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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 Pediatrics Proctored 2019 A Exam
Questions and Answers
- 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 - 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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- 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 - 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 - 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
- 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 - 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 - 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
- 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. - 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.
- 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. - 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.
- 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. - 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.
- 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 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 2019 C Exam Questions and Answers Verified
- 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. 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
- 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 - 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 - 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
- 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. - 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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- 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 - 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 - 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.