lOMoAR cPSD|19500986
2023 ATI PEDIATRIC CMS PROCTORED EXAM VERSION B
- A nurse is planning care for a newly admitted schole-age child who has generalized seizure
disorder. Which of the following interventions should the nurse plan to include?
Ensure the oxygen source isfunctioning in the childs room - 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?
“You should offer your child high-protein meals and snacksthroughout the day.” - A nurse is providing discharge teaching to the parents of a 6-month-old infant who is
postoperative following hypospadiasrepair with a stent placement. Which of the following
instructions should the nurse include in the teaching?
“Allow the stent to drain into your infants diaper.” - A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking
prednisone. Following 1 week of treatment, which of the following manifestations indicatesto
the nurse that the medication is effective?
Decreased edema - A nurse is receiving change-of-shift report for four children. Which of the following children
should the nurse assess first?
A toddler who has a concussion and an episode of forceful vomiting. - A nurse is providing discharge teaching to the guardians of a toddler who had lower leg cast
applied 24 hr ago. The nurse should instruct the guardians to report which of the following
finding to the provider?
Restricted ability to move the toes. - A nurse in an emergency department is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of the following?
Wheezes - A nurse is caring for a preschooler who has congestive heart failure. The nurse observes wide
QRS complexes and peaked T waves on the cardiac monitor. Which of the following prescriptions
should the nurse clarify with the provider?
Potassium Chloride - A nurse is planning an educational program forschool-age children and their parents about
bicycle safety. Which of the following information should the nurse plan to include?
The child should be able to stand on the balls of their feet when sitting on the bike. - A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse
should secure the sensor to which of the following areas on the infant?
Great Toe
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- A nurse is an emergency department is caring for a school-age child who has epiglottitis. Which
of the following actions should the nurse take?
Monitor the childs oxygen saturation - A nurse in an emergency department is caring for a school-age child who hassustained a minor
superficial burn from fireworks on their forearm. Which of the following actions should the
nurse take?
Apply an antimicrobial ointment to the affected area. - A nurse in a providers office is caring for a school-age child who has varicella. The parents asks
the nurse when their child will no longer be contagious. Which of the following responses should
the nurse make?
“When your childslesions are crusted, usually 6 days after they appear.” - A nurse is providing discharge teaching to the parent of a school-age child who has moderate
persistant asthma. Which of the following instructions should the nurse include?
“Pulmonary function tests will be performed every 12 to 24 months to evaluate how your child
is responding to therapy.” - A nurse is admitting an infant who hasintussusception. Which of the following findings should
the nurse expect? (Select all that apply.)
-Vomiting
-Lethargy - A nurse is reviewing the laboratory results of a school-age child who is 1 week postoperative
following an open fracture repair. Which of the following findings should the nurse identify as an
indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr - 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?
“Apply a thin layer of antibiotic ointment on the your babys suture line daily for the next 3 days.” - A nurse is discussion 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?
Explore the parents feelings and wishes regarding organ donation. - 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 the infants pain?
Allow the mother to breastfeed while the sample is being obtained.
lOMoAR cPSD|19500986
2023 ATI PEDIATRIC CMS PROCTORED EXAM VERSION A
- An 18 month old has a history of diarrhea for 3 days with poor oral intake. He received
intravenous fluids, has tolerated some oral fluids in the emergency room, and is being
discharged home. Instruction and education for these parents should include:
a. BRAT diet (bananas, applesauce, and toast) for 24 hours then soft diet as tolerated
b. Keep child on clear liquids and dry toast for 24 hours
c. Chicken broth for 24 hours
d. Offer a regular diet as child’s appetite warrants - A 6-month-old infant is seen in the well-child clinic for a complaint of vomiting and
failure to grow. His birth weight was 7 pounds, and he now weighs 8 pounds, 10
ounces. The infant’s mother reports that he is taking 4 to 7 ounces of formula every 4 to
5 hours, but he “spits up a lot after eating and then is hungry again.” The child is noted
to be alert but appears malnourished. The mother reports his stools are brown in color,
and he has 1 to 2 bowel movements every day. Based on these findings, the nurse
anticipates the infant has:
a. Meckel diverticulum
b. Hypertrophic pyloric stenosis (HPS)
c. Intussusception
d. Hirschsprung disease
3.Children with celiac disease must limit their intake of products containing gluten in
wheat,rye,oats and barley.Celiac disease puts the child at risk for which of the following
deficiencies? Select all that apply.
a. Iron deficiency anemia
b. Folic acid deficiency
c. Zinc deficiency
d. Vitamin A, D, E, and K deficiency
e. Vitamin B12 deficiency - A nurse caring for a 4-month-old infant with biliary atresia (BA) and significant
urticaria can anticipate administering:
a. Diphenhydramine
b. Ursodiol (ursodeoxycholic acid)
c. Loratadine
d. Ranitidine (Zantac)
5.Hepatitis A is transmitted by which of the following? Select all that apply.
a. CMV
b. Ingestion of contaminated food
c. Fecal-oral route
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d. Shaking hands with someone
e. Blood transfusion
- A formerly preterm infant who had surgery for necrotizing enterocolitis is now 6
months old and has short bowel syndrome. He is unable to absorb most nutrients taken
by mouth and is totally dependent on parenteral nutrition (PN), which he receives via a
central venous catheter. The clinic nurse following this infant is aware that this infant
should be closely observed for the development of:
a. Gastroesophageal reflux (GER)
b. Chronic diarrhea
c. Cholestasis
d. Failure to thrive - A 7 year old boy is being discharged from having a tonsillectomy and adenoidectomy
and is being discharged home with his mother. Home care instructions should include
which of the following ? Select all that apply
a. observe the child for continuous swallowing
b. encourage the child to take sips of cool, clear liquids.
d. observe the child for restlessness or difficulty breathing
e. encourage the child to cough every 4 to 5 hours to prevent pneumonia
f. administer an analgesic such as acetaminophen for pain - which of the following teaching instructions below should th nurse include in the
teaching plan for a young mother whose baby is diagnosed with congenital
hypothyroidism, regarding Levothyroxine administration
a. crush the medication and place it in a full bottle of formula to disguise the taste
b. administer the medication every other day
c. use an oral dispenser syringe or nipple to give the crushed medication mixed with
small amount of formula
d. Administer medication at the same time everyday
e. Medication is affected by soy based formulas,fiber and iron preparations, hence the
need to inform provider is switched
9.The nurse is caring for a 5 year old with congenital heart anomaly causing chronic
cyanosis.When performing the history and physical examination, what is the nurse
LEAST likely to assess?
a. Obesity from overeating.
b. Clubbing of the nail beds.
c. Squatting during play activities.
d. Exercise intolerance - Which of the following factors contributes to infants and children’s INCREASED risk
for upper airway obstruction as compared to adults.