ATI

ATI PEDIATRICS PROCTORED EXAM

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ATI PEDIATRICS PROCTORED EXAM

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2

ATI PEDIATRICS PROCTORED EXAM

VERSION 1

1) Which is the rationale for why young children are more prone to otitis media

that the nurse should include in the teaching session with a parent?

1. The eustachian tube is shorter, wider, and horizontal in younger children.

2. The eustachian tube is shorter, more narrow, and horizontal in younger

children.

3. The eustachian tube is longer, wider, and vertical in younger children.

4. The eustachian tube is longer, more narrow, and vertical in younger

children.

2) Which neonate requires a close nursing assessment for the development of

retinopathy of prematurity (ROP)?

1. 28-weeks’-gestation infant who has been on long-term oxygen and weighed

1400 g

2. 32-weeks’-gestation infant of African heritage with a congenital heart defect

who

needed no oxygen and weighed 1850 g

3. 28-weeks’-gestation female infant who was on short-term oxygen,

weighed 1420 g, and was treated with phototherapy

4. 36-weeks’-gestation, small-for-gestational-age infant who was in an

oxyhood for 12 hours and weighed 1800 g

3) Which is the priority nursing assessment for a pediatric client who is

postoperative for tonsillectomy?

1. Arrhythmias

2. Dehydration

3. Increased blood sugar

4. Increased urinary output

4) A neonate is diagnosed with a herpes simplex viral infection of the eye.

Which medication should the nurse prepare to administer?

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1. Oral erythromycin

2. Fluoroquinolone eyedrops or ointment

3. Parenteral acyclovir (Zovirax) and vidarabine (VIRA-A) ophthalmic

ointment

4. Intravenous penicillin

5) A nurse is caring for a visually impaired 20-month-old client who has not

begun to walk. Which nursing diagnosis would be appropriate for this

child?

1. Self-care Deficit

2. Impaired Physical Mobility

3. Impaired Home Maintenance

4. Delayed Development

6) A nurse is caring for a visually impaired school-age child. Which is the

priority nursing intervention during the admission process to the hospital?

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1. Explaining playroom policies

2. Orienting the child to where furniture is placed in the room

3. Taking the child on a tour of the unit

4. Letting the child touch equipment that will be used during the child’s

hospitalization

7) Which should the nurse include in the discharge instructions for the

parents of an infant who is diagnosed with acute otitis media?

1. Keep the baby in a flat position during sleep.

2. Administer a decongestant.

3. Place the baby to sleep with a pacifier.

4. Administer acetaminophen (Tylenol) to relieve discomfort.

8) Which parental statements indicate correct understanding of the care that is

needed for a pediatric client after the insertion of tympanostomy tubes?

Select all that apply.

1. “It is important to limit my child’s diet after surgery and only allow soft,

bland foods.”

2. “I should restrict my child to quiet activities after surgery.”

3. “I should plan to administer a decongestant to my child for 1 to 2

weeksfollowing surgery.”

4. “It is important for my child to drink plenty of fluids after the procedure.”

5. “I will remind my child to use ear plugs prior to showering and swimming.”

9) Which nursing action is appropriate when providing care to a child with a

mild hearing loss who reads lips to enhance adaptation during hospitalization?

1. Touching the child lightly before speaking

2. Using a picture board as the main means of communication

3. Speaking in a loud voice while facing the child

4. Speaking directly to the parents for communication

10) Which is an appropriate nursing intervention for a child who experiences

epistaxis?

1. Laying the child down and applying a warm pack.

2. Tilting the child’s head back, squeezing the bridge of the nose, and

applying a warm moist pack to the nose.

3. Tilting the child’s head forward, squeezing the nares below the nasal bone,

and applying

ice to the nose.

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4. Immediately packing the nares with a cotton ball soaked with

phenylephrine (Neo- Synephrine).

11) Which parental statement indicates correct understanding of discharge

instructions for a pediatric client after a tonsillectomy?

1. “We will call the healthcare provider for any indication of ear pain.”

2. “We will be sure to give our child adequate amounts of citrus juices.”

3. “We will plan on administering acetaminophen (Tylenol) for pain.”

4. “We will keep our child on bed rest for 10 days after the surgery.”

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12) Which information should the nurse include in a teaching session regarding

treatment for the common cold in the pediatric population?

1. Aspirin should be taken for alleviation of fever if the common cold is

contracted.

2. Antibiotics will eliminate the nasopharyngitis virus.

3. Vaccinations can prevent contraction of a nasopharyngitis virus.

4. Proper hand washing can prevent the spread of the common cold.

13) Which assessment finding is considered normal for a school-age client?

1. Tonsils are large and seem to fill the throat.

2. Child is complaining of sore throat and drooling

3. White patches are observed on the tonsils.

4. Throat appears red, and child has a low-grade fever

14) Which topics should the nurse include in a teaching session to the parents of a

10-month-old infant who experiences frequent ear infections? Select all that

apply.

1. Prohibiting tobacco smoke in the home

2. Avoiding use of a pacifier while the child is sleeping

3. Breastfeeding the infant

4. Cleaning the child’s ears nightly with peroxide

5. Avoiding use of wood-burning stoves

15) Which is the reason for a healthcare provider to recommend that a preschoolage male client with a documented hearing loss should attend preschool at least

2 days per week?

1. Help the child recognize his hearing deficit.

2. Increase the child’s socialization skills.

3. Improve the child’s immunity by increased exposure to organisms.

4. Teach other children that children are different.

16) Which screening tool should the nurse use to screen a pediatric client for

esotropia?

1. Examine the eye with an otoscope.

2. Check for the “red reflex” in the eyes.

3. Perform the cover–uncover test.

4. Use a tonometer to evaluate the eyes.

17) Which is a priority nursing assessment the nurse includes in the plan of care 

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for a pediatric client who has received a cochlear implant?

1. Ringing in the ears

2. Pharyngitis

3. Hearing loss

4. Bacterial meningitis

18) Which nursing actions are appropriate when providing care to a 12-year-old

client who has lost several teeth as a result of a facial injury? Select all that

apply