ATI PEDIATRIC FINAL WEEK EXAM
The nurse is caring for a 2-month-old infant at a family clinic. On assessment, the
nurse places an object on the infant’s palm. Which of the following responses by
the infant should the nurse expect?
A: Infant will firmly grasp the object.
B: Infant will turn his head toward the side of the object.
C: Infant will spread his fingers to form a C-shape
D: Infant will grasp the object & transfer from hand to hand.
(ANS- A: Infant will firmly grasp the object.
The nurse is providing anticipatory guidance to the parents of the pre-school child.
Which of the following statements would be best for the nurse to include?
A: “Imaginary play in pre-school aged children should be limited in order to
enhance concept of reality”
B: “When describing the concept of time utilize the hands on the face of the clock
for appropriate time-telling”
C: “Preschool aged children should begin swimming lessons in order to prevent
common injury”
D: “Preschool aged children should be encouraged to sleep with parents if night
terrors are present”
(ANS- C: “Preschool aged children should begin swimming lessons in order to
prevent common injury”
The nurse in the Pediatric Care Clinic is performing a physical assessment on an
adolescent child. The nurse should expect which of the following health screenings
to be most appropriate to perform?
A: Denver Development Screening Test
B: New Ballard Screening Test
C: Scoliosis Screening Test
D: Brigance Screening Test
(ANS- C: Scoliosis Screening Test
A mother of a school-age client who recently had surgery for the removal of tonsils
and adenoids complains that the child has begun sucking his thumb again. Which
coping mechanisms is the child using to cope with the surgery and hospitalization?
A: Repression
B: Rationalization
C: Regression
D: Fantasy
(ANS- C: Regression
A group of children on one hospital unit are all suffering separation anxiety. Which
child is experiencing the despair stage of separation anxiety?
A: Does not cry if parents return and leave again.
B: Screams and cries when parents leave.
C: Appears to be happy and content with staff.
D: Lies quietly in bed
(ANS- D: Lies quietly in bed
Which of the following assessments would the nurse further assess and notify the
provider?
A: A 3-month-old who is unable to roll from front to back
B: Anterior fontanel closure by 3 months of age.
C: A negative Babinski reflex in a 2 year old.
D: Vesicular sounds are heard over most of the lungs in a 6-month-old
(ANS- B: Anterior fontanel closure by 3 months of age.
Which of the following is an appropriate question when assessing a 3-year-old
child?
A: “Is it okay for me to look inside your ears”?
B: “Which hand should I look at first”?
C: “How would you describe your pain”?
D: “What time did your runny nose start”?
(ANS- B: “Which hand should I look at first”?
When performing a physical assessment on a toddler, the nurse should remember
to assess which body parts last?
A: Abdomen and chest
B: Legs and arms
C: Chest and ears
D: Ears and mouth
(ANS- D: Ears and mouth
When the nurse on the oncology floor was performing a physical assessment on a
14-year-old patient, she noted left eye swelling, ptosis, and uncoordinated
movements. After notifying the nurse practitioner of these findings, the nurse
suspects which of the following conditions is the most likely cause?
A: Rhabdomyosarcoma
B: Hodgkin’s Disease
C: Brain Tumor
D: Osteosarcoma
(ANS- A: Rhabdomyosarcoma
Which of the following are characteristic of severe dehydration in infants? (Select
all that apply)
A: Cap refill greater than 4 seconds.
B: Nonpalpable pulse
C: Oliguria
D: Sunken anterior fontanel
E: Delayed skin turgor with tenting on the abdomen
(ANSA: Cap refill greater than 4 seconds
C: Oliguria
D: Sunken anterior fontanel
E: Delayed skin turgor with tenting on the abdomen
A nurse is caring for a child who is having a tonic-clonic seizure and vomiting.
Which of the following actions is the nurse’s priority?
A: Place a pillow under the child’s head.
B: Position the child side-lying.