2023-2024 ATI Pediatrics Proctored Exam with Answers (139 Solved Questions)

ATI PEDS NURSING CARE OF CHILDREN PROCTORED EXAM 2023/2024 NEXT GEN FORMAT NGN VERIFIED AND ACCURATE WITH DETAILED ANSWERS FOR GUARANTEED PASS A nurse reviews the laboratory result of a preschooler who has gastroenteritis and notes the client’s potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect? • • • • Hypertension Oliguria Hyporeflexia Hyperactive bowel sounds. B. Oliguria A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterizationprocedure. Which of the following findings should the nurse report to the provider? • • • • Bilateral extremities Weak pedal pulse distal to the site Serum glucose 90 mg/dl Blood pressure 102/58 mm Hg. B. Weak pedal pulse distal to the site A school nurse is assessing a 7 year old student. The nurse should identify which of the following findings is a potential indicator of physical abuse? • • • • Abrasions on the knees Front deciduous teeth missing Weight in 45th percentile Bruising around the wrists D. Bruising around the wrists A nurse is teaching the parents of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? • Your child should walk the bicycle through intersections • Your child should keep the bicycle at least 3 feet from the curb while riding in the street. • Your child should ride the bicycle against the flow of traffic • Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle. • Your child should walk the bicycle through intersections A charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse? • • • • A toddler repeatedly refuses to let a nurse auscultate his lungs A toddler has bruises on his knees. An 8-month-old infant cries when his parent levels the room. A mother is hesitant to comfort her 6-month-old infant. D. A mother is hesitant to comfort her 6-month-old infant. A nurse is teaching the guardian of 5- years old child who has encopresis (fecal incontinence) about managing the condition. Which of the following statements by the guardian indicates an understanding of the teaching? • • • • I will limit my child’s fluid intakes I will increase my child’s diary intakes I will have my child try to defecate 15 minutes after each meal I will have my child sit on the toilet for 20 minutes at a time. C. I will have my child try to defecate 15 minutes after each meal A nurse is preparing to initiate IV antibiotics therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take? • • • • Cover the insertion site with an opaque dressing. Use a 24-gauge catheter to start the IV. Start the IV in the infant’s foot. Change the IV site every 3 days. B. Use a 24-gauge catheter to start the IV. A nurse is caring for a postoperative client following placement of a halo vest to manage acervical vertebral fracture. Which of the following actions should the nurse take? • • • • Tighten the screws on the halo device one quarter turn every 48 hr Reposition the client using a turning sheet Assess the pin sites for infection once every other day. (suppose to be everyday) Encourage flexion and extension of the neck. B. Reposition the client using a turning sheet A nurse is planning care for an adolescent following repair of the Meckel diverticulum. Which of the following actions should the nurse include in the plan of care? • Teach the client about ostomy care • Indicate long-term antibiotic therapy. • Administer total parenteral nutrition. • Maintain an NG tube for decompression. D. Maintain an NG tube for decompression. A nurse is caring for a school-age child who has pertussis. Which of the following actionsshould the nurse take? • • • • Restrict oral fluids to 500 mL per day. Administer the pertussis vaccine. Report the diagnosis to the public health department. (CDC) Place the child in a protected environment for 48 hr. C. Report the diagnosis to the public health department. (CDC) A nurse in the emergency department cares for a school-age child who has developed respiratory stridor, wheezing, and urticaria after receiving an IV medication. Which of the following actions should the nurse take first? • • • • Administer oxygen. Administer epinephrine Administer methylprednisolone. Administer a nebulizer bronchodilator. B. Administer epinephrine A nurse is teaching a group of female adolescents about healthy eating. Which of thefollowing instructions should the nurse include in the teaching? • Increase the amount of your dietary iron intake • limit your sodium intake to 3000 mg per day • consumer 1,500 to 1700 calories per day • decrease your vitamin D intake once you start to menstruate Increase the amount of your dietary iron intake A nurse is assessing a child who has multiple Closed fractures of the lower extremities due to a motor vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hours after the injury occurred? • • • • Compartment syndrome Osteomyelitis Renal calculi Volkmann ischemic contracture. • Compartment syndrome A nurse in an emergency department is caring for a preschool-age child who has acuteacetylsalicylic acid poisoning. Which of the following should the nurse expect? • • • • Neck vein distention Jaundice Polyuria Hyperpyrexia D. Hyperpyrexia A nurse is assessing a toddler who has a history of lead poisoning. Which of the followingactions should the nurse take? • • • • Inspect the skin for discoloration Initiate a low diet for lead absorption Obtain a stool specimen for lead levels Perform development testing for delays D. Perform development testing for delays A nurse teaches about growth and development to a parent of a 12- years old child. The nurse should instruct the parent to expect the child to exhibit the following characteristics during early adolescence? • • • • Emotional separation from parents Decelerating growth rate. Mood swings Increased self-esteem. C. Mood swings A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching? • • • • I should limit the use of the fingers of my broken arm I will sprinkle the baby powder into the cast if my arm itches I will elevate my broken arm on pillows at night. I should expect my fingers to be swollen for several days. C. I will elevate my broken arm on pillows at night. A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? • You should consume flavored yogurt instead of plain yogurt • You can replace milk with nondairy sources of calcium • You might tolerate plain milk better than chocolate milk • You can drink milk on an empty stomach. B. You can replace milk with nondairy sources of calcium A nurse is admitting a child who has acute epiglottitis. Which of the following actions shouldthe nurse take? • • • • Obtain a throat culture Check oxygen saturation every 4 hr. Initiate droplet isolation precautions. Assist the child in a supine position. C. Initiate droplet isolation precautions. A nurse is planning to administer immunizations to a 2-month-old infant. Which of the following actions should the nurse take to decrease the infant’s pain? • • • • Ask the parent to leave the room during the injections. Administer the injections in the deltoid muscle. Apply a warm pack to the injection site before administration. Administer the injections while the infant is breastfeeding. D. Administer the injections while the infant is breastfeeding. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which ofthe following findings should the nurse expect? • • • • Hypertension. Increased urine output Increased respiratory rate Capillary refill of 2 seconds C. Increased respiratory rate A nurse at an inpatient facility is planning care for a child with an autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? • • • • Place the child in a semi-private room. Vary daily routes when providing care for the child Keep staff with the child brief Keep the television on in the child’s room for background noise. C. Keep staff with the child brief A nurse evaluates a 4-years child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse should identify which of the following findings is an indication that the therapy has been effective? • • • • Increased urine output Reduced pain Increased expectoration Increased heart rate. C. Increased expectoration A nurse is preparing to administer immunization to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? • Provide a pacifier coated with an oral sucrose solution prior to the injections. • Inject the immunizations into the deltoid muscle • Apply an eutectic mixture of local anesthetics (EMLA) cream immediately before theinjections. – no, 60 minutes beforehand • Use a 20-gauge needle for the injections. – no, use a 22-25gauge needle, 1/2″-1″ longProvide a pacifier coated with an oral sucrose solution prior to the injections. A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority action for the nurse to take? • • • • Obtain ABG samples Assist with intubation Apply warming blankets Administer an IV bolus. B. Assist with intubation A nurse in an emergency department is assessing an adolescent who reports inhalation ofgasoline. Which of the following findings should the nurse expect? • • • • Hypothermia Hyperactive reflexes Ataxia – impaired balance or coordination Pinpoint pupils. C. Ataxia – impaired balance or coordination A nurse provides teaching to the parents of a child who has varicella about the management of the disease. Which of the following instructions should the nurse include in the teaching? • • • • Avoid bathing the child while vesicles are present. Keep the child away from others until the skin is clear of scabs Dress the child in warm clothing to promote the healing of vesicles. Apply calamine lotion to vesicles on the child’s skin. B. Keep the child away from others until the skin is clear of scabs A nurse reviews the medication records of a 15-month-old child who is scheduled to receivethe measles, mumps, and rubella (MMR) vaccines. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine? • • • • Temperature of 37.2 C (99 E) degrees Family history of seizures. Upper respiratory infection 2 days ago Allergy to neomycin D. Allergy to neomycin. A nurse is providing teaching to the parent of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? • • • • Administer acyclovir PO two times per day Soak hairbrushes in boiling water for 10 mins Apply bactericidal ointment to lesions. Seal soft toys in plastic bags for 14 days. C. Apply bactericidal ointment to lesions. A nurse is planning to admit a preschooler from the PACU following the removal of a Wilms tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler? • • • • A child who has cellulitis of the right radius. A child who has impetigo A child who has pneumonia A child who has a fractured left femur. D. A child who has a fractured left femur. A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? • • • • Apply warm compresses to the affected areas Administer furosemide IV twice per day Initiate contact precautions Decrease the child’s fluid intake. Apply warm compresses to the affected areas A nurse is creating a care plan for a toddler who is recovering following a routine surgicalprocedure. Which of the following interventions should the nurse include? • • • • Administer IV dantrolene sodium to the toddler. Encourage the toddler to use an incentive spirometer Place a cooling blanket on the toddler Administer aspirin to the toddler as needed for pain. – can cause Reye’s syndrome B. Encourage the toddler to use an incentive spirometer A nurse is caring for a preschooler who has a brain tumor. Which of the following findings isthe priority for the nurse to report to the provider? • • • • Nightmares Hyperactivity Pruritus Diplopia – double vision D. Diplopia – double vision A nurse is preparing to perform venipuncture to collect a blood sample from an infant. Whichof the following restraints should the nurse plan to use for this procedure? • • • • Elbow Jacket Mitten Mummy. D. Mummy. A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify that the defect is at which of the following locations of the heart? (you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) B A nurse collects data from a toddler who weighs 20 kg (44 Lb) and has a full thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider? • • • • Respiratory rate 25/min Bowel sodium 20/min Urinary output 35/hr. Increased restlessness D. Increased restlessness A nurse provides teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take the following actions during a seizure? • • • • Place the child in a prone position Insert a tongue blade between the teeth. Minimize movement of the limbs Clear the area of hard objects. D. Clear the area of hard objects. A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? • • • • Apply a warm compress to the affected areas Administer furosemide IV twice per day Initiate contact precautions Decrease the child’s fluid intake Apply a warm compress to the affected areas A nurse is planning care for an adolescent who has sickle cell anemia. Which of thefollowing immunizations should the nurse include in the plan? • • • • Respiratory syncytial virus (RSV) Pneumococcal conjugate (PCV) Measles, mumps, and rubella (MMR) Rotavirus B. Pneumococcal conjugate (PCV) A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider?