ATI Pediatrics Proctored Form A, B, C 2019 & 2019 Exam & 2019 Retake Exam Questions and Answers (Verified Answers by Expert)

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ATI Pediatrics Proctored 2019 A Exam
Questions and Answers

1. A nurse is creating a plan of care for a school-age child who has heart
   disease and has developed heart failure.Which of the following interventions
   should the nurse include in the plan?
   a. provide small, frequent meals for the child
   b. schedule time in the play room for the child
   c. weigh the child weekly
   d. maintain the child in a supine position ANS A
2. A nurse is teaching the parent of an infant who has Pavlik harness for the
   treatment of developmental dysplasia of the hip. The nurse should identify
   that which of the following statements by the parent indicates an understanding of the teaching?
   a. “I should remove the harness at night to allow my infant to stretch her
   legs.”
   b. “I will need to adjust the straps on the harness once a week.”
   c. “I should apply baby powder to my infant’s skin twice daily.”
   d. “I will place my infant’s diaper under the harness straps.” ANS D

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3. A nurse is planning care for a school-age child who is in the oliguric phase
   of acute kidney injury (AKI) and has a sodium level of 129 meq/L. Which of
   the following interventions should the nurse include in the plan?
   a. administer ibuprofen to the child for a temperature greater than 38 degrees
   C (100.4 degrees F)
   b. assess the child’s blood pressure every 8hr
   c. weigh the child weekly at a various times of the day
   d. initiate seizure precautions for the child ANS D
4. A nurse is assessing a school-age child immediately following a perforated
   appendix repair.Which of the following findings should the nurse expect?
   a. purulent nasogastric drainage
   b. absence of peristalsis
   c. passage of dark stool with mucus
   d.WBC count 6000mm^3 ANS B
5. A nurse is preparing an adolescent for a lumbar puncture. Which of the
   following actions should the nurse take?
   a. place a cardiac monitor on the adolescent prior to the procedure

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b. apply topical analgesic cream to the site 1hr prior to the procedure
c. keep the adolescent in a semi-fowler’s position for 4hrs following the
procedure
d. restrict fluids for 2hrs following procedure ANS B

6. A nurse is caring for a school-age child who is receiving cefazolin via
   intermittent IV bolus.The child suddenly develops diffuse flushing of the skin
   and angioedema. After discontinuing the medication infusion, which of the
   following medications should the nurse administer first?
   a. prednisone
   b. epinephrine
   c. diphenhydramine
   d. albuterol ANS B
7. A nurse is teaching the parent of a preschooler about ways to prevent
   acute asthma attacks.Which of the following statements by the parent indicates an understanding of the teaching?
   a. “I will use a humidifier in my child’s room at night.”
   b. “I will give my child a cough suppressant Q6hrs if he has a cough.”
   c. “I should avoid using a wet mop on my floors when I am cleaning.”
   d. “I house keep my child indoors when I mow the yard.” ANS D
8. A nurse is providing dietary teaching to the parent of a school-age child
   who has celiac disease. The nurse should recommend that the parent offer
   which of the following foods to the child?

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ATI Pediatrics Proctored 2019 B Exam
Questions and Answers

1. 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✔✔✔ A. 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
   pointto the face that depicts their current level of pain. The nurse can then
   determine the need for pain management.
2. 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.”

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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.”✔✔✔ B. The nurse should instruct parents toapply a waterproof sunscreen with a minimum SPF of 15 for children.
The parentsshould apply the sunscreen prior to sun exposure to reduce the risk of sunburn.

3. 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✔✔✔ D.
   The nurseshould refer an infant who is not making babbling sounds by the age of 7 monthsto a provider for a more extensive evaluation of hearing.
4. 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

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c. sunken anterior fontanel
d. capillary refill 2 seconds✔✔✔C.The nurse should recognize that a
sunken anteriorfontanel is an indication of moderate to severe dehydration due
to the acute loss of fluid.

5. A nurse is providing teaching to the family of a school-age child who has
   juvenile idiopathic arthrisis. Which of the following instructions should the
   nurse include in the teaching?
   a. “limit movement of the child’s large joints”
   b. “encourage the child to perform independent self-care.”
   c. “provide the child with a soft mattress for sleeping.”
   d. “schedule a 2 hour daily nap for the child in the afternoon.”✔✔✔B.
   The
   nurse should teach the family the importance of encouraging the child to perform
   independent self-care.This will minimize the child’s pain while maximizing mobility.
   Encouraging and praising the child’s efforts for independence will also increase
   their self-esteem.
6. A nurse is planning care for a school age child who has a tunneled central
   venous access device.Which of the following interventions should the nurse
   include in the plan?
   a. use sterile scissors to remove the dressing from the site
   b. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride solution

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when not in use
c. access the site suing a noncoring angle needle
d. use a semipermeable transparent depressing to cover the site✔✔✔ D.
The nurse should cover the site with a semipermeable transparent dressing to
reduce the riskof infection.

7. 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✔✔✔D.The nurse should include that
   expressing likesand dislikes is an expected behavior of toddlers. This is the time
   in life when a toddler is developing autonomy and self-concept.They will try to
   assert themselvesand frequently refuse to comply. The parent should allow the
   child to have some

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ATI PEDS PROCTORED 2019 EXAM
Questions and Answers

1. 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
2. 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
3. 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
4. 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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5. 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
6. 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
7. 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
8. 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
9. 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

10. 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)

1. 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
2. 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
3. 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
4. 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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5. 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
6. 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
7. 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
8. 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
9. 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 Pediatrics Proctored 2019 C Exam Questions and Answers Verified

1. A nurse is caring for a child during a tonic-clonic seizure. Which of the
   following actions
   should the nurse take? ( select all that apply)
   A. Clear the area of hard objects.
   B. Firmly hold the child’s arms to one side.
   C. Place a pillow under the child’s head.
   D. Insert a tongue blade into the child’s mouth
   E. Loosen tight clothing around the child’s neck ANS A. Clear the area of
   hardobjects.
   C. Place a pillow under the child’s head.
   E. Loosen tight clothing around the child’s neck
2. 2. A nurse is preparing to perform a venipuncture to collect a blood sample
   from an infant.
   Which of the following restraints should the nurse plan to use for this
   procedure?
   A. Elbow
   B. Mitten
   C. Jacket

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D. Mummy ANS D. Mummy

3. A nurse is teaching a parent of a preschool-age child about management
   of sleep terrors.
   Which of the following instructions should the nurse include?
   A. Take the child to the parent’s bed to resume sleep.
   B. Allow the child to fall asleep with the television on.
   C. Remain uninvolved until the child awakens
   D. Schedule professional counseling for the child ANS C. Remain uninvolved
   untilthe child awakens
4. A nurse is assessing a toddler who is 8 hr postoperative following a
   cardiac catheterization
   procedure. Which of the following findings should the nurse report to the
   provider?
   A. Weak pedal pulse distal to the site.
   B. Bilateral cool extremities
   C. Serum glucose 90 mg/DL
   D. Blood pressure 102/58 mm Hg ANS B. Bilateral cool extremities
5. A nurse is assessing a preschool-age child who is in the immediate
   postoperative period
   following a tonsillectomy.Which of the following assessment findings in the

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priority?
A. The child swallows frequently
B.The child refuses clear liquids
C.The child’s throat pain increases
D.The child cries often ANS A. The child swallows frequently

6. A nurse is planning care for an 8 month-old infant who has bronchitis.
   Which of the following
   actions the nurse include in the plan of care?
   A. Use a bulb syringe to suction the nares.
   B. Place the infant in a room with negative-pressure airflow.
   C. Administer a meningococcal vaccine upon admission
   D. Initiate IV antibiotic therapy ANS A. Use a bulb syringe to suction the nares.
7. A nurse is preparing a parent’s’ education class about nutrition for toddlers.The nurse
   should identify which of the following findings as an indication of protein
   deficiency?
   A. Dry, thinning hair
   B. Muscle twitching
   C. Dental caries
   D. Poor skin turgor ANS A. Dry, thinning hair

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8. A nurse is caring for a 10 month-old child who was brought to the ED by
   his parents following
   a head injury.Which of the following actions should the nurse take first?
   A. Examine the scalp for lacerations.
   B. Inspect for fluid leaking from the ears.
   C. Assess respiratory status
   D. Check pupil reactions ANS C. Assess respiratory status
9. A nurse is collecting data from a toddler who weighs 20 kg (44lb) and has
   a full-thickness
   burn to 10% of his body.Which of the following findings should the nurse
   report to the provider?
   A. Bowel sounds 20/min
   B. Increased restlessness
   C. Resp. rate 25/min
   D. Urinary output 35 mL/hr ANS D. Urinary output 35 mL/hr
10. A nurse is an ED is caring for a preschool-age child who has acute
    acetylsalicylic acid
    poisoning. Which of the following should the nurse expect.