ATI PEDIATRIC CMS EXAM Review
(Latest 2023/ 2024) | 150+ Questions and
Verified Answers| 100% Correct
Q: A child with sickle cell anemia is being discharged after treatment for a
crisis. Which instructions for avoiding future crises would the nurse provide to the child and
family? Select all that apply.
Answer:
Report a sore throat to an adult immediately.
Drink plenty of fluids.
Wash hands before meals and after playing.
Q: A nurse is preparing to administer intravenous methylprednisolone sodi- um succinate to a
child who weighs 44 lb. The order is for 0.03 mg/kg intra- venously daily. How many milligrams
would the nurse prepare? Record your answer using one decimal place.
Answer:
0.6 mg.
Q: A nurse is caring for an 8 year old postoperative tonsillectomy client. When performing a
postoperative assessment, which signs and symptoms of bleeding would be monitored for by the
nurse? Select all that apply.
Answer:
Blood red vomitus.
Frequent swallowing.
Frequent clearing of the throat.
Q: A 6 year old who reports fever, malaise, and anorexia is diagnosed with varicella
(chickenpox). The nurse explains to the parents how skin lesions will develop. Place the
following descriptions in the order that they will occur as the disease progresses. All options
must be used.
Answer:
1st. Itchy red macules on the face, scalp, and trunk progress to papule.
2nd. Papule develop into clear vesicles on an erythematous base.
3rd. Vesicles become cloudy and break easily.
4th. Scabs form.
5th. As initial lesions progress through stages, new lesions form on the trunk and extremities.
Q: The school nurse is assessing the chest of a first-grade child and n pectus excavatum. Which
graphic depicts this abnormality?
Answer:
a) 1
Q: A 10 year old child visits the health care provider’s office for an annual sports examination.
When a nurse asks how he is doing, he becomes quiet and states that his grandmother died last
week. Which statements by the child show that he understands the concept of death? Select all
that apply.
Answer:
“My grandmother is an angel watching over me.”
“I am mad that she is gone.”
“My grandmother’s death has been hard to understand.”
“My grandmother died because she was sick and nothing could make her better.”
Q: The nurse is caring for an 11 year old client experiencing status epilepticus. When providing
and delegating immediate nursing care, which nursing ac- tions would be completed? Select all
the apply.
Answer:
Pad side rails with cushions/pil- lows.
Administer oxygen via nasal cannula.
Instruct the nursing assistant to obtain the crash cart.
Q: A child with sickle cell anemia is being treated for sickle cell crisis. The physician orders
morphine sulfate 2 mg intravenously. The concentration of the vial is 10 mg/1 ml of solution.
How many milliliters of solution would the nurse administer? Record your answer using one
decimal place.
Answer:
0.2 ml.
Q: The pediatric cardiac nurse is assessing the heart sounds of a 3 ye child with a mitral valve
regurgitation. Which graphic shows the area w the nurse would assess the site of the
insufficiency?
Answer:
b) 1
Q: An 11 year old girl comes into the health care provider’s office dysuria. The nurse suspects a
urinary tract infection. Which findi laboratory report is consistent with a urinary tract infection?
Answer:
WB high-power field.
Q: A 10-year-old child is admitted to the hospital with a temperature of 104°F (40°C) and is
difficult to arouse. The child has a history of varicella 2 weeks ago. Reye’s syndrome is
suspected. Which objective data are supportive of the diagnosis? Select all that apply.
Answer:
Coma.
Disorientation.
An abnormal liver biopsy. Vomiting.
Q: The nurse is instructing a parent of a school age client on nutrition. The client is currently
receiving vincristine for treatment of acute lymphocytic leukemia. Which instruction is included
in the plan of care? Select all that apply.
Answer:
Suggest nutrient dense supplements if appetite is poor.
Have the client select between three acceptable food options. Offer nutrient dense snacks
between meals and at bedtime.
Q: A nurse is caring for an adolescent who was admitted to the hospital’s
medical unit after attempting suicide by ingesting acetaminophen. Which interventions would the
nurse incorporate into the client’s care plan? Select all that apply.
Answer:
Ask the client’s parents if they keep firearms in their home.
Inventory all personal items upon arrival to the unit.
Inspect the client’s mouth after giving oral medications.
Ask the client if he/she is currently having suicidal thoughts. Assist the client with bathing and
grooming as needed.
Q: A nurse is teaching a 16 year old female client with inflammatory bowel disease about
corticosteroid treatment. Which adverse effects are likely to be concerns for this client? Select all
that apply.
Answer:
Mood swings.
Adrenal suppression. Hirsutism. Osteoporosis.
Acne.
Q: The nurse is caring for a 15 year old client with myelogenous leukemia whose platelet count
is 26,000/mcl. Which nursing interventions would be included in the plan of care? Select all that
apply.
Answer:
Instruct the client not to use razor for shaving.
Assess the client for pain in the joints.
Q: A nurse is caring for a 17 year old female client with cystic fibrosis who has been admitted
to the hospital for administration of intravenous antibiotics and respiratory treatment for
exacerbation of a lung infection. The client states,
“I have a number of questions about my future and the consequences of
this disease.” Which statements about the course of cystic fibrosis are true? Select all that apply.
Answer:
The client is at risk for developing diabetes.
Breast development is commonly delayed. Normal sexual relationships can be expected.
Q: A 17 year old client confides in the school nurse that he/she is interested in
understanding safe sex practices. In instructing the client on how to correctly use a condom,
which information would be stressed? Select all that apply.