ATI Peds Proctored Exam Question and Answers- Review Guide

ATI Peds Proctored Exam Question and Answers 2021/2022- Review Guide 1) A nurse is assisting 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 hr after the injury occurred?

• Volkmann ischemic contracture

2) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching?

• Avoid foods containing milk products

3) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care?

• Keep staff visits with the child brief

4) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect?

• Increase respiratory rate

5) A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first?An adolescent who has sickle cell anemia and slurred speech

5) A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse plan to include?

• Use a vest to perform high-frequency chest compressions

6) 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?

• Your child should walk the bicycle through intersections

7) A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?

• Lateral

8) A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

• RBC count 5/mm

9) A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse take?

• Report the diagnosis to the public health department - nationally notifiable disease
• Place the child in a protected environment for 48hr

10) A nurse in an emergency department is caring for a preschool age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect?Hyperpyrexia

10) A nurse is assessing a week-old infant. The nurse should identify which of the following manifestations can indicate neonatal abstinence syndrome?

• Lethargy

11 )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?

• Cover the insertion site with an opaque dressing

12) A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider?

• Bilateral cool extremities

13.) 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 can replace milk with non-dairy sources of calcium

14.) A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?My child will need to repeat the childhood immunization once he’s in remission

15.)A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following findings is the nurse’s priority?Sunken anterior fontanelle - dehydrated

• 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 ?

• Assist with intubation

17) 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 compress to the affected areas

18) A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching?

• Keep the child away from others until the skin is clever of scabs

19.) A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following actions should the nurse include in the plan of care?

• Maintain an Ng tube for decompression

20.) A nurse is teaching a parent of a 10month old infant about home safety. Which of the following instructions should the nurse include in the teaching?

• Place gates at the top and bottom of the stairs
• Ensure the crib mattress is in the lowest position

21) A nurse is communicating with a child who has hearing loss. Which of the following actions should the nurse take?use light touch when initiating conversation

22) A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the following interventions should the nurse include in his plan of care?Encourage the adolescent to perform incentive spirometry to maintain lung capacity.

23) A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the nurse include?

• Place cooling blanket on the toddler.

24.) A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precautions.Antibiotics initiated 24 hr ago

25.) A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure?Mummy

26) A nurse is reviewing the medical record of a 24 month old child who has acute lymphocytic leukemia. Which of the following actions should the nurse take?Initiate bleeding precautions

27.) A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to take?Place the child in Trendelenburg position when performing care.

28) A nurse is teaching an adolescent who has type1 diabetes mellitus. Which of the following finding is the nurse priority?

• pre-prandial blood glucose.124mg/dL.

29) A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following is the nurses priority?HbA1c 11.5%

30) A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care?

• Apply cold compresses to affected joints

31) A charge nurses 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

32) A nurse is teaching the guardian of a 5 year old child who has encopresis about management of the condition. Which of the following statements by the guardian indicates an understanding of the teaching?

• I will have my child try to defecate 15 minutes after each meal

33) A nurse is providing teaching to the parents of a child who has impetigo. Which of the following instructions should the nurse include in the teaching?

• Soak hair brushes in boiling water for 10 mins

33) A nurse is assisting an infant who has respiratory syncytial virus. For which of the following findings should the nurse intervene?

• Tachypnea

34) A nurse is performing a health assessment for a 6 month old infant. The nurse should begin the assessment by performing which of the following actions while the infant is quiet and sitting on the guardians lap?

• Obtaining the infant's health history from the guardian

35) A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first

• assist the client in completing his ADLs

36) A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following findings requires immediate intervention by the nurse?

• Axillary temperature 38 C (100 F)
• Frequent swallowing - indicates bleeding

37) A nurse in the emergency department is caring for a school age child who has developed respiratory stridor, wheezing, and urticarial after receiving an IV medication.Which of the following actions should the nurse take first?

• Administer oxygen

38) 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?

Diagram of heart: B?

39) A nurse is caring for a school aged child who is 1hr postoperative following a tonsillectomy. Which of the following actions should the nurse take first? ( SATA)

• Observe the child for frequent swallowing
• Discourage the child from coughing
• Administer an analgesic to the child on a scheduled basis

40) a nurse is teaching the guardian of an infant who has congestive heart failure about methods to preserve energy during bottle feeding.Which of the following statements by the guardian indicates a clear understanding of the teaching?

• I will feed my baby every 2 hours

41) A nurse in a family practice clinic is assessing a preschool age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death?

• The child is curious about what happened to the siblings body

• A nurse is planning to admit a preschooler from the PACU following 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 a fractured left femur.

43.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 pain.

• Administer the injections while the infant is breastfeeding.

• A nurse is caring for a 4-year old child who is postoperative following an appendectomy. Which of the following pain rating scales

should the nurse use to assess the child’s need for pain medication ?

• FACE

• A nurse is reviewing the medical record of a 15-month –old child who is scheduled to receive the measles, mumps, rubella (MMR)

vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

• Allergy to neomycin
• upper respiratory infection 2days ago.

• A nurse is caring for a child who received partial –thickness burn s to over 50% of his body 10 days ago and has splints over his

joints to prevent contractures. Which of the following action should the nurse take? ( SATA.).

• Administer analgesics IM .
• monitor intake and output
• change dressing using aseptic technique.

• 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?

• pneumococcal conjugate (PCV13)

• A nurse is assessing a client who has Hodgkin’s lymphoma .Which of the following findings should the nurse expect?
• night sweat.

• A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that the infant should receive the

first dose of which of the following immunizations at 12 months of age.

• Varicella.

• A nurse in a community clinic is reviewing the laboratory results of four clients. the nurse should identify which of the following

sexually transmitted infections is nationally notifiable?

• Gonorrhea

51.A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider ?

• An 18 –month –old toddler who has a heart rate of 68/min.
• An adolescent who has a BP of 132/82 mm/Hg.

• A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to

the provider.

• diplopia.

• A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take?
• initiate droplet isolation precaution.
• check oxygen saturation every 4 hr.

• A nurse is caring for an infant who has increased intracranial pressure (ICP). Which of the following should the nurse identify as

late finding of (ICP) ?

• Flexion posturing

• A nurse is assessing a 24- month –old toddler. Which of the following findings should the nurse report to the provider ?
• Has a vocabulary of 30 words.
• hold his breath when having a temper tantrum.

• A nurse is teaching about growth and development to a parent of a 12 year-old child. The nurse should instruct the parent to expect

the child to exhibit which of the following characteristics during early adolescence.

• mood swing.

• A nurse is evaluating a 4-year –old child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse

should identify which of the following findings as an indication that the therapy has been effective ?

• increase expectoration

• A nurse is providing teaching to the guardians of an infant requiring a pavlik harness. Which instructions should the nurse include?
• place the diaper under the straps of the harness.

59) A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates a clear understanding of the teaching?

• I should give my child water after giving the medication