2026: ? Complete coverage- ATI PN PEDS PROCTOREDATI
EXAM
PN PEDS PROCTORED EXAM.pdf -2026-2027
ATI PN PEDS PROCTORED EXAM QUESTIONS AND
ANSWERS-LATEST
1. A chest radiograph film is ordered for a child with suspected cardiac problems. The
child’sparent asks the nurse, “What will the radiograph show about the heart?”
What knowledge about the x-ray should the nurse include in the response to the
parents?
a. Bones of the chest but not the heart
b. Measurement of electrical potential generated from the heart muscle
c. A permanent record of heart size and configuration
d. Computerized image of heart vessels and tissues
ANS: C
A chest radiograph will provide information on the heart size and pulmonary blood-flow
patterns. It will provide a baseline for future comparisons. The heart will be visible, as
well asthe sternum and ribs. Electrocardiography (ECG) measures the electrical potential
generated by the heart muscle. Echocardiography will produce a computerized image of
the heart vesselsand tissues by using sound waves.
DIF: Cognitive Level: Understand REF:
p. 738TOP: Integrated Process:
Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
2. The nurse is assessing a child after cardiac catheterization. Which complication
should thenurse be assessing for?
a. Cardiac arrhythmia
b. Hypostatic pneumonia
c. Heart failure
d. Rapidly increasing blood pressure
ANS: A
Because a catheter is introduced into the heart, a risk exists of catheter-induced
dysrhythmiasoccurring during the procedure. These are usually transient. Hypostatic
pneumonia, heart failure, and rapidly increasing blood pressure are not risks usually
associated with cardiac catheterization.
DIF: Cognitive Level: Apply REF:
p. 739TOP: Integrated Process: Nursing Process:
Assessment
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
ATI PN PEDS PROCTORED EXAM ATI PN PEDS PROCTORED EXAM.pdf ? Verified answers with rationales for learning retention
,2026: ? Complete coverage- ATI PN PEDS PROCTOREDATI
EXAM
PN PEDS PROCTORED EXAM.pdf -2026-2027
3. José is a 4-year-old child scheduled for a cardiac catheterization. What should be
included inpreoperative teaching?
a. Directed at his parents because he is too young to understand
b. Detailed regarding the actual procedures so he will know what to expect
c. Done several days before the procedure so that he will be prepared
d. Adapted to his level of development so that he can understand
ANS: D
Preoperative teaching should always be directed at the child’s stage of development.
The caregivers also benefit from the same explanations. The parents may ask additional
questions,which should be answered, but the child needs to receive the information
based on developmental level. Preschoolers will not understand in-depth descriptions
and should be prepared close to the time of the cardiac catheterization.
DIF: Cognitive Level: Apply REF:
p. 739TOP: Integrated Process:
Teaching/Learning
MSC: Area of Client Needs: Health Promotion and Maintenance
4. Which explanation regarding cardiac catheterization is appropriate for a preschool child?
a. Postural drainage will be performed every 4 to 6 hours after the test.
b. It is necessary to be completely “asleep” during the test.
c. The test is short, usually taking less than 1 hour.
d. When the procedure is done, you will have to keep your leg straight for at
least 4hours.
ANS: D
The child’s leg will have to be maintained in a straight position for approximately 4
hours. Younger children can be held in the parent’s lap with the leg maintained in the
correct position. Postural drainage will not be performed unless the child has
corresponding pulmonary problems. The child should be sedated to lie still, but being
completely asleep isnot necessary. The test will vary in length of time from start to
finish.
DIF: Cognitive Level: Apply REF:
p. 739TOP: Integrated Process:
Teaching/Learning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. The nurse is caring for a school-age child who has had a cardiac catheterization. The
child tells the nurse that the bandage is “too wet.” The nurse finds the bandage and bed
soaked withblood. What is the priority nursing action?
ATI PN PEDS PROCTORED EXAM ATI PN PEDS PROCTORED EXAM.pdf ? Verified answers with rationales for learning retention
, 2026: ? Complete coverage- ATI PN PEDS PROCTOREDATI
EXAM
PN PEDS PROCTORED EXAM.pdf -2026-2027
a. Notify physician
b. Apply new bandage with more pressure
c. Place the child in Trendelenburg position
d. Apply direct pressure above the catheterization site
ANS: D
If bleeding occurs, direct continuous pressure is applied 2.5 cm (1 inch) above the
percutaneous skin site to localize pressure over the vessel puncture. Notifying a
physician andapplying a new bandage can be done after pressure is applied. The nurse
can have someone else notify the physician while the pressure is being maintained. It is
not a helpful interventionto place the girl in the Trendelenburg position. It would
increase the drainage from the lower extremities.
DIF: Cognitive Level: Apply REF: p.
739 TOP: Integrated Process: Nursing Process:
Implementation
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
6. The nurse is preparing an adolescent for discharge after cardiac catheterization.
Whichstatement by the adolescent would indicate a need for further teaching?
a. “I should avoid tub baths but may shower.”
b. “I have to stay on strict bed rest for 3 days.”
c. “I should remove the pressure dressing the day after the procedure.”
d. “I may attend school but should avoid exercise for several days.”
ANS: B
The child does not need to be on strict bed rest for 3 days. Showers are recommended;
children should avoid a tub bath. The pressure dressing is removed the day after the
catheterization and replaced by an adhesive bandage to keep the area clean. Strenuous
activitymust be avoided for several days, but the child can return to school.
DIF: Cognitive Level: Analyze REF:
p. 740TOP: Integrated Process:
Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
7. What does the surgical closure of the ductus arteriosus do?
a. Stop the loss of unoxygenated blood to the systemic circulation
b. Decrease the edema in legs and feet
c. Increase the oxygenation of the blood
d. Prevent the return of oxygenated blood to the lungs
ANS: D
ATI PN PEDS PROCTORED EXAM ATI PN PEDS PROCTORED EXAM.pdf ? Verified answers with rationales for learning retention
EXAM
PN PEDS PROCTORED EXAM.pdf -2026-2027
ATI PN PEDS PROCTORED EXAM QUESTIONS AND
ANSWERS-LATEST
1. A chest radiograph film is ordered for a child with suspected cardiac problems. The
child’sparent asks the nurse, “What will the radiograph show about the heart?”
What knowledge about the x-ray should the nurse include in the response to the
parents?
a. Bones of the chest but not the heart
b. Measurement of electrical potential generated from the heart muscle
c. A permanent record of heart size and configuration
d. Computerized image of heart vessels and tissues
ANS: C
A chest radiograph will provide information on the heart size and pulmonary blood-flow
patterns. It will provide a baseline for future comparisons. The heart will be visible, as
well asthe sternum and ribs. Electrocardiography (ECG) measures the electrical potential
generated by the heart muscle. Echocardiography will produce a computerized image of
the heart vesselsand tissues by using sound waves.
DIF: Cognitive Level: Understand REF:
p. 738TOP: Integrated Process:
Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
2. The nurse is assessing a child after cardiac catheterization. Which complication
should thenurse be assessing for?
a. Cardiac arrhythmia
b. Hypostatic pneumonia
c. Heart failure
d. Rapidly increasing blood pressure
ANS: A
Because a catheter is introduced into the heart, a risk exists of catheter-induced
dysrhythmiasoccurring during the procedure. These are usually transient. Hypostatic
pneumonia, heart failure, and rapidly increasing blood pressure are not risks usually
associated with cardiac catheterization.
DIF: Cognitive Level: Apply REF:
p. 739TOP: Integrated Process: Nursing Process:
Assessment
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
ATI PN PEDS PROCTORED EXAM ATI PN PEDS PROCTORED EXAM.pdf ? Verified answers with rationales for learning retention
,2026: ? Complete coverage- ATI PN PEDS PROCTOREDATI
EXAM
PN PEDS PROCTORED EXAM.pdf -2026-2027
3. José is a 4-year-old child scheduled for a cardiac catheterization. What should be
included inpreoperative teaching?
a. Directed at his parents because he is too young to understand
b. Detailed regarding the actual procedures so he will know what to expect
c. Done several days before the procedure so that he will be prepared
d. Adapted to his level of development so that he can understand
ANS: D
Preoperative teaching should always be directed at the child’s stage of development.
The caregivers also benefit from the same explanations. The parents may ask additional
questions,which should be answered, but the child needs to receive the information
based on developmental level. Preschoolers will not understand in-depth descriptions
and should be prepared close to the time of the cardiac catheterization.
DIF: Cognitive Level: Apply REF:
p. 739TOP: Integrated Process:
Teaching/Learning
MSC: Area of Client Needs: Health Promotion and Maintenance
4. Which explanation regarding cardiac catheterization is appropriate for a preschool child?
a. Postural drainage will be performed every 4 to 6 hours after the test.
b. It is necessary to be completely “asleep” during the test.
c. The test is short, usually taking less than 1 hour.
d. When the procedure is done, you will have to keep your leg straight for at
least 4hours.
ANS: D
The child’s leg will have to be maintained in a straight position for approximately 4
hours. Younger children can be held in the parent’s lap with the leg maintained in the
correct position. Postural drainage will not be performed unless the child has
corresponding pulmonary problems. The child should be sedated to lie still, but being
completely asleep isnot necessary. The test will vary in length of time from start to
finish.
DIF: Cognitive Level: Apply REF:
p. 739TOP: Integrated Process:
Teaching/Learning
MSC: Area of Client Needs: Health Promotion and Maintenance
5. The nurse is caring for a school-age child who has had a cardiac catheterization. The
child tells the nurse that the bandage is “too wet.” The nurse finds the bandage and bed
soaked withblood. What is the priority nursing action?
ATI PN PEDS PROCTORED EXAM ATI PN PEDS PROCTORED EXAM.pdf ? Verified answers with rationales for learning retention
, 2026: ? Complete coverage- ATI PN PEDS PROCTOREDATI
EXAM
PN PEDS PROCTORED EXAM.pdf -2026-2027
a. Notify physician
b. Apply new bandage with more pressure
c. Place the child in Trendelenburg position
d. Apply direct pressure above the catheterization site
ANS: D
If bleeding occurs, direct continuous pressure is applied 2.5 cm (1 inch) above the
percutaneous skin site to localize pressure over the vessel puncture. Notifying a
physician andapplying a new bandage can be done after pressure is applied. The nurse
can have someone else notify the physician while the pressure is being maintained. It is
not a helpful interventionto place the girl in the Trendelenburg position. It would
increase the drainage from the lower extremities.
DIF: Cognitive Level: Apply REF: p.
739 TOP: Integrated Process: Nursing Process:
Implementation
MSC: Area of Client Needs: Physiologic Integrity: Physiologic Adaptation
6. The nurse is preparing an adolescent for discharge after cardiac catheterization.
Whichstatement by the adolescent would indicate a need for further teaching?
a. “I should avoid tub baths but may shower.”
b. “I have to stay on strict bed rest for 3 days.”
c. “I should remove the pressure dressing the day after the procedure.”
d. “I may attend school but should avoid exercise for several days.”
ANS: B
The child does not need to be on strict bed rest for 3 days. Showers are recommended;
children should avoid a tub bath. The pressure dressing is removed the day after the
catheterization and replaced by an adhesive bandage to keep the area clean. Strenuous
activitymust be avoided for several days, but the child can return to school.
DIF: Cognitive Level: Analyze REF:
p. 740TOP: Integrated Process:
Teaching/Learning
MSC: Area of Client Needs: Physiologic Integrity: Reduction of Risk Potential
7. What does the surgical closure of the ductus arteriosus do?
a. Stop the loss of unoxygenated blood to the systemic circulation
b. Decrease the edema in legs and feet
c. Increase the oxygenation of the blood
d. Prevent the return of oxygenated blood to the lungs
ANS: D
ATI PN PEDS PROCTORED EXAM ATI PN PEDS PROCTORED EXAM.pdf ? Verified answers with rationales for learning retention
