ATI RN LEADERSHIP PROCTORED EXAM
2019 COMPLETE QUESTIONS AND ANSWERS COMPLETE A+
GUIDE
1. A nurse is assessing a school-age child who has heart failure and is taking furosemide.
Which of the following findings should the nurse identify as an indication that the medication
is effective?
a. An increase in venous pressure
b. a decrease in peripheral edema
c. a decrease in cardiac output
d. an increase in potassium levels
Answer: b. a decrease in peripheral edema
2. 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. Increased appetite
b. enlarged subclavian lymph node
c. Crying
d. Restlessness
e. fever
Answer: c. Crying
d. Restlessness
e. fever
3. a nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
lontophoresis Testing for Cystic Fibrosis. Which of the following statements should the nurse
include in the teaching?
a. We will measure the amount of protein in your baby's urine over 24 hour period
b. The test will measure the amount of water in your baby’s sweat
c. a nurse will insert an IV prior to the test
d. your baby will need to fast for 8 hours prior to the test
Answer: b. The test will measure the amount of water in your baby’s sweat
4. A nurse in an urgent care clinic is prioritizing care for children. Which of the following
children should the nurse assess first?
a. A toddler who has nephrotic syndrome and facial edema
b. a preschool-age child who has a muffled voice and no spontaneous cough
c. a preschool-age child who has diabetes mellitus and a blood glucose of 200 mg/dL
d. an adolescent who has Crohn's disease and recent weight loss of 5kg mg (11 lb)
Answer: b. a preschool-age child who has a muffled voice and no spontaneous cough
5 .A nurse is providing teaching to the parents of a toddler who is to undergo a sweat chloride
test. Which of the following statements should the nurse include?
a. The purpose of the test is to determine if your child has Crohn's disease
b. the technician will use a device to produce an electrical current during the test
c. during the test, your child will be in a room that is cold
d. your child sweat will be collected over 24 hours
Answer: d. your child sweat will be collected over 24 hours
6. A nurse in the emergency department is caring for an adolescent who is requesting testing
for STI. Which of the following action is appropriate for the nurse to take?
a. Request verbal consent from the social worker
b. contact the client's parents to obtain phone consent
c. postpone the testing until the client's parents are present
d. obtain written consent from the client
Answer: d. obtain written consent from the client
7. A nurse in the emergency department is assessing the toddler who has hyperpyrexia severe
dyspnea and drooling which of the following actions should the nurse take first?
a. obtain a blood culture from the toddler
b. administering antibiotic to the toddler
c. insert an IV catheter for the toddler
d. prepare the toddler for nasotracheal intubation
Answer: d. prepare the toddler for nasotracheal intubation
8. A nurse is providing teaching to a 10 year old child with scheduled for an arterial cardiac
catheterization. Which of the following information should the nurse include in the teaching?
a. You will have your dressing removed 12 hours after the procedure
b. you will need to keep your legs straight for 8 hours following the procedure
c. you will be on a clear liquid diet for 24 hours following the procedure
d. you will be on bed rest for 2 days after the procedure 9.
Answer: b. you will need to keep your legs straight for 8 hours following the procedure
9. A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The
child is now ready to resume oral intake which of the following dietary choices should the
nurse offer the child?
a. sugar-free Cherry gelatin
b. vanilla ice cream
c. chocolate milk
d. lime flavored ice pop
Answer: d. lime flavored ice pop
10. A nurse is caring for a 10 month old child was brought to the emergency department by
his parents following a head injury. Which of the following actions should the nurse take
first?
a. Inspect for fluid leaking from the ears (thinking about CSF leakage severe trauma = urgent,
after respiratory status is confirmed)
b. assess respiratory status
c. check pupil reactions
d. examine the scalp for lacerations
Answer: b. assess respiratory status
11. A charge nurse is planning care for an infant who has failure to thrive. Which of the
following actions should the nurse include in the plan of care?
a. Assign consistent nursing Staff Care for the infant
b. Keep infant in a visually stimulating environment
c. use half-strength formula when feeding the infant
d. give the infant fruit juice between feedings
Answer: c. use half-strength formula when feeding the infant
12. A nurse is providing teaching about home care to the parent of a child who has scabies.
Which of the following instruction should the nurse include in the teaching?
a. Wash your clients hair with shampoo containing Ketoconazole
b. soak Combs and brushes in boiling water for 10 minutes
c. apply petroleum jelly to the affected areas
d. treat everyone who came into close contact with a child
Answer: b. soak Combs and brushes in boiling water for 10 minutes
13. A nurse is caring for a preschooler who refuses to take a start dose of oral
diphenhydramine. Which of the following statements should the nurse make?
a. The medication isn't bad it taste like candy
b. let me know when you want to take the medication
c. the medication will treat your hypersensitivity reaction ( too much “Adult” terminology/
jargon for preschooler to understand)
d. sometimes, when a child has to take medication, they feel sad.
Answer: a. The medication isn't bad it taste like candy
14. A nurse is teaching the parent of a school-age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
a. Your child should walk the bicycle through intersections
b. your child's feet should be three to six inches off the ground when Seated on the bicycle
c. you should try to keep the bicycle at least three feet from the curb while riding in the street
d. your child should ride the bicycle against the flow of traffic
Answer: a. Your child should walk the bicycle through intersections
15. A nurse is caring for a school-age child following the application of a cast to a Fractured
right tibia. Which of the following actions should the nurse take first?
a. Teach the child about cast care
b. Pad the edges of the cast
c. administer pain medication
d. Elevate the child's leg
Answer: d. Elevate the child's leg
16. A nurse is preparing a school-age child for an invasive procedure. Which of the following
actions should the nurse plan to take?
a. plan for 30 minute teaching session about the procedure
b. use vague language to describe the procedure
c. explain the procedure to the child when they are in the playroom
d. demonstrate deep breathing and Counting exercises 20.
Answer: a. plan for 30 minute teaching session about the procedure
17. A nurse is preparing to collect a urine specimen from a female infant using a urine
collection bag. Which of the following actions should the nurse take?
a. Apply lidocaine gel to the perineum before attaching the bag
b. Position the opening of the bag over the urethra and the anus
c. Stretch the perineum taught when applying the bag
d. Place a snuff fitting diaper over the drainage bag
Answer: c. Stretch the perineum taught when applying the bag
18. A nurse is planning care for a toddler who has developed oral ulcers in response to
chemotherapy. Which of the following actions should the nurse include in the plan of care?
a. Schedule routine Oral Care every 8 hours
b. Cleanse the gums with saline soaked gauze
c. more sending me closer with lemon glycerin swabs
d. administer oral viscous lidocaine
Answer: b. Cleanse the gums with saline soaked gauze
19. A nurse is providing discharge teaching to the parents of an infant who is at risk for
sudden infant death syndrome (SIDS). Which of the following statements by the parent
indicates an understanding of the teaching?
a. I will have my baby sleep next to me in the bed during the night
b. Elmo my baby stuffed animal to the corner of her crib while she sleeps
c. I will dress my baby in lightweight clothing to sleep
d. I will lay my baby on her side to sleep for her naps
Answer: c. I will dress my baby in lightweight clothing to sleep
20. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following
findings should indicate to the nurse that the medication is having a therapeutic effect?
a. Increased blood pressure
b. Limb withdrawal
c. relaxed facial expression
d. bradycardia
Answer: c. relaxed facial expression
21. A nurse is caring for a three-month-old infant who has cleft of the soft palate. Which of
the following actions should the nurse take?
a. discontinue feeding if the client's eyes become watery
b. postpone burping the infant until after completing each feeding
c. Elevate the infant’s head to a 10 degree angle during feedings
d. Feed the infant 177.4 ml (6 oz) of Formula 3 times a day
Answer: a. discontinue feeding if the client's eyes become watery
22. A nurse is preparing to administer an enteral feeding to an adolescent who has an NG
tube. Which of the following actions should the nurse take first?
a. Set the administration rate on the feeding pump
b. flush the tube with water
c. check the pH of the gastric secretion
d. attach the feeding bag tubing to the end of the NG Tube
Answer: d. attach the feeding bag tubing to the end of the NG Tube
23. A nurse is caring for an adolescent who is 1 hour post-operative following an
appendectomy. Which of the following findings should the nurse report to the provider?
a. Heart rate 63 / minute
b. muscle rigidity
c. temperature 36.4 Celsius (97.5 Fahrenheit)
d. abdominal pain
Answer: b. muscle rigidity
24. A nurse in a provider's office is preparing to administer immunization to a 12 year old
client during a well-child visit. Which of the following immunization should the nurse plan to
administer?
a. Diptheria, tetanus and pertussis (D-Tap)
b. human papillomavirus (HPV)
c. Varicella
d. hepatitis A
Answer: a. Diptheria, tetanus and pertussis (D-Tap)
25. Nurse is planning care for an 8 month old infant who has heart failure. Which of the
following actions should the nurse include in the plan of care?
a. Repeat digoxin dosage is the infant vomit within 1 hour of administration
b. Place infant in a prone position
c. administer cool, humidified oxygen via nasal cannula
d. provide less frequent, higher volume feeding
Answer: c. administer cool, humidified oxygen via nasal cannula
26. A nurse is planning care for a school-age child who is admitted from the emergency
department 12 hours ago. Which of the following interventions should the nurse include to
promote adequate sleep for the child?
a. Provide the child with video games prior to bedtime to reduce stress
b. allow the child to adjust their bedtime to promote autonomy
c. leave the lights on in the child's room to promote safety
d. follow the child home sleep routine to reduce anxiety
Answer: d. follow the child home sleep routine to reduce anxiety
27. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month old
infant. Which of the following actions should the nurse plan to take?
a. cover the insertion site with an opaque dressing
b. use a 24 gauge catheter to start the IV
c. start the IV on the infant’s foot
d. change the IV site every 3 days
Answer: b. use a 24 gauge catheter to start the IV
28. A nurse in a pediatric clinic is providing teaching to the guardian of an infant who has a
new prescription for digoxin. Which of the following manifestations should the nurse include
as an indication of digoxin toxicity?
a. Diaphoresis
b. Polyuria
c. Bradycardia
d. jaundice
Answer: c. Bradycardia
29. A nurse is preparing to administer amoxicillin 80 mg/kg/day divided into two doses daily
to a 2-year-old client who weighs 10 kg (22 lb). Available is amoxicillin suspension 400 mg/5
mL. how many mL of amoxicillin should the nurse administer per dose? (Round the answer
to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Answer:10ml
30. A nurse is reviewing the laboratory results of a child was recently admitted or suspected
rheumatic fever. The nurse should identify that which of the following laboratory tests can
contribute to confirm this diagnosis (select all that apply)
a. partial thromboplastin time (PTT)
b. erythrocyte sedimentation rate (ESR)
c. blood urea nitrogen (BUN)
d. C-reactive protein (CRP)
e. anti streptolysin O (ASO) titer
Answer: b. erythrocyte sedimentation rate (ESR)
31. A nurse is teaching a group of female adolescents about healthy eating. Which of the
following instructions should the nurse include in the teaching?
a. Increase the amount of your dietary iron intake
b. limit your sodium intake to 3000 mg per day
c. consumer 1,500 to 1700 calories per day
d. decrease your vitamin D intake once you start to menstruate
Answer: a. Increase the amount of your dietary iron intake
32. A nurse is caring for an infant who receives intermittent enteral feeding through a
gastrostomy tube. Which of the following actions should the nurse take when administering a
feeding? Select all that apply
a. offer the infant a pacifier during readings
b. formula to 39° C (102 degrees Fahrenheit ) prior to Administration
c. check the for residual volume by aspirating stomach contents
d. instill the formula over a period Of 30 and 45 minutes
Answer: a. offer the infant a pacifier during readings
c. check the for residual volume by aspirating stomach contents
33. A nurse is planning care for a child who has osteomyelitis. Which of the following
interventions should the nurse include in the plan of care?
a. Encourage frequent physical activity to increase bone mass
b. maintain patent intravenous catheter
c. initiate contact precaution for the child
d. provide a high calorie low protein diet
Answer: c. initiate contact precaution for the child
34. A nurse is providing teaching to the guardian of a school-age child who has sickle cell
disease about management of the illness.
Which of the following instructions should the nurse include?
a. Apply cold compress to painful areas
b. but I shall wear a surgical mask to school
c. encourage physical activity as tolerated
d. offer fluids of bedtime
Answer: c. encourage physical activity as tolerated
35. A nurse is assessing a 5 month old infant. Which of the following findings should the
nurse report to the provider?
a. Unable to hold a bottle
b. exhibits head lag when pulled a sitting position
c. absent grasp reflex
d. unable to roll from back to abdomen
Answer: d. unable to roll from back to abdomen
36. A nurse is caring for a five-year-old child following a tonsillectomy and adenoidectomy.
Which of the following findings should the nurse identify as an indication of hemorrhage?
a. Flushing of the face
b. continuous swallowing
c. blood pressure 99/ 56 mmhg
d. heart rate 54/ minutes
Answer: b. continuous swallowing
37. A nurse is discussing coping mechanisms with a parent of a three-month- old infant which
of the following therapeutic questions should the nurse ask the parent?
a. What do you do when your infant is fussy?
b. Are you willing to take new parenting classes?
c. Does parenting cause you stress?
d. Is it overwhelming when your infant is having a bad day?
Answer: d. Is it overwhelming when your infant is having a bad day?
38. A nurse is providing teaching about the effects of sun exposure to a parent of a toddler.
which of the following responses by the parent indicates an understanding of the teaching?
a. my child should wear a wide-brimmed hat
b. my child should remain under a beach umbrella during morning hours
c. I should apply 10 SPF sunscreen to my child's entire body
d. I should dress my child in loose active clothing
Answer: d. I should dress my child in loose active clothing
39. A nurse is evaluating a 6 year old child who has cystic fibrosis and has been receiving
chest physiotherapy treatment. The nurse should identify which of the following findings as
an indication of the therapy has been effective?
a. Increased urine output
b. increase expectoration
c. reduced pain
d. increased heart rate
Answer: b. increase expectoration
40. A nurse is planning care for a six-month-old infant who has bacterial meningitis. Which of
the following interventions should the nurse include in the plan of care?
a. Place the infant in a semi-private room
b. keep the television on in the room to provide background noise
c. Pad the side rails of the crib
d. provide for you can range of motion to the neck and shoulders
Answer: a. Place the infant in a semi-private room
41. A nurse is assessing an infant who has severe dehydration due to gastroenteritis which of
the following findings should the nurse expect?
a. Increased respiratory rate
b. capillary refill of 2 seconds
c. Hypertension
d. increased urine output
Answer: a. Increased respiratory rate
42. A nurse is assessing an infant who has intussusception. Which of the following findings
should the nurse expect?
a. sausage-shaped abdominal Mass
b. board like abdomen
c. Constipation
d. increased urinary output
Answer: a. sausage-shaped abdominal Mass
43. A nurse is caring for a 14 year old adolescent who has a cast on the right arm and swelling
of their right hand. The nurse elevates The Adolescents affected extremity. The nurse should
identify that which of the following findings is an indication that the intervention has been
effective?
a. The Adolescent reports of the cast feels tight
b. The Adolescents hands feel cool to touch
c. the Adolescent is able to move their fingers freely
d. the Adolescent reports feeling tingling in their arms
Answer: c. the Adolescent is able to move their fingers freely
44. A nurse in a provider's office is assessing the vital signs of a two- year-old child at a wellchild visit. Which of the following findings should the nurse report to the provider?
a. Respiratory rate 26 / min
b. pulse rate 98 / minutes
c. temperature 37.2 Celsius (99 Fahrenheit)
d. blood pressure 118 / 74 mmhg
Answer: d. blood pressure 118 / 74 mmhg
45. A nurse is preparing to administer a prescribed medication to a toddler whose parent is
nearby. Which of the following actions should the nurse take to identify the toddler?
a. check the toddler's room number against their ID band
b. check the toddler's ID band against the medical record
c. ask the parent to confirm the toddler's identity
d. ask another nurse to confirm to toddlers identity
Answer: b. check the toddler's ID band against the medical record
46. A nurse is teaching home care to the parents of a preschool- age child who has heart
failure. Which of the following information should the nurse include in the teaching?
a. Weight the child once each month month
b. withhold digoxin of the child's pulse is greater than 100 / minutes
c. provide for periods of rest
d. increase the child's oxygen flow rate until the child no longer has cyanosis
Answer: c. provide for periods of rest
47. A nurse in the PACU is caring for a school-age child immediately following a
tonsillectomy. Which of the following actions should the nurse take?
a. Place the child in a side-lying position
b. offer the child ice cream when alert
c. instruct a child to drink fluids through a straw
d. encourage the child to deep breat he and cough
Answer: a. Place the child in a side-lying position
48. A nurse is reviewing the medical record of a 15 month old child who is scheduled to
receive measles, mumps, rubella1. Which of the following findings Should the nurse identify
as a contradiction for receiving the vaccine?
a. Allergy to neomycin
b. upper respiratory infection 2 days ago
c. temperature of 37.2 (99 Fahrenheit)
d. family history of seizures
Answer: a. Allergy to neomycin
49. A nurse is assessing a school-age child cranial nerve function. Which of the following
actions should the nurse ask the child to take when assessing the accessory nerve?
a. Move their tongue in all directions
b. follow a light in the six cardinal position
c. shrug their shoulders against mild pressure
d. show their teeth while smiling
Answer: c. shrug their shoulders against mild pressure
50. A nurse is performing a cranial nerve assessment on a school- age child. Which of the
following findings indicates proper function of the child trigeminal nerve?
a. The child montanes balance when standing with eyes closed
b. the child correctly identify specific scent
c. the child has asymmetrical jaw strength when Biting Down
d. the child exhibits a gag reflex when stimulated with a tongue blade
Answer: c. the child has asymmetrical jaw strength when Biting Down
51. A nurse is providing support to a family whose infant died from sudden infant death
syndrome (Sid's) which of the following actions should the nurse take?
a. Discourage the parents from allowing siblings to view the body
b. avoid discussing details of the attempt to revive the infant
c. provide a follow-up phone call one week following the infant's death
d. acknowledge the family members feelings of guilt
Answer: d. acknowledge the family members feelings of guilt
52. A nurse is caring for an infant who has rotavirus. Which of the following findings
indicates that the infant is moderately dehydrated?
a. capillary refill 1 seconds
b. weight loss 7% lower
c. Respiratory rate 28/ minute
d. bradycardia
Answer: b. weight loss 7% lower
53. A nurse is providing teaching to the guardian of a school-age child who has seizure
disorder. Which of the following factors should the nurse include as a common trigger that
increases the risk of seizure?
a. Prolonged headache
b. decrease temperature
c. lack of sleep
d. exposure to second-hand smoke
Answer: a. Prolonged headache
54. A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and
notes the clients potassium level is 3.2 meq L which of the following assessment findings
should the nurse expect?
a. Hypertension
b. Hyporeflexia
c. hyperactive bowel sounds
d. Oliguria
Answer: b. Hyporeflexia
55. A nurse is planning care for an adolescent who has sickle cell anemia. Which of the
following immunizations should the nurse include in the plan?
a. Respiratory sync functional virus (RSV to call)
b. Rotavirus
c. measles, mumps, and rubella (MMR)
d. pneumococcal conjugate (pcv13)
Answer: d. pneumococcal conjugate (pcv13)
56. A nurse is planning care for a child who has varicella. Which of the following
interventions should the nurse plan to include?
a. Initiate Airborne precaution
b. assess the oral cavity for koplik spots
c. administer aspirin for fever
d. provide the child with a warm blanket
Answer: a. Initiate Airborne precaution
57. A nurse is planning care for a school-age child who has a new diagnosis of Legg calve
perthes disease. Which of the following interventions should the nurse include in the plan of
care?
a. instruct a child to perform weight bearing exercises
b. explain to the child that the disease will last 3 to 6 months
c. encourage the guardian to keep their child home from school for one month
d. administer ibuprofen to the child for discomfort
Answer: d. administer ibuprofen to the child for discomfort
58. A nurse is caring for a two-year-old child who has cystic fibrosis and is being discharged
from the hospital. The nurse should ensure that which of the following pieces of equipment is
available for the child's home?
a. steam vaporizer
b. suction machine
c, continuous positive airway pressure machine
d. high frequency chest compression vest
Answer: d. high frequency chest compression vest
59. A nurse is providing teaching for the parent of a child who has measles. Which of the
following information should the nurse include?
a. Bathe the child using tepid water
b. remove loose crust from the lesions
c. give the child aspirin for a fever
d. withhold live vaccines for 3 months
Answer: a. Bathe the child using tepid water
60. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings
should the nurse expect?
a. Steatorrhea
b. Rhinorrhea
c. weight gain
d. visible peristalsis
Answer: a. Steatorrhea
61. A nurse is planning to administer diphenhydramine 1.25 mg/kg IV to a school-age child
who weighs 55 lb. Available is diphenhydramine 50 mg / ml. How many ml should the nurse
administer. Round the answer to the nearest tenth. Use leading zero that applies. Do not use a
trailing zero.
Answer: 0.6 mL
