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ATI Pediatrics Proctored Review
- what vaccine do kids need to get before entering into a college dormitory?: meningococcal polysaccharide vaccination because of the high risk
- creep on hands and knees: 9 months
- begin to stand while holding onto furniture: 10 months
- begin vocalizing vowel sounds: 7 months
- say at least one word: 10 months
- crude pincer grasp: 9 months
- use of dominant hand is evident: 9 months
- preschool age views of death: -thinks of death as sleep
-thinks thoughts can cause death
-thinks death is a punishment - toddler physical assessment: -minimize physical contact with child initially
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- 4 years old distractions during assessment: -use plastic stethescope
-puzzles are too hard
-cannot read by themselves yet
-mobile is too young for a 4 y/o - 3 years old distractions during assessment: -cutting figures out of paper
- 2 years old distractions during assessment: -building blocks
- if the child has increased blood lead levels, the parents should make sure
of…: parents should make sure the child has adequate calcium and iron intake
because they promote excretion of the lead and decreased absorption of the lead - MMR and Varicella administration: – should be administered either at the
same time or 1 month apart - 12 month old infant nutrition requirements: -SHOULD be introduced to
same food the family is eating
-SHOULD be having dry cereal and chilled banana slices for snacks
-SHOULD have 4 ounces of juice per day
-should NOT have 2 quarts of skim milk each day
-SHOULD have 24-30 ounces per day of WHOLE milk. Skim milk should be
introduced AFTER 2 years old.
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ATI Pediatrics Proctored 2023 Exam
Questions and Answers
- A nurse is completing an admission assessment on an adolescent child
who is a vegetarian. He eats milk products but does not like beans. Which
of the following items should the nurse suggest the client order for lunch to
provide nutrients most likely to be lacking in his diet ANS Peanut Butter and
JellySandwich - A nurse is preforming a pre-college assessment on an adolescent. Which
of the following immunizations should the nurse anticipate administering?-
: Meningococcal polysaccharide vaccine - A nurse is assessing a client who has left-sided heart failure.Which of the
following findings should the nurse expect ANS Nocturia at night - A nurse is caring for a client who has active TB and is to be started on
IV rifampin therapy.The nurse should instruct the client that this medication
can cause which of the following adverse effects ANS Body sections turning a
redorange color
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- A nurse is caring for a 6-week-old infant who as a pyloric stenosis.Which
of the following manifestations should the nurse expect ANS Projectile
vomiting - A nurse receives a call from a parent of a child who has von Willebrand
disease and has having a nosebleed. Which of the following instructions
should the nurse give to the parents ANS “Have your child sit with her head
tiltedforward and hold pressure on her nose for 10 minutes.” - A nurse is assessing a child who is in sickle cell crisis.Which of the
following findings should the nurse expect ANS Pain - A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client who is scheduled for surgery in the morning.
Which of the following actions should the nurse include in the demonstration ANS Place her hands on the sides of her rib cage - A nurse is assessing a 3-year-old child who has aortic stenosis.Which of
the following findings should the nurse expect? (select all that apply).: -Hypotension
-Weak pulses
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-Murmur
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ATI PEDS PROCTORED 2019 EXAM
Questions and Answers
- A nurse is providing teaching to the parents of a school aged child who has
ADHD. Which of the following instructions should the nurse include ANS
Placethe childs daily activities on an organizational chart - A nurse is caring for a child who has sickle cell anemia. Which of the
following findings is
a priority for the nurse to report to the provider ANS Facial twitching - A nurse in the PACU is caring for a school aged child immediately after a
tonsillectomy. Which of the following actions should the nurse take ANS
Placethe child in a side lying position - A nurse in the ER is caring for an adolescent who was requesting testing
for STIs.Which
of the following actions is appropriate forthe nurse to take ANS Obtain the
writtenconsent from the client
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- A nurse is providing teaching about medication administration to the
parents of the toddler who has a new prescription for liquid ferrous sulfate.
Which of the following instructions should the nurse include ANS Dilute the
drops of water prior to administration - 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 indicates
an understanding of the teaching ANS I will steam carrots and will cut them intosmall pieces for her - a nurse is caring for a child who s 2 days post-op following an appendectomy due to the
rupture of the appendix the childs NG tube is set to low intermittent suction.
Which of the following indicates that the childs GI function has returned ANS .The nurse auscultates bowel sounds - A nurse is providing teaching to the parent of an infant who has a diaper
rash.Which of
the following statements by the parents indicate an understanding of the
teaching ANS I will use superabsorbent disposable diapers - a nurse is administering an opioid to an adolescent who is in a sickle
cell crisis.Which statement is true regarding opioid pain management ANS
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Oralopioid does should be larger than parenteral doses
- A nurse is providing discharge to the parents of a school aged child
following placement
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ATI Pediatrics Proctored 2019 Retake Exam
Questions and Answers(Verified Answers by Expert)
- A nurse is assisting a child who has multiple closed fractures of the lower
extremities due to a motor-vehicle crash.The nurse should monitor the child
for which of the following complications during the first 24 hr after the injury
occurred ANS compartment syndrome - A nurse is teaching the parent of a toddler who has phenylketonuria about
meal planning. Which of the following information should the nurse include
in the teaching ANS avoid foods containing milk products - A nurse at an inpatient facility is planning care for a child who has autism
spectrum disorder. Which of the following interventions should the nurse
include in the plan of care ANS keep staff visits with child brief - A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect ANS
increase respiratory rate
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- A nurse is planning care for a child who has cystic fibrosis.Which of the
following interventions should the nurse plan to include ANS your child
shouldwalk the bicycle through intersections - A nurse is preparing a child for a lumbar puncture. In which of the following
positions should the child be placed for the procedure ANS lateral - A nurse is reviewing the complete blood count results for a child who is
receiving treatment for acute lymphoblastic leukemia.Which of the following
findings should indicate to the nurse that the treatment is having a therapeutic effect ANS rbc count 5/mm - A nurse is caring for a school age child who has pertussis. Which of the
following actions should the nurse take ANS report the diagnosis to the
public health department - A nurse is assessing a week old infant.The nurse should identify which of
the following manifestations can indicate neonatal abstinence syndrome
ANS -excessive sucking
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ATI Pediatric practice ExamQuestions and
Answers 2023 (Verified Answers by Expert)
- a nurse is assessing a 12 month old infant during a well child visit. which
of the following findings should the nurse report to the provider
a. closed anterior fontanel
b. eruption of six teeth
c. birth weight doubled
d. birth length increased by 50% ANS C - a nurse is performing a developmental screening on a 10 month old infant.
which of the following fine motor skills should the nurse expect the infant to
perform? (select all that apply)
a. grasp a rattle by the handle
b. try building a 2 block tower
c. use a crude pincer grasp
d. place objects into a container
e. walk with one hand held
ANS AC
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B (@ 12months)
D (@ 11 months)
E (@ 12 months)
- a nurse is conducting a well-baby visit with a 4 month old infant. which of
the following immunizations should the nurse plan to adminiter to the infant
(select all that apply)
a. MMR
b. polio (IPV)
c. pneumococcal vaccine (PCV)
d. varicella
e. rotavirus (RV) ANS B C E
A (1st MMR is given between 12-15 months)
D (given at minimum 12 months) - a nurse is providing education about introducing new foods to the parents
of a 4 month old infant. the nurse should recommend that the parents
introduce which of the following foods first
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a. strained yellow vegetables
b. iron fortified cereals
c. pureed fruits
d. whole milk ANS B
A (6 months)
C (6 months)
D (12 months)
- a nurse is providing teaching about dental care and teething to the parent
of a 9 month old infant. which of the following statements by the parents
indicate an understanding of the teaching?
a. I can give my baby a warm teething ring to relieve discomfort
b. I should clean my baby’s teeth with a cool, wet wash cloth
c. I can give Advil for up to 5 days while my baby is teething
d. I should place a diluted juice in the bottle my baby drink while falling
asleep ANS b - a nurse is assessing a 2.5 year old toddler at a well child visit. which of the
following findings should the nurse report to the provider
a. height increased by 7.5 (3″) in the past year
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ATI Pediatrics Proctored 2023 Retake Exam
Questions and Answers(Verified Answers by Expert)
- A nurse is assessing a school-age child who has heart failure and is taking
furosemide. Which of the following findings should the nurse identify as an
indication that the medication is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels ANS b. a decrease in peripheral edema - .
A nurse is assessing an infant who has acute otitis media.Which of the
following findings should the nurse expect (select all that apply)
a. increased appetite
b. enlarged subclavian lymph node
c. crying
d. restlessness
e. fever ANS c, d, e
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crying
restlessness
fever
- a nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine lontophoresis testing for Cystic Fibrosis.Which of the following
statements should the nurse include in the teaching?
a.We will measure the amount of protein in your baby’s urine over 24 hour
period
b.The test will measure the amount of water in your baby’s sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test ANS b. The
test willmeasure the amount of water in your baby’s sweat - A nurse in an urgent care clinic is prioritizing care for children.Which of
the following children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of
200 mg/dL
d. an adolescent who has Crohn’s disease and recent weight loss of 5kg (11
lb) ANS b. a preschool-age child who has a muffled voice and no spontaneous
cough
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- A nurse in the emergency department is caring for an adolescent who is
requesting testing for STI. Which of the following action is appropriate for
the nurse to take?
a. Request verbal consent from the social worker
b. contact the client’s parents to obtain phone consent
c. postpone the testing until the client’s parents are present
d. obtain written consent from the client ANS d. obtain written consent from the
client - A nurse in the emergency department is assessing the toddler who has
hyperpyrexia severe dyspnea and drooling which of the following actions
should the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation ANS d. prepare the
toddler fornasotracheal intubation - A nurse is providing teaching to a 10 year old child with scheduled for an
arterial cardiac catheterization. Which of the following information should
the nurse include in the teaching?
a.You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the
procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure ANS b. you will
need tokeep your legs straight for 8 hours following the procedure
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ATI Pediatrics Proctored Study Guide
Questions and Answers (Verified Answers by Expert)
- a nurse on a pediatric acute care unit is assisting with an education
program on working with families for a group of newly hired nurses. which
of the following should the nurse recommend to include when discussing
the developmental theory ANS developmental theories define consistencies in
howfamilies change - a nurse is assisting a group of parents of adolescents to develop skills
that will improve communication within the family. the nurse identifies the
use of an Authoritative Style of parenting when she hears a parent make
which of the following statements: My son understands that a part of learning
responsibility is helping with household chores - a nurse is collecting data about a family. which of the following should the
nurse include ANS medical history
parent’s education level
support systems
stressors - authoritarian: the child is never allowed to watch tv on school nights
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- permissive: the child assists with deciding whether he will watch tv
- authoritative: the child can watch tv for 1 hour on school nights after completing
all of his homework and chores - posterior fontanel closes: 6-8 weeks
- anterior fontanel closes: 12-18 months
- rooting reflex
palmar grasp
plantar grasp (8 months)
moro reflex
babinski reflex (1 yr): birth to 3-4 months - a nurse is preparing to examine a preschool age child. which of the
following actions should the nurse take to prepare the child ANS allow the
childto role play using miniature equipment - a nurse is checking the vital signs of a 3 year old child during a well
child visit. which of the following findings should the nurse report to the
provider ANS respirations of 30/min
(should be 20-25) - respirations chart: 6hr to 12 months = 20 to 60/min
1 yr to 2 yr = 25 to 30/min
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ATI Pediatrics Proctored 2019 Exam Questions and
Answers(Verified Answers by Expert)
- (ADHD) A nurse is providing teaching to the parents of a school aged
child who has ADHD.Which of the following instructions should the nurse
include ANS Place the childs daily activities on an organizational chart - (Sickle cell) A nurse is caring for a child who has sickle cell anemia.Which
of the following findings is
a priority for the nurse to report to the provider ANS Facial twitching - (Tonsillectomy) A nurse in the PACU is caring for a school aged child
immediately after a tonsillectomy. Which of the following actions should the
nurse take ANS Place the child in a side lying position - (STIs) A nurse in the ER is caring for an adolescent who was requesting
testing for STIs. Which
of the following actions is appropriate forthe nurse to take ANS Obtain the
writtenconsent from the client - (Ferrous sulfate) A nurse is providing teaching about medication ad-
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ministration to the parents of the toddler who has a new prescription for
liquid ferrous sulfate.Which of the following instructions should the nurse
include ANS Dilute the drops of water prior to administration
- (Phenylketonuria) 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 indicates
an understanding of the teaching ANS I will steam carrots and will cut them
into small pieces for her - (Appendectomy) a nurse is caring for a child who s 2 days post-op following an appendectomy due to the
rupture of the appendix the childs NG tube is set to low intermittent suction.
Which of the following indicates that the childs GI function has returned
ANS .The nurse auscultates bowel sounds - (Diaper rash) A nurse is providing teaching to the parent of an infant who
has a diaper rash.Which of
the following statements by the parents indicate an understanding of the
teaching ANS I will use superabsorbent disposable diapers - (Sickle cell crisis) a nurse is administering an opioid to an adolescent
who is in a sickle cell crisis.Which statement is true regarding opioid pain
management ANS Oral opioid does should be larger than parenteral doses
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- (Shunt displaced) A nurse is providing discharge to the parents of a
school aged child following placement