PEDIATRICS ATI PRACTICE A EXAM |
QUESTIONS WITH CORRECT ANSWERS
◉ A nurse is providing discharge teaching to parents whose infant
had a ventriculoperitoneal shunt placement for the treatment of
hydrocephalus. Which of the following statements by the parents
indicates an understanding of the teaching?
a. "We will check his abdomen daily for signs of fluid accumulation"
b. "We will notify the doctor right away if he has a fever"
c. "We should keep a helmet on him when he's awake"
d. "we can expect him to have occasional seizure episodes" •Answer:
b
child is at risk for infection after ventriculoperitoneal shunt
insertion especially 1-2 months after placement
◉ A nurse in a provider's office is observing children playing in the
waiting room. The nurse should expect to identify parallel behavior
in which of the following age groups?
a. Infants
b. Toddlers
c. Preschoolers
d. School-age children •Answer: b
Toddlers demonstrate parallel play
,◉ A nurse is assessing a 6-year-old client at a well-child visit. Which
of the following findings requires further assessment by the nurse?
a. Presence of space, fine public hair
b. Decreased head circumference compared to full height
c. Increased leg length in relation to height
d. Presence of a loose central incisor •Answer: a
sexual characteristics developing before age 9 in boys indicates
precocious puberty and requires further evaluation
◉ A nurse is providing discharge teaching to the parents of a child
who has nephrotic syndrome. Which of the following instructions
should the nurse include in the teaching?
a. Restrict the child's potassium intake
b. Administer acetaminophen to the child twice daily
c. Weigh the child once each week
d. Keep the child away from people who have an infection •Answer:
d
Children with nephrotic syndrome are at higher risk for infection
◉ A nurse in a provider's office receives a phone call from the
guardian of an infant who just vomited after administration of
digoxin. Which of the following actions should the nurse take first?
, a. Tell the guardian that a repeat dose of medication should not be
given
b. Verify the prescribed medication regimen
c. Determine if the infant has been exposed to others who are ill
d. Ask the guardian about the infant's urinary output •Answer: a
The greatest risk to the infant is an injury from digoxin toxicity
◉ A nurse is assessing an adolescent who is receiving fentanyl via
epidural. Which of the following assessments should the nurse
identify as the priority?
a. Skin around the catheter site
b. Blood pressure
c. Pain level
d. Oxygen saturation •Answer: d
Important to continue to monitor for manifestations of opioid
induced respiratory depression
◉ A nurse is caring for a 5-year-old child who has a fever and begins
to have a seizure. Which of the following actions should the nurse
take?
a. Give acetaminophen 240 mg PO immediately following the seizure
b. Sponge the child's skin with a mixture of cold water and rubbing
alcohol
QUESTIONS WITH CORRECT ANSWERS
◉ A nurse is providing discharge teaching to parents whose infant
had a ventriculoperitoneal shunt placement for the treatment of
hydrocephalus. Which of the following statements by the parents
indicates an understanding of the teaching?
a. "We will check his abdomen daily for signs of fluid accumulation"
b. "We will notify the doctor right away if he has a fever"
c. "We should keep a helmet on him when he's awake"
d. "we can expect him to have occasional seizure episodes" •Answer:
b
child is at risk for infection after ventriculoperitoneal shunt
insertion especially 1-2 months after placement
◉ A nurse in a provider's office is observing children playing in the
waiting room. The nurse should expect to identify parallel behavior
in which of the following age groups?
a. Infants
b. Toddlers
c. Preschoolers
d. School-age children •Answer: b
Toddlers demonstrate parallel play
,◉ A nurse is assessing a 6-year-old client at a well-child visit. Which
of the following findings requires further assessment by the nurse?
a. Presence of space, fine public hair
b. Decreased head circumference compared to full height
c. Increased leg length in relation to height
d. Presence of a loose central incisor •Answer: a
sexual characteristics developing before age 9 in boys indicates
precocious puberty and requires further evaluation
◉ A nurse is providing discharge teaching to the parents of a child
who has nephrotic syndrome. Which of the following instructions
should the nurse include in the teaching?
a. Restrict the child's potassium intake
b. Administer acetaminophen to the child twice daily
c. Weigh the child once each week
d. Keep the child away from people who have an infection •Answer:
d
Children with nephrotic syndrome are at higher risk for infection
◉ A nurse in a provider's office receives a phone call from the
guardian of an infant who just vomited after administration of
digoxin. Which of the following actions should the nurse take first?
, a. Tell the guardian that a repeat dose of medication should not be
given
b. Verify the prescribed medication regimen
c. Determine if the infant has been exposed to others who are ill
d. Ask the guardian about the infant's urinary output •Answer: a
The greatest risk to the infant is an injury from digoxin toxicity
◉ A nurse is assessing an adolescent who is receiving fentanyl via
epidural. Which of the following assessments should the nurse
identify as the priority?
a. Skin around the catheter site
b. Blood pressure
c. Pain level
d. Oxygen saturation •Answer: d
Important to continue to monitor for manifestations of opioid
induced respiratory depression
◉ A nurse is caring for a 5-year-old child who has a fever and begins
to have a seizure. Which of the following actions should the nurse
take?
a. Give acetaminophen 240 mg PO immediately following the seizure
b. Sponge the child's skin with a mixture of cold water and rubbing
alcohol
