ATI PEDIATRIC PROCTORED EXAM 2019 QUESTIONS AND CORRECT
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1. A nurse is preparing to initiate iv antibiotics for a newly admitted 12 month old infant. Which
of the following actions should the nurse plan to take?
Answer: use a 24 gauge catheter to start the iv
2. A nurse is planning care for an 8 month infant who has heart failure. Which of the following
actions should the nurse include in the plan of care?
Answer: Admin cool humidified O2 via nasal cannula
3. A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse
include in the teaching?
Answer: "The test will measure the amount of chloride in your baby's sweat"
4. A nurse is teaching a group of female adolescents about healthy eating. Which of the following
instructions should the nurse include in the teaching?
Answer: "Increase the amount of your dietary iron intake."
5. A nurse is preparing to administer a prescribe medication to a toddler who parents is nearby.
which of the following actions should the nurse take to identify the toddler?
Answer: Check the toddler ID band against the medical record
6. A nurse is planning care for a school aged child who was admitted to the emergency
department 2 hours ago. Which of the following interventions should the nurse include to
promote adequate sleep for the child?
Answer: Follow the child home sleep routine to reduce anxiety
7. The nurse is caring for a 5 year old child following a tonsillectomy and ..... which of the
following findings should the nurse identify as a sign of hemorrhage
Answer: continuous swallowing.
8. A nurse is discussing coping mechanisms for a parent of a 3- month old infant. Which of the
following therapeutic questions should the nurse ask the parent?
Answer: What do you do when your infant is fussy?
9. A nurse is preparing a school- age child for an invasive procedure. Which of the following
actions should the nurse plan to take?
Answer: Plan for a 30 min teaching about the procedure
10. A nurse in the emergency department is caring for a child who has a temp of 102.4 and a
suspected diagnosis of bacterial meningitis? Which of the following actions should the nurse take
FIRST?
Answer: Implement droplet precautions
11. 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?
Answer: Place a snug fit diaper over the drainage bag
12. A nurse is providing teaching to the guardian of a school age child who has sickle cell
disease. Management?
Answer: Wear surgical mask at school
13. A nurse is caring for a 12 year old child in a wheelchair. The child begins to experience a
tonic clonic seizure. Which of the following actions should the nurse take?
Answer: move the child on the floor
14. A nurse is assessing a child who has intussusception. Which of the following findings should
the nurse expect?
Answer: Sausage shaped abdominal mass
15. A nurse is caring for a school age child following a femoral venous cardiac catherization.
Which of the following actions should the nurse take?
Answer: keep extremities straight for at least 4 hours
16. A nurse is caring for a preschooler who is post-operative following a tonsillectomy. The child
is now ready to begin eating orally. Which of the following dietary choices should the nurse offer
the child
Answer: The nurse should offer a lime popsicle, as it is soothing and non-irritating. Avoid
sugar-free cherry gelatin or red-colored foods to prevent confusion with potential bleeding.
17. A nurse is assessing a 5 month old infant. Which of the following finding should the nurse
report to the provider?
Answer: instant head lag when in sitting position
18. 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 actions should the nurse include in the plan of
care as an indication of digoxin toxicity?
Answer: bradycardia
19. A nurse is admitting a child who is has acute epiglottitis. Which of the following actions
should the nurse take?
Answer: Initiate droplet isolation precautions
20. A nurse is planning care for a child who has osteomyelitis. Which of the following
intervention should the nurse include in the plan of care?
Answer: maintain a patent intravenous catheter
21. The nurse is reviewing the medical record of a school age child who has cystic fibrosis.
Which of the following findings should the nurse report to the provider?
Answer: The nurse should report a low oxygen saturation (O₂ sat) to the provider, as it indicates
potential respiratory compromise in a child with cystic fibrosis.
22. A nurse is providing discharge teaching to the parents of an infant for sudden infant death
syndrome ( SIDS). Which of the following statements by the parents indicates an understanding
of the teaching?
Answer: I will dress my baby in lightweight clothing to sleep
23. A nurse is teaching the guardian of a child who suspected to have cystic fibrosis and is
scheduled for a sweat chloride test. Which of the following statements should the nurse include
Answer: two separate test is taken to ensure accuracy of the results
24. A nurse is providing teaching to the guardian of a school-aged child who has a seizure
disorder. Which of the following factors should the nurse include as common trigger that
increases the risk of seizures?
Answer: Lack of sleep
25. A nurse in a provider's office is preparing to administer immunizations to a 12 year old client
during a well-child visit? Which of the following immunization should the nurse plan to
administer?
Answer: HPV
26. A nurse is reviewing the laboratory results of a child who was recently admitted for a
suspected rheumatic fever. The nurse should identify that which of the following laboratory test
can contribute to confirming this diagnoses. SATA
Answer: Elevated or rising antistreptolysin O (ASO) titer: Indicates a recent streptococcal
infection.
Elevated C-reactive protein (CRP): Reflects inflammation.
Elevated erythrocyte sedimentation rate (ESR): Indicates the presence of systemic inflammation.
27. A nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy.
Which of the following findings should the nurse report to the provider?
Answer: Muscle rigidity
28. A nurse is preparing to administer an enteral feeding to an adolescent who has NG tube.
Which of the following actions should the nurse take first?
Answer: Check the pH of the gastric secretions
29. A nurse is providing teaching to the parents of a 6 week old infant who has developmental
dysplasia of the hip and is wearing a pavlik harness. Which of the following statements by the
parents indicates an understanding of the teaching?
Answer: We will place a diaper under the straps
30. A nurse is assessing a school-aged child who has heart failure and is taking furosemide.
Indication that the medication is effective?
Answer: Increase in potassium level
31. A nurse is applying socks and restraints to a child who is acting aggressively towards staff.
Which of the following actions should the nurse take?
Answer: ensure restraints are in quick release knots
32. A nurse is providing teaching to a 10 year old child who is schedule for an arterial cardiac
catheterization. Which of the following should the nurse include in the teaching?
Answer: You will need to keep your leg straight for 8 hours
33. A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine.
Which of the following statements should the nurse make?
Answer: "Sometimes when a child has to take medications, they feel sad"
34. A nurse is caring for an infant who has rotavirus. Which of the following findings indicates
that the infant is moderately dehydrated
Answer: Weight loss 7%
35. A nurse in an urgent care clinic is prioritizing care for four children. Which of the following
child should the nurse assess first?
Answer: A preschool-aged child who has a muffled voice and a cough
36. A nurse is caring for an infant who received intermittent enteral feedings through a
gastronomy tube. Which of the following actions should the nurse take when administering a
feeding? (SATA)
Answer: • Check for residual volume by aspirating the stomach contents
• Instilled the formula over a period of 30-45 min
• Offer the infant a pacifier during feedings
37. A nurse in the emergency department is caring for an adolescent who is requesting testing for
STIs, which of the following actions is appropriate for the nurse to take.
Answer: Obtain written consent from the client
38. A nurse a caring for a school age child following an application of a cast to a fractured tibia
which of the following action should the nurse take first
Answer: Evaluate the child’s legs
39. A nurse is evaluating a four year old child who has cystic fibrosis and have been receiving
chest physiotherapy treatment. The nurse should identify which of the following findings as an
indication that the therapy has been effective
Answer: Increases exportation
40. A nurse is monitoring a school age child receiving opioid for pain. Which of the following
findings should indicate to the nurse that the medication is having a therapeutic effect?
Answer: Relaxed facial expressions-
41. A nurse a assessing a school age child who has twirl fusion and had a chest tube insertion 24
hours ago. Which of the following finding should the nurse intervene
Answer: bubbling in the suction control chamber
42. A nurse is caring for a 3 month old infant who has a cleft palate. Which of the following
actions should the nurse take
Answer: discontinue the feeding if the infant eyes become watery
43. A nurse is reviewing the lab results of a preschooler who has gastroenteritis and notes the
client's potassium level is 3.2. Which of the following assessment finding should the nurse
expect?
Answer: Hyporeflexia
44. 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?
Answer: Pneumococcal Conjugate
45. 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 indicate understanding of the teaching?
Answer: My child should wear a wide brimmed hat
46. A nurse in the emergency department is assessing a toddler who has hypopyrexia, severe
dyspnea, and is drooling. Which of the following actions should the nurse seek first?
Answer: Prepare the toddler for nasotracheal intubation
47. A nurse is planning care for a child who has varicella. Which of the following interventions
should the burse plan to take?
Answer: Initiate Airborne precautions
48. 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?
Answer: Provide for periods of rest
49. A nurse is reviewing the medical record of 15- month old child who is schedule to receive the
measles, mumps, and rubella vaccine. Which of the following should the nurse advice as
contraindication for receiving the vaccine.
Answer: Allergy to neomycin
50. A nurse is teaching the parent of a school- aged child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
Answer: Your child should walk the bicycle through intersections
51. A nurse in a provider's office is assessing the vital signs of a 2-year-old child at a well-child
visit. Which of the following findings should the nurse report to the provider?
Answer: BP 118/74 mm
52. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the
following findings should the nurse expect?
Answer: Increased respiratory rate
53. A nurse is providing teaching to the guardian of an infant. Which of the following statements
by the guardian indicates an understanding of the teaching?
Answer: I will remove my babies bib before they go to bed
54. 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?
Answer: Assign consistent nursing staff to care for the infant
55. A nurse is assessing an infant who has acute otitis media. Which of the following findings
should the nurse expect? (SATA)
Answer: • Crying
•Enlarged sub clavicular lymph nodes
• Fever
• Restlessness
56. A nurse is planning care for a 6-month-old infant who has bacterial meningitis. Which of the
following interventions should the nurse include in the plan of care?
Answer: Pad the side rails of the crib
57. A nurse is providing teaching about home care to the parent of a child who has AIDs. Which
of the following instructions should the nurse include in the teaching?
Answer: Soak combs and brushes in boiling water for 10 mins
58. A nurse is providing support of a family whose infant died from SIDs. Which of the
following actions should the nurse take?
Answer: Acknowledged the family members feelings of guilt
59. 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?
Answer: Cleanse the gum with saline soaked gauze/rinse mouth with solution of NS
60. A nurse in a pacu is caring for a school age child immediately following a tonsillectomy.
Which of the following actions should the nurse take?
Answer: Place the child in a side- lying position
61. 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?
Answer: Cleanse the gum with saline soaked gauze/rinse mouth with solution of NS
62. A nurse is caring for a 10-month-old child who was brought to the emergency department by
his parents following a head injury. Which of the following actions should the nurse take first?
Answer: Assess respiratory status- priority
63. A nurse is performing cranial nerve assessment on a school-aged child. Which of the
following findings indicate proper functioning of the child's trigeminal nerve?
Answer: The child has symmetrical jaw strength when biting down
64. A nurse is assessing a school-aged child cranial nerve function. Assessing the accessory
nerve?
Answer: Shrug their shoulders against mild pressure
65. Which location should the nurse place the thermometer to get an accurate oral temp reading?
Answer: Posterior sublingual pockets
66. One month old infant is having oral candidiasis and became infected. What instructions
should the nurse include?
Answer: Nystatin