Ati peds ati 2025 b with ngn/rationales exam questions with complete solution guide (a+
graded 100% verified) latest version 2025!!
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 - -c. A
toddler who has a concussion and an episode of forceful vomiting
a. An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale
of 0 to 10
(A report of moderate pain is non urgent because it is an expected finding for a child who
has a new halo traction device. Therefore, the nurse should assess another child first.)
b. An adolescent who has infective endocarditis and reports having a headache
(A report of a headache is non urgent because it is an expected finding for a child who has
infective endocarditis. Therefore, the nurse should assess another child first.)
c. A toddler who has a concussion and is experiencing an episode of forceful vomiting
(When using the urgent vs. non urgent approach to client care, the nurse should assess this
child first. An episode of forceful vomiting is an indication of increased intracranial pressure
in a toddler who has a concussion.)
d. A school-age child who has acute glomerulonephritis and brown-colored urine
(Brown-colored urine is non urgent because it is an expected finding for a child who has
acute glomerulonephritis. Therefore, the nurse should assess another child first.)
--6) 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."
"You should decrease your child's dietary fat intake to less than 10% of their caloric intake."
"You should restrict your child's calorie intake to 1,200 per day."
"You should give your child a multivitamin once weekly." - -a. "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) Capillary refill time less than 2 seconds
(Capillary refill time is assessed to determine circulatory status by pressing lightly on the tips
of the toes until the skin has blanched. A capillary refill time that is greater than 2 seconds
indicates circulatory compromise and should be reported to the provider immediately.)
b. Restricted ability to move the toes
(The nurse should inform the guardians that a restricted ability of the toddler to move their
toes is an indication of neurovascular compromise and requires immediate notification of
the provider. Permanent muscle and tissue damage can occur in just a few hours.)
c. Swelling of the casted foot when the leg is dependent
(Swelling of the casted foot when the leg is dependent is an expected finding. The nurse
should instruct the guardians that frequent rest is needed for the next several days, and that
the casted foot should not be in a dependent position for more than 30 min. When the
toddler is resting, the casted extremity should be elevated on a pillow at chest level to
minimize swelling.)
d. Pedal pulse +3 bilateral
(A pulse that is not easily obliterated with pressure is graded as a +3 and is an expected
finding that indicates adequate circulation of the extremity. An absent pulse indicates
circulatory compromise and should be reported to the provider immediately.)
--8) 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
--9) 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?
Furosemide
Captopril
Regular insulin
d. Potassium chloride - -d. Potassium chloride
--10) 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?
The child should be able to stand on the balls of their feet when sitting on the bike.
The child should ride their bike 2 feet to the side of other bike riders.
The child should wear dark-colored clothing with a fluorescent stripe when
riding at night.
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.
,--11) 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?
Obtain a throat culture from the child.
Monitor the child's oxygen saturation.
Put a warm mist humidifier in the child's room.
Place the child in the supine position - -Monitor the child's oxygen saturation.
--12) 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?
Administer the tetanus toxoid vaccine if more than 1 year since the prior dose.
Apply an antimicrobial ointment to the affected area.
Leave the burn area open to air.
Place an ice pack on the affected area. - -Apply an antimicrobial ointment to the affected
area.
--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?
"You should give your child their salmeterol inhaler every 4 hours when they are having an
acute episode of wheezing."
"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." - -c. "Pulmonary function tests will be performed every 12 to 24 months to
evaluate how your child is responding to therapy."
"You should give your child their salmeterol inhaler every 4 hours when they are having an
acute episode of wheezing."The nurse should inform the parent that long-acting beta2
agonists are to be used in conjunction with a low- or medium-dosage inhaled corticosteroid,
never used alone. Using this medication alone on an as-needed basis during an acute
asthma attack is dangerous and can lead to worsening of the child's condition.
"You should monitor your child's weight weekly while they are receiving inhaled
corticosteroid therapy."The nurse should instruct the parent that the use of inhaled
corticosteroids has not been shown to have any negative effects on growth. The provider
might monitor the child's growth for systemic absorption. However, it is not necessary for
the parent to weigh the child weekly.
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."MY ANSWERThe nurse should inform the parent that their
child will need pulmonary function tests every 12 to 24 months to evaluate the presence of
lung disease and how the child is responding to the current treatment regimen. As children
grow, sometimes their manifestations can improve or decline, and treatment needs to
change accordingly.
"When using the peak expiratory flow meter, record your child's average of three
readings."The nurse should instruct the parent to measure the child's airflow using a peak
, expiratory flow meter. This should be done twice daily, taking three measurements each
time and waiting 30 seconds between each measurement. The parent should record the
highest of the three readings, rather than the average.
--15) A nurse is admitting an infant who has intussusception. Which of the following findings
should the nurse expect? (Select all that apply.)
Steatorrhea
Vomiting
Lethargy
Constipation
Weight gain - -Vomiting
Lethargy
--16) A nurse is reviewing the laboratory results of a school-age child who is 1 week
postoperative following an open fracture repair. Which of the following findings should the
nurse identify as an indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr
WBC count 6,200/mm3
C-reactive protein 1.4 mg/L
RBC count 4.7 million/mm3 - -Erythrocyte sedimentation rate 18 mm/hr
--17) A nurse is providing discharge teaching to the parents of a 3-month old infant
following a cheiloplasty. Which of the following instructions should the nurse include?
"Clean your baby's sutures daily with a mixture of chlorhexidine and water."
"Expect your baby to swallow more than usual over the next few days."
"Inspect your baby's tongue for white patches using a tongue depressor
every 8 hours."
d. "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3
days." - -d. "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the
next 3 days."
--18) A nurse is discussion organ donation with the parents of a school-age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
Inform the parents that written consent is required prior to organ donation.
Provide written information to the parents about organ donation.
Ask the provider to explain misconceptions of organ donation to the parents.
Explore the parents' feelings and wishes regarding organ donation. - -Explore the parents'
feelings and wishes regarding organ donation.
--19) A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel
stick. Which of the following actions should the nurse take to minimize the infants pain?
Use a manual lancet to obtain the heel blood sample.
Apply an ice pack to the infant's heel prior to obtaining the sample.
Allow the mother to breastfeed while the sample is being obtained.
Apply a topical lidocaine cream prior to obtaining the sample. - -Allow the mother to
breastfeed while the sample is being obtained.
graded 100% verified) latest version 2025!!
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 - -c. A
toddler who has a concussion and an episode of forceful vomiting
a. An adolescent who was placed into halo traction 1 hr ago and reports pain as 6 on a scale
of 0 to 10
(A report of moderate pain is non urgent because it is an expected finding for a child who
has a new halo traction device. Therefore, the nurse should assess another child first.)
b. An adolescent who has infective endocarditis and reports having a headache
(A report of a headache is non urgent because it is an expected finding for a child who has
infective endocarditis. Therefore, the nurse should assess another child first.)
c. A toddler who has a concussion and is experiencing an episode of forceful vomiting
(When using the urgent vs. non urgent approach to client care, the nurse should assess this
child first. An episode of forceful vomiting is an indication of increased intracranial pressure
in a toddler who has a concussion.)
d. A school-age child who has acute glomerulonephritis and brown-colored urine
(Brown-colored urine is non urgent because it is an expected finding for a child who has
acute glomerulonephritis. Therefore, the nurse should assess another child first.)
--6) 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."
"You should decrease your child's dietary fat intake to less than 10% of their caloric intake."
"You should restrict your child's calorie intake to 1,200 per day."
"You should give your child a multivitamin once weekly." - -a. "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) Capillary refill time less than 2 seconds
(Capillary refill time is assessed to determine circulatory status by pressing lightly on the tips
of the toes until the skin has blanched. A capillary refill time that is greater than 2 seconds
indicates circulatory compromise and should be reported to the provider immediately.)
b. Restricted ability to move the toes
(The nurse should inform the guardians that a restricted ability of the toddler to move their
toes is an indication of neurovascular compromise and requires immediate notification of
the provider. Permanent muscle and tissue damage can occur in just a few hours.)
c. Swelling of the casted foot when the leg is dependent
(Swelling of the casted foot when the leg is dependent is an expected finding. The nurse
should instruct the guardians that frequent rest is needed for the next several days, and that
the casted foot should not be in a dependent position for more than 30 min. When the
toddler is resting, the casted extremity should be elevated on a pillow at chest level to
minimize swelling.)
d. Pedal pulse +3 bilateral
(A pulse that is not easily obliterated with pressure is graded as a +3 and is an expected
finding that indicates adequate circulation of the extremity. An absent pulse indicates
circulatory compromise and should be reported to the provider immediately.)
--8) 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
--9) 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?
Furosemide
Captopril
Regular insulin
d. Potassium chloride - -d. Potassium chloride
--10) 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?
The child should be able to stand on the balls of their feet when sitting on the bike.
The child should ride their bike 2 feet to the side of other bike riders.
The child should wear dark-colored clothing with a fluorescent stripe when
riding at night.
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.
,--11) 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?
Obtain a throat culture from the child.
Monitor the child's oxygen saturation.
Put a warm mist humidifier in the child's room.
Place the child in the supine position - -Monitor the child's oxygen saturation.
--12) 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?
Administer the tetanus toxoid vaccine if more than 1 year since the prior dose.
Apply an antimicrobial ointment to the affected area.
Leave the burn area open to air.
Place an ice pack on the affected area. - -Apply an antimicrobial ointment to the affected
area.
--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?
"You should give your child their salmeterol inhaler every 4 hours when they are having an
acute episode of wheezing."
"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." - -c. "Pulmonary function tests will be performed every 12 to 24 months to
evaluate how your child is responding to therapy."
"You should give your child their salmeterol inhaler every 4 hours when they are having an
acute episode of wheezing."The nurse should inform the parent that long-acting beta2
agonists are to be used in conjunction with a low- or medium-dosage inhaled corticosteroid,
never used alone. Using this medication alone on an as-needed basis during an acute
asthma attack is dangerous and can lead to worsening of the child's condition.
"You should monitor your child's weight weekly while they are receiving inhaled
corticosteroid therapy."The nurse should instruct the parent that the use of inhaled
corticosteroids has not been shown to have any negative effects on growth. The provider
might monitor the child's growth for systemic absorption. However, it is not necessary for
the parent to weigh the child weekly.
"Pulmonary function tests will be performed every 12 to 24 months to evaluate how your
child is responding to therapy."MY ANSWERThe nurse should inform the parent that their
child will need pulmonary function tests every 12 to 24 months to evaluate the presence of
lung disease and how the child is responding to the current treatment regimen. As children
grow, sometimes their manifestations can improve or decline, and treatment needs to
change accordingly.
"When using the peak expiratory flow meter, record your child's average of three
readings."The nurse should instruct the parent to measure the child's airflow using a peak
, expiratory flow meter. This should be done twice daily, taking three measurements each
time and waiting 30 seconds between each measurement. The parent should record the
highest of the three readings, rather than the average.
--15) A nurse is admitting an infant who has intussusception. Which of the following findings
should the nurse expect? (Select all that apply.)
Steatorrhea
Vomiting
Lethargy
Constipation
Weight gain - -Vomiting
Lethargy
--16) A nurse is reviewing the laboratory results of a school-age child who is 1 week
postoperative following an open fracture repair. Which of the following findings should the
nurse identify as an indication of a potential complication?
Erythrocyte sedimentation rate 18 mm/hr
WBC count 6,200/mm3
C-reactive protein 1.4 mg/L
RBC count 4.7 million/mm3 - -Erythrocyte sedimentation rate 18 mm/hr
--17) A nurse is providing discharge teaching to the parents of a 3-month old infant
following a cheiloplasty. Which of the following instructions should the nurse include?
"Clean your baby's sutures daily with a mixture of chlorhexidine and water."
"Expect your baby to swallow more than usual over the next few days."
"Inspect your baby's tongue for white patches using a tongue depressor
every 8 hours."
d. "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the next 3
days." - -d. "Apply a thin layer of antibiotic ointment on your baby's suture line daily for the
next 3 days."
--18) A nurse is discussion organ donation with the parents of a school-age child who has
sustained brain death due to a bicycle crash. Which of the following actions should the
nurse take first?
Inform the parents that written consent is required prior to organ donation.
Provide written information to the parents about organ donation.
Ask the provider to explain misconceptions of organ donation to the parents.
Explore the parents' feelings and wishes regarding organ donation. - -Explore the parents'
feelings and wishes regarding organ donation.
--19) A nurse is caring for a 1-month-old infant who is breastfeeding and requires a heel
stick. Which of the following actions should the nurse take to minimize the infants pain?
Use a manual lancet to obtain the heel blood sample.
Apply an ice pack to the infant's heel prior to obtaining the sample.
Allow the mother to breastfeed while the sample is being obtained.
Apply a topical lidocaine cream prior to obtaining the sample. - -Allow the mother to
breastfeed while the sample is being obtained.
