ATI

ATI PN PEDIATRICS PROCTORED

EXAM

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ATI PN PEDIATRICS PROCTORED EXAM

2021

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2

ATI PN PEDIATRICS PROCTORED EXAM

VERSION 1

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?

a. Place the 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?

a. 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?

a. Place the 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 for the nurse to take?

a. Obtain the written consent from the client

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?

a. 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?

a. I will steam carrots and will cut them into small 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?

a. 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?

a. 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?

a. Oral opioid does should be larger than parenteral doses

10. A nurse is providing discharge to the parents of a school aged child following placement of

a ventriculoperitoneal shunt. The nurse should determine the teaching was effective when

the parents identify which of the following as an indicator that the shunt has been

displaced?

a. Elevated temperature

11. A nurse is reviewing laboratory results of a school aged child. Which of the following

findings to the nurse reports the provider?

a. Platelets 110,000

12. A nurse is planning care for a child immediately following the insertion of a chest tube for

continuous suction with a closed drainage system. Which of the following interventions

should the nurse include in the plan of care?

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Ensure continuous bubbling is present in the suction control chamber

A nurses caring for an infant who has heart failure and is receiving digoxin. Which of the

following findings indicates a positive response to the medication?

a. Urine output 2 mL/kg/hr

13. A nurse is assessing a six month old infant who has respiratory syncytial virus. The nurse

should immediately report which of the following findings to the provider?

a. Tachypnea

14. A nurse is reviewing the results of the newborn screening of a newborn who is one week

old. Results include total T4 0.8mcg/dl phenylalanine 0.7 and negative galactosemia.

Which of the following nursing include in the plan of care?

a. Instruct the newborns parent about how to administer levothyroxine

15. A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the

following actions should the nurse take first.

a. Initiate contact precautions

16. A nurse is caring for toddler who post operative following cleft palate repair. Which of the

following actions should the nurse take?

a. Administer opioids for mouth pain

17. A nurse is assessing a child who has measles. Which of the following areas should the nurse

inspect for koplik spots?

a. Inside the mouth

18. 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. Crying

b. Fever

c. Restlessness

19. A nurse is assessing a child who has measles which of the fallowing areas should the nurse

expect for kolpik spots?

A. The picture that shows inside of the mouth

20. A nurse in the emergency department is assessing an adolescent who reports inhalation of

gasoline. Which of the fallowing should the nurse expect?

a. Ataxia

21. A nurse caring for a 4 year old child who has moderate dehydration. Which of the fallowing

should the nurse expect?

a. Orthostatic hypertension

22. A nurse is planning to teach an adolescent who is lactose intolerant about dietary

guidelines. Which of the fallowing instructions should the nurse include in the teaching?

a. You can replace milk with non dairy source of calcium

23. A nurse is caring for a school age child who is in 90/90 skeletal traction. Which of the

fallowing actions should the nurse take?

a. Place the child on an alternating pressure mattress

24. A nurse is providing teaching to the parents of the child who is receiving radiation therapy.

Which of the fallowing instructions should the nurse include in the teaching? (select all that

apply)

a. Avoid giving your child lengthy baths

b. Encourage mild activity daily

c. Dress your child in loose fitting clothing

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25. A nurse is assessing a school age child who has type 1 diabetes mellitus. The nurse notes

that the child is diaphoretic. Which of the following actions should the nurse take?

a. Obtain blood glucose level

26. A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new

prescription for dornase alfa. Which of the following instructions should the nurse include

in the teaching?

a. Store the medication in the refrigerator

27. A nurse is caring for a child who is to receive first dose IV gentamycin which of the

following actions should the nurse take?

a. Maintain strict I/O

28. A nurse is preparing to administer immunizations to a 5 year old child who is up to date

with the current immunization schedule. Which of the following immunizations should the

nurse plan to administer?

a. Varicella

29. A nurse is providing teaching to the parents of an infant who is to under go pilocarpine

iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse

include in the teaching?

a. Test will measure the amount of chloride in the babys sweat

30. A nurse is caring for a child who is terminally ill. The parents tell the nurse that the child

will be fine because they know another child who survived the same illness. Which of the

following responses should the nurse make?

a. Tell me what you know about your childs illness

31. A nurse is providing teaching to the parents of a child who has impetigo. Which of the

following instructions should the nurse include in the teaching?

a. Apply bacterial ointment to lesions

32. A nurse is caring for a child who has bacterial meningitis, which of the following criteria

should indicates the nurse should remove the child from droplet precautions?

a. Antibiotics initiated 24 hour ago

33. A nurse is prioritizing care for four clients which of the following clients should the nurse

assess first?

a. An adolescent who has sickle cell anemia and slurred speech

34. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings

should the nurse expect?

a. Steatorrhea

35. A nurses in a family practice clinic is assessing a preschool aged child who recently

experienced the death of a sibling. Which of the following reactions is an age appropriate

response to death?

a. The child eels responsible to the childs death

36. A nurse in a providing office is assessing the vital signs of a 1 year old toddler which of the

following findings should the nursed report to the provider?

a. Respiratory rate 54

37. A nurse is preparing to assess a 4 year old child visual acuity. Which of the following

actions should the nurse prepare to take?

a. Test the child without glasses before testing with

38. A nurse is caring for a child who is 2 hours post-op. which of the following actions should

the nurse take first.

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39. A nurse is providing teaching to a parent of a child who has HIV. Which of the following

statement by the parent indicates an understanding of the teaching?

a. My child will need to repeat the childhood immunization once hes in remission

40. A nurse is caring for a preschool-age child who has a terminal illness. Which of the

following should the nurse…

a. Believes the condition is permanent

41. A nurse is planning care for a child who was experiencing sickle cell crisis. Which of the

following interventions should the nurse have in plan of care?

a. Administer meperidine as needed for pain

42. A nurse educating an adolescent following an application of an arm cast. Which of the

following statements by the client indicates an understanding of the teaching?

a. I should limit the use of my fingers of my broken arm

43. A nurse is providing teaching to a 2 month old infant about immunization schedules which

of the following statements from the parents indicate an understanding of the teaching?

a. My child needs to get the MMR immunization when she is 12 months old

44. A nurse in providing injury prevention to the parents of the toddler which of the following

safety measures should the nurse incorporate in the teaching.

a. Check clothing for loose buttons

45. Indicates that the infant is experiencing ICP?

a. Irritability

46. A nurse in a urgent care clinic is prioritizing care for 4 children which of the children

should the nurse asses first?

a. A toddler who has nephrotic syndrome and facial edema

47. a nurse in a emergency department is assessing a school age child who has asthma of the

following findings should the nurse prioritize?

a. Decrease breath sounds

48. A nurse is providing to a parent to an 11 month old infant who has acute diarrhea ad

dehydration what should the nurse instruct the parent to provide to the infant

a. Oral electrolyte solution

49. A nurse is preparing to administer an immunization to a 3 month old infant which of the

following is relives atraumatic care?

a. Provide a pacifier coated with oral sucrose solution prior to the injections

50. A nurse is admitting a school age who has osteomyelitis which of the following actions…..

a. Obtain a blood culture