER- avoid giving the infant a tub bath
until the stent is removed
a nurse is assessing an infant who has intussusception, what manifestation is
expected – ANSWER- gelatinous red stool
a nurse is caring for a school-age child who has metastatic osteosarcoma, the child
asks the nurse “am i going to die?”, what should the nurse respond – ANSWER- “it
sounds like you are worried. tell me what you have been told”
a nurse is caring for a an infant who has GERD, what action should the nurse take
to avoid regurgitation – ANSWER- thicken the pt’s formula
avoid giving the pt citrus juices
position the child with head elevated after meals
a nurse is providing teaching to an adolescent who has a new prescription for
cefazolin, what adverse effect should the nurse monitor for and report to the
physician – ANSWER- urticaria
a nurse is caring for a child who has cancer and is receiving chemo, the parent tells
the nurse that she wants to d/c treatment and take the child home, what responses
should the nurse make – ANSWER- tell me more about your reasons for making
this decision today
a charge nurse is assisting a newly licensed nurse with the preoperative assessment
of a 2 year old child who has a Wilm’s tumor, what actions by the newly licensed
nurse requires intervention from the charge nurse – ANSWER- palpating the child’s
abdomen
a nurse is assessing a child who has sickle cell anemia and is experiencing a
vasoocclusive crisis, what manifestations should the nurse expect – ANSWERpain
a nurse is providing teaching to the parents of a school-age child who has
pediculosis capitis, what instruction should be included – ANSWER- soak hear
brushes in boiling water for 10min
a nurse is caring for a child who has acute glomerlulonephritis without edema,
what action should the nurse take – ANSWER- obtain a daily weight
a nurse is reviewing the medical record of a 16 yr old brought in by his parents to
receive a physical, the record indicates he received his last immunization 10 years
ago, what immunizations should the nurse expect to administer to the adolescent –
ANSWER- Tdap
a nurse is caring for a child who has congenital heart defect, the nurse should
recognize that which of the following defects is associated with increased
pulmonary blood flow – ANSWER- PDA
a nurse is providing teaching to the parent of a preschooler about health promotion,
what response by the parent indicates an understanding of the teaching –
ANSWER- i should encourage my child to have 1 hour of physical activity each
day
a nurse is admitting a child who has bacterial meningitis, what actions should the
nurse take first – ANSWER- initiate antibiotic therapy for the child
a nurse is assessing a toddler who has infective endocarditis, what findings should
the nurse expect – ANSWER- new heart murmur
a nurse is suctioning the tracheostomy of a child, what assessment findings
indicates effectiveness of the procedure – ANSWER- clear breath sounds
a nurse is assessing a child who has acute renal failure, what clinical
manifestations are expected – ANSWER- edema
a nurse is developing a plan of care for a 4yr old who has hemophilia and is
experiencing acute hemarthrosis, what interventions should the nurse include in the
plan – ANSWER- place ice packs on the affected joints
a nurse is providing discharge teaching to the parent of a school-age child who has
an infection of the throat caused by group A beta hemolytic streptococci, what
instructions should the nurse give to the parent – ANSWER- continue to administer
the prescribed antibiotic for 10d
give your child acetaminophen or children ibuprophen for fever
a nurse is providing teaching to the parent of a child who has a new prescription
for methylphenidate, what instruction should the nurse include – ANSWERadminister the second dose of the medication at lunch time
a nurse working on an outpatient surgical unit is providing discharge teaching to
the parent of a preschooler following placement of tympanoplasty tubes. the parent
asks, what should i do if the tubes fall out. what should the nurse instruct –
ANSWER- notify the provider that the tubes have fallen out
a nurse in the emergency department is caring for a preschooler who has
epiglottitis , what action should the nurse take – ANSWER- initiate droplet
precautions for the child