ATI Pediatrics Proctored 2019 B Exam
Questions and Answers (Verified Answers)
1. A nurse is assessing the pain level of a 3 year old toddler. Which of
the following assessment scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Visual analog✔✔✔ A. The nurse should use the FACES pain rating
scale for pediatric clients who are 3 years old and older. This scale
allows the toddler to point to the face that depicts their current level of
pain. The nurse can then determine the need for pain management.
2. A nurse is planning an educational program to teach parents about
pro- tecting their children from sunburns. Which of the following
instructions should the nurse plan to include?
a. "allow your child to play outside during the hours between 10:00am and
2:00pm."
b. "choose a waterproof sunscreen with a minimum SPF of 15."
,c. "dress you child in loose weave polyester fabric prior to sun exposure."
d. "reapply sunscreen every 4 hours."✔✔✔ B. The nurse should instruct
parents to apply a waterproof sunscreen with a minimum SPF of 15 for
children. The parents should apply the sunscreen prior to sun
exposure to reduce the risk of sunburn.
3. A nurse is performing hearing screenings for children at a
community health fair. Which of the following children should the nurse
refer to a provider for a more extensive hearing evaluation?
a. an 18 month old toddler who has unintelligible speech
b. a 3 month old infant who has exaggerated startle response
c. a 4 year old preschooler who prefers playing with others rather than
alone
d. an 8 month old infant who is not yet making babbling sounds✔✔✔ D.
The nurse should refer an infant who is not making babbling sounds by
the age of 7 months to a provider for a more extensive evaluation of
hearing.
4. A nurse in an emergency department is assessing a 3 month old infant
who has rotavirus and is experiencing acute vomiting and diarrhea. Which
of the following manifestations should the nurse identify as an indication
that the infant has moderate to severe dehydration?
a. HR 124
,b. increased tear production
, c. sunken anterior fontanel
d. capillary refill 2 seconds✔✔✔ C. The nurse should recognize that a
sunken anterior fontanel is an indication of moderate to severe
dehydration due to the acute loss of fluid.
5. A nurse is providing teaching to the family of a school-age child who
has juvenile idiopathic arthrisis. Which of the following instructions should
the nurse include in the teaching?
a. "limit movement of the child's large joints"
b. "encourage the child to perform independent self-care."
c. "provide the child with a soft mattress for sleeping."
d. "schedule a 2 hour daily nap for the child in the afternoon."✔✔✔ B. The
nurse should teach the family the importance of encouraging the child
to perform independent self-care. This will minimize the child's pain
while maximizing mobility. Encouraging and praising the child's efforts
for independence will also increase their self-esteem.
6. A nurse is planning care for a school age child who has a tunneled
central venous access device. Which of the following interventions should
the nurse include in the plan?
a. use sterile scissors to remove the dressing from the site
b. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride
solution when not in use
Questions and Answers (Verified Answers)
1. A nurse is assessing the pain level of a 3 year old toddler. Which of
the following assessment scales should the nurse use?
a. FACES
b. Numeric
c. CRIES
d. Visual analog✔✔✔ A. The nurse should use the FACES pain rating
scale for pediatric clients who are 3 years old and older. This scale
allows the toddler to point to the face that depicts their current level of
pain. The nurse can then determine the need for pain management.
2. A nurse is planning an educational program to teach parents about
pro- tecting their children from sunburns. Which of the following
instructions should the nurse plan to include?
a. "allow your child to play outside during the hours between 10:00am and
2:00pm."
b. "choose a waterproof sunscreen with a minimum SPF of 15."
,c. "dress you child in loose weave polyester fabric prior to sun exposure."
d. "reapply sunscreen every 4 hours."✔✔✔ B. The nurse should instruct
parents to apply a waterproof sunscreen with a minimum SPF of 15 for
children. The parents should apply the sunscreen prior to sun
exposure to reduce the risk of sunburn.
3. A nurse is performing hearing screenings for children at a
community health fair. Which of the following children should the nurse
refer to a provider for a more extensive hearing evaluation?
a. an 18 month old toddler who has unintelligible speech
b. a 3 month old infant who has exaggerated startle response
c. a 4 year old preschooler who prefers playing with others rather than
alone
d. an 8 month old infant who is not yet making babbling sounds✔✔✔ D.
The nurse should refer an infant who is not making babbling sounds by
the age of 7 months to a provider for a more extensive evaluation of
hearing.
4. A nurse in an emergency department is assessing a 3 month old infant
who has rotavirus and is experiencing acute vomiting and diarrhea. Which
of the following manifestations should the nurse identify as an indication
that the infant has moderate to severe dehydration?
a. HR 124
,b. increased tear production
, c. sunken anterior fontanel
d. capillary refill 2 seconds✔✔✔ C. The nurse should recognize that a
sunken anterior fontanel is an indication of moderate to severe
dehydration due to the acute loss of fluid.
5. A nurse is providing teaching to the family of a school-age child who
has juvenile idiopathic arthrisis. Which of the following instructions should
the nurse include in the teaching?
a. "limit movement of the child's large joints"
b. "encourage the child to perform independent self-care."
c. "provide the child with a soft mattress for sleeping."
d. "schedule a 2 hour daily nap for the child in the afternoon."✔✔✔ B. The
nurse should teach the family the importance of encouraging the child
to perform independent self-care. This will minimize the child's pain
while maximizing mobility. Encouraging and praising the child's efforts
for independence will also increase their self-esteem.
6. A nurse is planning care for a school age child who has a tunneled
central venous access device. Which of the following interventions should
the nurse include in the plan?
a. use sterile scissors to remove the dressing from the site
b. irrigate each lumen weekly with 10 ml of 0.9% sodium chloride
solution when not in use
