NURSING 212 PEDS ATI PRACTICE B EXAM
QUESTIONS AND ANSWERS GRADED A+ 2022
1. A nurse is planning care for a preschooler who has cystic fibrosis. Which of
thefollowing interventions should the nurse include in the plan?
a. Administer pancreatic enzymes 2 hr after meals.
b. Decrease pancreatic enzymes if steatorrhea develops.
c. Limit fluid intake to 750 mL per day.
d. Increase fat content in the child's diet to 40% of total calories.
Answer - d. Increase fat content in the child's diet to 40% of total calories. A child
who has cystic fibrosis is unable to properly digest fats due to fibrosis of the
pancreas and limited secretion of pancreatic enzymes. The nurse should increase
the child's fat intake to equal 40% of total caloric intake.
A- The nurse should plan to administer pancreatic enzymes within 30 min of meals
and snacks.
B- A child who has cystic fibrosis and develops steatorrhea, or fatty stools, needs to
increase the intake of pancreatic enzymes.
C- The nurse should encourage fluid intake, rather than restrict it, to prevent
dehydration caused by the loss of sodium and chloride through perspiration.
2. A nurse is assessing a toddler who has gastroenteritis and is exhibiting
manifestations of dehydration. Which of the following findings should the
nurseaddress first?
,NURSING 212 PEDS ATI PRACTICE B EXAM
QUESTIONS AND ANSWERS GRADED A+ 2022
a. Skin breakdown
b. Hypotension
c. Hyperpyrexia
d. Tachypnea
Answer- d. Tachypnea. When using the airway, breathing, circulation approach to
client care, the first finding the nurse should address is the toddler's tachypnea,
which results when the kidneys are unable to excrete hydrogen ions and produce
bicarbonate leading to metabolic acidosis.
A- Toddlers who have gastroenteritis and are dehydrated are at increased risk for
skin breakdown because of changes in circulation and loss of skin elasticity.
However, the nurse should address another finding first.
B- Toddlers who have gastroenteritis and are dehydrated may exhibit hypotension
because of reduced blood volume. However, the nurse should address another
finding first.
C- Toddlers who have gastroenteritis and are dehydrated may exhibit
hyperpyrexia, or fever, which is caused by the effect of fluid volume depletion
on the hypothalamus. However, the nurse should address another finding
first.
,NURSING 212 PEDS ATI PRACTICE B EXAM
QUESTIONS AND ANSWERS GRADED A+ 2022
3. A nurse is discussing organ donation with the parents of a school-age child
whohas sustained brain death due to a bicycling accident. Which of the
following actions should the nurse take first?
a. Inform the parents that written consent is required prior to organ donation.
b. Provide written information to the parents about organ donation.
c. Ask the provider to explain misconceptions of organ donation to the parents.
d. Explore the parents' feelings and wishes regarding organ donation.
Answer- d. Explore the parents' feelings and wishes regarding organ donation. The
first action the nurse should take when using the nursing process is assessment.
Exploring the parents' feelings and wishes regarding organ donation will assist the
nurse in determining if organ donation is appropriate for this family and should be
done prior to taking other actions.
A- The nurse should inform the parents that written consent is required prior to
organ donation to document that the parents have consented to organ donation
and that the provider has addressed any questions or concerns the parents may
have. However, there is another action that the nurse should take first.
B- The nurse should provide written information to the parents to enhance their
understanding about organ donation. However, there is another action that the
nurse should take first.
, NURSING 212 PEDS ATI PRACTICE B EXAM
QUESTIONS AND ANSWERS GRADED A+ 2022
C- The nurse should ask the provider to explain misconceptions of organ donation
to the parents, because it is important that they have accurate information before
making a final decision. However, there is another action that the nurse should
take first.
4. A nurse in an emergency department is caring for a school-age child who
has appendicitis and rates his abdominal pain 7 on a 0 to 10 scale. Which
of the following actions should the nurse take?
a. Instill a 500 mL tap water enema.
b. Give morphine 0.05mg/kg IV.
c. Administer polyethylene glycol 1g/kg PO.
d. Apply a heating pad to the child's abdomen.
Answer- b. Give morphine 0.05mg/kg IV. A pain level of 7 on a 0 to 10 scale is
considered severe and the nurse should administer an analgesic medication for
pain relief.
A- Administering an enema accelerates bowel motility and increases the risk for
perforation of the appendix.
C- Administering laxatives accelerates bowel motility and increases the risk for
perforation of the appendix.
D- Applying heat to the child's abdomen increases the risk for perforation of the
appendix.
QUESTIONS AND ANSWERS GRADED A+ 2022
1. A nurse is planning care for a preschooler who has cystic fibrosis. Which of
thefollowing interventions should the nurse include in the plan?
a. Administer pancreatic enzymes 2 hr after meals.
b. Decrease pancreatic enzymes if steatorrhea develops.
c. Limit fluid intake to 750 mL per day.
d. Increase fat content in the child's diet to 40% of total calories.
Answer - d. Increase fat content in the child's diet to 40% of total calories. A child
who has cystic fibrosis is unable to properly digest fats due to fibrosis of the
pancreas and limited secretion of pancreatic enzymes. The nurse should increase
the child's fat intake to equal 40% of total caloric intake.
A- The nurse should plan to administer pancreatic enzymes within 30 min of meals
and snacks.
B- A child who has cystic fibrosis and develops steatorrhea, or fatty stools, needs to
increase the intake of pancreatic enzymes.
C- The nurse should encourage fluid intake, rather than restrict it, to prevent
dehydration caused by the loss of sodium and chloride through perspiration.
2. A nurse is assessing a toddler who has gastroenteritis and is exhibiting
manifestations of dehydration. Which of the following findings should the
nurseaddress first?
,NURSING 212 PEDS ATI PRACTICE B EXAM
QUESTIONS AND ANSWERS GRADED A+ 2022
a. Skin breakdown
b. Hypotension
c. Hyperpyrexia
d. Tachypnea
Answer- d. Tachypnea. When using the airway, breathing, circulation approach to
client care, the first finding the nurse should address is the toddler's tachypnea,
which results when the kidneys are unable to excrete hydrogen ions and produce
bicarbonate leading to metabolic acidosis.
A- Toddlers who have gastroenteritis and are dehydrated are at increased risk for
skin breakdown because of changes in circulation and loss of skin elasticity.
However, the nurse should address another finding first.
B- Toddlers who have gastroenteritis and are dehydrated may exhibit hypotension
because of reduced blood volume. However, the nurse should address another
finding first.
C- Toddlers who have gastroenteritis and are dehydrated may exhibit
hyperpyrexia, or fever, which is caused by the effect of fluid volume depletion
on the hypothalamus. However, the nurse should address another finding
first.
,NURSING 212 PEDS ATI PRACTICE B EXAM
QUESTIONS AND ANSWERS GRADED A+ 2022
3. A nurse is discussing organ donation with the parents of a school-age child
whohas sustained brain death due to a bicycling accident. Which of the
following actions should the nurse take first?
a. Inform the parents that written consent is required prior to organ donation.
b. Provide written information to the parents about organ donation.
c. Ask the provider to explain misconceptions of organ donation to the parents.
d. Explore the parents' feelings and wishes regarding organ donation.
Answer- d. Explore the parents' feelings and wishes regarding organ donation. The
first action the nurse should take when using the nursing process is assessment.
Exploring the parents' feelings and wishes regarding organ donation will assist the
nurse in determining if organ donation is appropriate for this family and should be
done prior to taking other actions.
A- The nurse should inform the parents that written consent is required prior to
organ donation to document that the parents have consented to organ donation
and that the provider has addressed any questions or concerns the parents may
have. However, there is another action that the nurse should take first.
B- The nurse should provide written information to the parents to enhance their
understanding about organ donation. However, there is another action that the
nurse should take first.
, NURSING 212 PEDS ATI PRACTICE B EXAM
QUESTIONS AND ANSWERS GRADED A+ 2022
C- The nurse should ask the provider to explain misconceptions of organ donation
to the parents, because it is important that they have accurate information before
making a final decision. However, there is another action that the nurse should
take first.
4. A nurse in an emergency department is caring for a school-age child who
has appendicitis and rates his abdominal pain 7 on a 0 to 10 scale. Which
of the following actions should the nurse take?
a. Instill a 500 mL tap water enema.
b. Give morphine 0.05mg/kg IV.
c. Administer polyethylene glycol 1g/kg PO.
d. Apply a heating pad to the child's abdomen.
Answer- b. Give morphine 0.05mg/kg IV. A pain level of 7 on a 0 to 10 scale is
considered severe and the nurse should administer an analgesic medication for
pain relief.
A- Administering an enema accelerates bowel motility and increases the risk for
perforation of the appendix.
C- Administering laxatives accelerates bowel motility and increases the risk for
perforation of the appendix.
D- Applying heat to the child's abdomen increases the risk for perforation of the
appendix.
