ATI PROCTORED PEDS

1. A nurse is assessing a client who has diabetes mellitus and reports foot pain. The

nurse should evaluate the client for which of the following alterations as indications

that the client has an infection? (Select all that apply).

- An increase in neutrophils

- Localized edema

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2. A nurse is caring for a 2-year-old child who has seizures and is receiving phenytoin

in suspension form. Which of the following actions should the nurse take before

administering each dose?

- Shake the container vigorously.

3. A nurse is caring for a 1-month-old infant who weighs 3540 g and is prescribed a

dose of cephazolin 50mg/kg IV bolus TID. How many mg should the nurse

administer per dose?

- The nurse should administer 175mg per dose

4. A nurse is instructing a group of clients regarding calcium rich food. Which of the

following should the nurse include in the teaching as the best source of calcium?

- 1 cup milk

5. A nurse is caring for an 8-month-old infant who screams when the parent leaves

the room. The parent begins to cry and says “ I don’t understand why my child is so

upset. I’ve never seen my child act this way around others before.” Which of the

following statements should the nurse make?

- “This is a normal, expected reaction for a child of this age.”

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6. A nurse is caring for a 4-year-old child who is resistant to taking medication. Which

of the following strategies should the nurse use to elicit the child’s cooperation?

- Offer the child a choice of taking it with juice or water.

7. A nurse in the ER is caring for a client who has extensive partial and full-thickness

burns of the head, neck, and chest. While planning the client’s care, the nurse

should identify which of the following risks as the priority for assessment and

intervention?

- Airway obstruction

8. A client tells the nurse that he is concerned because his provider told him he has a

heart murmur. The nurse should explain to the client that a murmur

- Indicated turbulent blood flow through a valve.

9. A nurse is administering nasal decongestant drops for a client. Which of the

following actions should the nurse take?

- Tell the client to blow her nose gently before the instillation.

10. A nurse is caring for an 8-year-old who has acute rheumatic fever. Which of the

following assessments is the nurse’s priority immediately after admission?

- Auscultating the rate and characteristics of the child’s heart sounds.

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11. A nurse is caring for a client who has hemophilia A and hemarthrosis of the left

knee. Which of the following actions should the nurse take?

- Obtain a stool specimen

12. A nurse is assessing a client who has infective endocarditis. Which of the following

findings should be the priority for the nurse to report to the provider?

- Dyspnea.

13. A nurse is caring for a client who is well-hydrated and who demonstrates no

evidence of anemia. Which of the following lab values gives the nurse an

assessment of the adequacy of the client’s protein uptake and synthesis?

- Albumin

14. A nurse is preforming a pre-college assessment on an adolescent. Which of the

following immunizations should the nurse anticipate administering?

- Meningococcal polysaccharide vaccine

15. A nurse is assessing a client who has left-sided heart failure. Which of the following

findings should the nurse expect?

- Dependent edema

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