PEDIATRIC PROCTOR, ATI
PEDIATRICS PROCTORED EXAM,
QUESTIONS AND VERIFIED ANSWERS
A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse assess first?
a. A toddler who has a concussion and an episode of forceful vomiting
b. An adolescent who has infective endocarditis and reports having a
headache
c. An adolescent who was placed into halo traction 1 hr ago and reports
pain as 6 on a scale of 0 to 10
,d. A school-age child who has acute glomerulonephritis and brown-colored
urine
A toddler who has a concussion and an episode of forceful vomiting
A nurse is providing dietary teaching to the guardian of a school-age child
who has cystic fibrosis. Which of the following statements should the nurse
make?
a. "You should offer your child high-protein meals and snacks throughout
the day."
b. "You should decrease your child's dietary fat intake to less than 10% of
their caloric intake."
c. "You should restrict your child's calorie intake to 1,200 per day."
d. "You should give your child a multivitamin once weekly."
"You should offer your child high-protein meals and snacks throughout the
day."
A nurse is providing discharge teaching to the guardians of a toddler who
had lower leg cast applied 24 hr ago. The nurse should instruct the
guardians to report which of the following finding to the provider?
a. Capillary refill time less than 2 seconds
b. Restricted ability to move the toes
c. Swelling of the casted foot when the leg is dependent
d. Pedal pulse +3 bilateral
b. Restricted ability to move the toes
A nurse in an emergency department is auscultating the lungs of an
adolescent who is experiencing dyspnea. The nurse should identify the
sound as which of the following?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi
,a. Wheezes
A nurse is caring for a preschooler who has congestive heart failure. The
nurse observes wide QRS complexes and peaked T waves on the cardiac
monitor. Which of the following prescriptions should the nurse clarify with
the provider?
a. Furosemide
b. Captopril
c. Regular insulin
d. Potassium chloride
d. Potassium chloride
A nurse is planning an educational program for school-age children and
their parents about bicycle safety. Which of the following information
should the nurse plan to include?
a. The child should be able to stand on the balls of their feet when sitting on
the bike.
b. The child should ride their bike 2 feet to the side of other bike riders.
c. The child should wear dark-colored clothing with a fluorescent stripe
when riding at night.
d. The child should ride the bike facing traffic when it is necessary to ride
in the street.
The child should be able to stand on the balls of their feet when sitting on the
bike.
A nurse is an emergency department is caring for a school-age child who
has epiglottitis. Which of the following actions should the nurse take?
a. Obtain a throat culture from the child.
b. Monitor the child's oxygen saturation.
c. Put a warm mist humidifier in the child's room.
d. Place the child in the supine position
Monitor the child's oxygen saturation.
, A nurse in an emergency department is caring for a school-age child who
has sustained a minor superficial burn from fireworks on their forearm.
Which of the following actions should the nurse take?
a. Administer the tetanus toxoid vaccine if more than 1 year since the prior
dose.
b. Apply an antimicrobial ointment to the affected area.
c. Leave the burn area open to air.
d. Place an ice pack on the affected area.
Apply an antimicrobial ointment to the affected area.
A nurse in a providers office is caring for a school-age child who has
varicella. The parents asks the nurse when their child will no longer be
contagious. Which of the following responses should the nurse make?
a. "When your child no longer has an increased temperature."
b. "Three days after you first noticed the rash appear on your child."
c. "When your child's lesions are crusted, usually 6 days after they
appear."
d. "Two to three weeks, when your child's lesions completely disappear."
"When your child's lesions are crusted, usually 6 days after they appear."
A nurse is providing discharge teaching to the parent of a school-age child
who has moderate persistant asthma. Which of the following instructions
should the nurse include?
a. "You should give your child their salmeterol inhaler every 4 hours when
they are having an acute episode of wheezing."
b. "You should monitor your child's weight weekly while they are receiving
inhaled corticosteroid therapy."
c. "Pulmonary function tests will be performed every 12 to 24 months to
evaluate how your child is responding to therapy."
d. "When using the peak expiratory flow meter, record your child's
average of three readings."
PEDIATRICS PROCTORED EXAM,
QUESTIONS AND VERIFIED ANSWERS
A nurse is receiving change-of-shift report for four children. Which of the
following children should the nurse assess first?
a. A toddler who has a concussion and an episode of forceful vomiting
b. An adolescent who has infective endocarditis and reports having a
headache
c. An adolescent who was placed into halo traction 1 hr ago and reports
pain as 6 on a scale of 0 to 10
,d. A school-age child who has acute glomerulonephritis and brown-colored
urine
A toddler who has a concussion and an episode of forceful vomiting
A nurse is providing dietary teaching to the guardian of a school-age child
who has cystic fibrosis. Which of the following statements should the nurse
make?
a. "You should offer your child high-protein meals and snacks throughout
the day."
b. "You should decrease your child's dietary fat intake to less than 10% of
their caloric intake."
c. "You should restrict your child's calorie intake to 1,200 per day."
d. "You should give your child a multivitamin once weekly."
"You should offer your child high-protein meals and snacks throughout the
day."
A nurse is providing discharge teaching to the guardians of a toddler who
had lower leg cast applied 24 hr ago. The nurse should instruct the
guardians to report which of the following finding to the provider?
a. Capillary refill time less than 2 seconds
b. Restricted ability to move the toes
c. Swelling of the casted foot when the leg is dependent
d. Pedal pulse +3 bilateral
b. Restricted ability to move the toes
A nurse in an emergency department is auscultating the lungs of an
adolescent who is experiencing dyspnea. The nurse should identify the
sound as which of the following?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi
,a. Wheezes
A nurse is caring for a preschooler who has congestive heart failure. The
nurse observes wide QRS complexes and peaked T waves on the cardiac
monitor. Which of the following prescriptions should the nurse clarify with
the provider?
a. Furosemide
b. Captopril
c. Regular insulin
d. Potassium chloride
d. Potassium chloride
A nurse is planning an educational program for school-age children and
their parents about bicycle safety. Which of the following information
should the nurse plan to include?
a. The child should be able to stand on the balls of their feet when sitting on
the bike.
b. The child should ride their bike 2 feet to the side of other bike riders.
c. The child should wear dark-colored clothing with a fluorescent stripe
when riding at night.
d. The child should ride the bike facing traffic when it is necessary to ride
in the street.
The child should be able to stand on the balls of their feet when sitting on the
bike.
A nurse is an emergency department is caring for a school-age child who
has epiglottitis. Which of the following actions should the nurse take?
a. Obtain a throat culture from the child.
b. Monitor the child's oxygen saturation.
c. Put a warm mist humidifier in the child's room.
d. Place the child in the supine position
Monitor the child's oxygen saturation.
, A nurse in an emergency department is caring for a school-age child who
has sustained a minor superficial burn from fireworks on their forearm.
Which of the following actions should the nurse take?
a. Administer the tetanus toxoid vaccine if more than 1 year since the prior
dose.
b. Apply an antimicrobial ointment to the affected area.
c. Leave the burn area open to air.
d. Place an ice pack on the affected area.
Apply an antimicrobial ointment to the affected area.
A nurse in a providers office is caring for a school-age child who has
varicella. The parents asks the nurse when their child will no longer be
contagious. Which of the following responses should the nurse make?
a. "When your child no longer has an increased temperature."
b. "Three days after you first noticed the rash appear on your child."
c. "When your child's lesions are crusted, usually 6 days after they
appear."
d. "Two to three weeks, when your child's lesions completely disappear."
"When your child's lesions are crusted, usually 6 days after they appear."
A nurse is providing discharge teaching to the parent of a school-age child
who has moderate persistant asthma. Which of the following instructions
should the nurse include?
a. "You should give your child their salmeterol inhaler every 4 hours when
they are having an acute episode of wheezing."
b. "You should monitor your child's weight weekly while they are receiving
inhaled corticosteroid therapy."
c. "Pulmonary function tests will be performed every 12 to 24 months to
evaluate how your child is responding to therapy."
d. "When using the peak expiratory flow meter, record your child's
average of three readings."
