ATI Pediatrics Proctored Exam Study
Guide/ Peds 1
A nurse is providing education about dietary modifications to the parents of a
school-age child who has glomerulonephritis. Which of the following information
should the nurse include in the teaching?
(ANS- Decrease the child’s sodium intake.
A nurse is providing teaching to the parents of a school-age child newly diagnosed
with a seizure disorder. The nurse should teach the parents to take which of the
following actions during a seizure?
(ANS- Clear the area of hard objects
A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the
following findings is the nurse’s priority?
(ANS- HbA1c 11.5%
A nurse is providing anticipatory guidance to a parent of a 1-month-old infant. The
nurse should include that it is recommended to start the series of which of the
following immunization first?
(ANS- Inactive poliovirus
A nurse is reviewing the laboratory report of a toddler who has hemolytic uremic
syndrome. Which of the following findings should the nurse expect?
(ANS- BUN 28 mg/dL
A nurse is caring for a school-age-child who is experiencing a sickle cell crisis.
Which of the following action should the nurse take?
(ANS- Apply warm compresses to the affected areas.
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The
nurse should immediately report which of the following findings to the provider?
(ANS- Pharyngitis
A nurse is planning to teach an adolescent who is lactose intolerant about dietary
guidelines. Which of the following instructions should the nurse include in the
teaching?
(ANS- You can replace milk with nondairy sources of calcium.
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg
(26.5lb) and is postoperative following open-heart surgery. Which of the following
findings should the nurse report to the provider?
(ANS- Urine output of 15 ml in the last 2 hr – 1 mL/kg/hour
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 cut them into small pieces for her.
A nurse is providing teaching to the parents of a preschool-age child who has
celiac disease. Which of the following instructions should the nurse include?
(ANS- Your child will be on a gluten-free diet for the rest of her life.
A nurse is administering albuterol by metered dose inhaler for a preschool-age
child who is experiencing an asthma exacerbation. Which of the following findings
should the nurse report to the provider?
(ANS- Intercostal retractions
A nurse is caring for a school-age child who is 1hr postoperative following a
tonsillectomy. Which of the following actions should the nurse take? (Select all
that apply.)
(ANS- Administer an analgesic to the child on a scheduled basis, Observe the child
for frequent swallowing, Discourage the child form coughing
A nurse is caring for a school-age child who has heart failure. Which of the
following findings should the nurse expect? (Select all that apply)
(ANS- Tachycardia, Dyspnea, and cyanosis
A nurse in an emergency department is assessing a toddler who has a head injury.
Which of the following findings should the nurse report to the provider?
(ANS- Vomiting
A nurse is caring for a toddler who is in the terminal stage of neuroblastoma. The
parents ask, “How can we help our child now?” Which of the following responses
by the nurse is appropriate?
(ANS- Stay close to your child.
A nurse is preparing to administer cephalexin 25 mg/kg PO to a child who has
otitis media and weighs 22 kg (48.5lb). Available is cephalexin solution 250
mg/5mL. How many mL should the nurse administer? (Round to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)
(ANS- 11 mL
During a well-baby visit, the parent of a 2-week-old newborn tells the nurse, “My
baby always keeps her head tilted to the right side.” The nurse should further assess
which of the following areas?
(ANS- Sternocleidomastoid muscle
A nurse is caring for a single mother of a 6-month-old infant. During a well-baby
visit, the mother expresses feeling “inexperienced” in caring for the baby. The
nurse should recommend which of the following community resources?
(ANS- Parent Enhancement Center
A nurse is admitting an infant who has GERD. Which of the following is the
priority assessment finding?
(ANS- Wheezing
A nurse is caring for an infant who has severe dehydration. Which of the following
clinical findings should the nurse expect?
(ANS- Rapid respirations
A nurse is teaching a group of female adolescents about healthy eating. Which of
the following instructions should the nurse include in the teaching?
(ANS- “Increase the amount of your dietary iron intake”
A nurse is preparing to administer immunizations to a 3-month-old infant. Which
of the following is an appropriate action for the nurse to take to deliver atraumatic
care?
(ANS- Provide a pacifier coated with oral sucrose solution prior to the injections.
A nurse is caring for a child who has impetigo contagiosa that developed in the
hospital. Which of the following actions should the nurse take?
(ANS- Initiate contact isolation precautions.
A nurse is providing discharge teaching to the parents of a school-age child who
has cystic fibrosis. Which of the following responses by the parents indicates an
understanding of the teaching?
(ANS- “I will give my child pancreatic enzymes with snacks and meals.”
A nurse is caring for a 4-year-old child who has meningitis and is receiving
gentamicin. Which of the following laboratory values should the nurse report to the
provider?
(ANS- Creatinine 1.4 mg/dL
A nurse is providing teaching to the parents of a school-age child who has ADHD
and a new prescription for methylphenidate. The nurse should explain that this
medication will have which of the following therapeutic effects?
(ANS- Increasing focus
A nurse is teaching an adolescent how to manage his cystic fibrosis. Which of the
following statements y the adolescent indicates an understanding of the teaching.
(ANS- “I will increase my intake of vitamin D.”
A nurse in a provider’s office is caring for a preschool-age child who might have
acute epiglottitis. Which of the following actions should the nurse take?
(ANS- Provide humidified oxygen via nasal cannula.