ATI Peds Proctored Exam Question and Answers 2021/2022- Review Guide
1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse
should monitor the child for which of the following complications during the first 24 hr after the injury occurred?
c. Volkmann ischemic contracture
2) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information
should the nurse include in the teaching?
b. Avoid foods containing milk products
3) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions
should the nurse include in the plan of care?
c. Keep staff visits with the child brief
4) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse
expect?
c. Increase respiratory rate
5) A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess
first? An adolescent who has sickle cell anemia and slurred speech
5) A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse plan to include?
d. Use a vest to perform high-frequency chest compressions
6) A nurse is teaching the parent of a school age child about bicycle safety. Which of the following instructions should the nurse
include in the teaching?
b. Your child should walk the bicycle through intersections
7) A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the
procedure? a. Lateral
8) A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia.
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
d. RBC count 5/mm
9) A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse
take? a. Report the diagnosis to the public health department - nationally notifiable disease
b. Place the child in a protected environment for 48hr
10) A nurse in an emergency department is caring for a preschool age child who has acute acetylsalicylic acid poisoning. Which of the
following should the nurse expect?
Hyperpyrexia
10) A nurse is assessing a week-old infant. The nurse should identify which of the following manifestations can indicate neonatal
abstinence syndrome?
d. Lethargy
11 )A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month-old infant. Which of the following actions
should the nurse plan to take?
c. Cover the insertion site with an opaque dressing
12) A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization procedure. Which of the following
findings should the nurse report to the provider?
c. Bilateral cool extremities
13.) A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions
should the nurse include in the teaching?
b. You can replace milk with non-dairy sources of calcium
14.) A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an
understanding of the teaching?
My child will need to repeat the childhood immunization once he’s in remission
, 15.)A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following findings is the
nurse’s priority?
Sunken anterior fontanelle - dehydrated
16. A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority
action for the nurse to take ?
a. Assist with intubation
17) A nurse is caring for a school age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse
take?
Apply warm compress to the affected areas
18) A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following
instructions should the nurse include in the teaching?
b. Keep the child away from others until the skin is clever of scabs
19.) A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following actions should the nurse
include in the plan of care?
c. Maintain an Ng tube for decompression
20.) A nurse is teaching a parent of a 10month old infant about home safety. Which of the following instructions should the nurse
include in the teaching?
b. Place gates at the top and bottom of the stairs
c. Ensure the crib mattress is in the lowest position
21) A nurse is communicating with a child who has hearing loss. Which of the following actions should the nurse take?
use light touch when initiating conversation
22) A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the following interventions should the
nurse include in his plan of care?
Encourage the adolescent to perform incentive spirometry to maintain lung capacity.
23) A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following
interventions should the nurse include?
a. Place cooling blanket on the toddler.
24.) A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the
child can be removed from droplet precautions.
Antibiotics initiated 24 hr ago
25.) A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should
the nurse plan to use for this procedure?
Mummy
26) A nurse is reviewing the medical record of a 24 month old child who has acute lymphocytic leukemia. Which of the following
actions should the nurse take?
Initiate bleeding precautions
27.) A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to
take?
Place the child in Trendelenburg position when performing care.
28) A nurse is teaching an adolescent who has type1 diabetes mellitus. Which of the following finding is the nurse
priority? d. pre-prandial blood glucose.124mg/dL.
29) A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following is the nurses priority?
HbA1c 11.5%
30) A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse
include in the plan of care?
1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse
should monitor the child for which of the following complications during the first 24 hr after the injury occurred?
c. Volkmann ischemic contracture
2) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information
should the nurse include in the teaching?
b. Avoid foods containing milk products
3) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions
should the nurse include in the plan of care?
c. Keep staff visits with the child brief
4) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse
expect?
c. Increase respiratory rate
5) A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess
first? An adolescent who has sickle cell anemia and slurred speech
5) A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse plan to include?
d. Use a vest to perform high-frequency chest compressions
6) A nurse is teaching the parent of a school age child about bicycle safety. Which of the following instructions should the nurse
include in the teaching?
b. Your child should walk the bicycle through intersections
7) A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the
procedure? a. Lateral
8) A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia.
Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?
d. RBC count 5/mm
9) A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse
take? a. Report the diagnosis to the public health department - nationally notifiable disease
b. Place the child in a protected environment for 48hr
10) A nurse in an emergency department is caring for a preschool age child who has acute acetylsalicylic acid poisoning. Which of the
following should the nurse expect?
Hyperpyrexia
10) A nurse is assessing a week-old infant. The nurse should identify which of the following manifestations can indicate neonatal
abstinence syndrome?
d. Lethargy
11 )A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month-old infant. Which of the following actions
should the nurse plan to take?
c. Cover the insertion site with an opaque dressing
12) A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization procedure. Which of the following
findings should the nurse report to the provider?
c. Bilateral cool extremities
13.) A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions
should the nurse include in the teaching?
b. You can replace milk with non-dairy sources of calcium
14.) A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an
understanding of the teaching?
My child will need to repeat the childhood immunization once he’s in remission
, 15.)A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following findings is the
nurse’s priority?
Sunken anterior fontanelle - dehydrated
16. A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority
action for the nurse to take ?
a. Assist with intubation
17) A nurse is caring for a school age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse
take?
Apply warm compress to the affected areas
18) A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following
instructions should the nurse include in the teaching?
b. Keep the child away from others until the skin is clever of scabs
19.) A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following actions should the nurse
include in the plan of care?
c. Maintain an Ng tube for decompression
20.) A nurse is teaching a parent of a 10month old infant about home safety. Which of the following instructions should the nurse
include in the teaching?
b. Place gates at the top and bottom of the stairs
c. Ensure the crib mattress is in the lowest position
21) A nurse is communicating with a child who has hearing loss. Which of the following actions should the nurse take?
use light touch when initiating conversation
22) A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the following interventions should the
nurse include in his plan of care?
Encourage the adolescent to perform incentive spirometry to maintain lung capacity.
23) A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following
interventions should the nurse include?
a. Place cooling blanket on the toddler.
24.) A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the
child can be removed from droplet precautions.
Antibiotics initiated 24 hr ago
25.) A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should
the nurse plan to use for this procedure?
Mummy
26) A nurse is reviewing the medical record of a 24 month old child who has acute lymphocytic leukemia. Which of the following
actions should the nurse take?
Initiate bleeding precautions
27.) A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to
take?
Place the child in Trendelenburg position when performing care.
28) A nurse is teaching an adolescent who has type1 diabetes mellitus. Which of the following finding is the nurse
priority? d. pre-prandial blood glucose.124mg/dL.
29) A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following is the nurses priority?
HbA1c 11.5%
30) A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse
include in the plan of care?
