ATI proctored exam Pediatrics questions
with complete answers
A nurse is caring for an adolescent following a lumbar puncture. which of the following
actions should the nurse take?
- initiate NPO status for the adolescent
- place the adolescent in a supine position
- place a moist, warm pack on the adolescents lower back
- apply a eutectic mixture of local anesthetics to the adolescent's puncture site -
Answer-Place the adolescent in supine position
(The nurse should place the adolescent in a supine position for 30 minutes to an 1 hour
following a lumbar puncture to decrease the risk of a post Dural puncture headache)
A nurse is assessing a child who is receiving IV chemotherapy. assessment findings
include extravasation of the tissues surrounding the IV insertion site. In which order
should the nurse take the following actions?
-Remove IV line
-Elevate the extremity
-Stop the infusion
-Notify the provider - Answer-Stop the infusion
Elevate the extremity
Notify the provider
Remove the IV line
A nurse is discussing the causes of chronic diarrhea with a client. which of the following
conditions is caused by malabsorption
-Celiac disease
-Ulcerative colitis
-Hirschsprung's disease
-Crohn's disease - Answer-Celiac Disease
(the nurse should recognize that celiac disease causes chronic diarrhea due to
malabsorption. other malabsorption conditions include short bowel syndrome, lactose
intolerance, and congenital enzyme deficiency)
A nurse is caring for an 8 year old child who has sickle cell anemia. which of the
following actions should the nurse take?
-Apply cool compresses to the painful area
-Initiate contact isolation precautions
-Give the child flavored popsicles
-Administer phytonadione - Answer-Give the child flavored popsicles
, (Maintaining hydration with a child who has sickle cell anemia is important to prevent
sickling. children often accept flavored popsicles as a source of fluid
A nurse is caring for a toddler who has a fever, a high pitched cry, irritability, and
vomiting. which of the following actions should the nurse take?
-Administer 81 mg of aspirin to the toddler
-Give the toddler a cold bath
-Place the toddler in a supine position
-Pad the rails of the toddler's bed - Answer-Pad the rails of the toddler's bed
(When caring for a toddler who has manifestations of bacterial meningitis, the nurse
should implement seizure precautions, which includes padding the side rails of the bed)
A Nurse is teaching the guardian of a preschooler. The guardian states that the
preschooler has had an imaginary playmate for about 3 months. which of the following
pieces of information should the nurse give to guardian?
-children commonly begin having imaginary friends when they reach school age
-Notify your provider if the imaginary friend persists longer than 6 months
-Have your child take responsibility for actions if he tries to blame the imaginary friend
-Set limits by not allowing your child to have the imaginary friend present during family
meals - Answer-Have your child take responsibility or actions if he tries to blame the
imaginary friend
(the nurse should inform the guardian that imaginary playmates are common during the
preschool years due to the high level of imagination among this age group. Although
having an imaginary friend is considered healthy, the preschooler might try to use this
imaginary friend as a means of avoiding responsibility or punishment for unacceptable
behavior. the nurse should inform the guardian of the need to have the preschooler take
responsibility for his actions)
A nurse in a providers office enters an examination room to assess an 8 month old
infant for the first time. which of the following reactions by the infant should the nurse
expect.
-The infant gives the nurse a social smile
-the infant turns away when the nurse approaches
-The infant reaches out to the nurse to be held
-The infant is responsive and alert as the nurse comes closer - Answer-the infant turns
away when the nurse approaches
(the nurse should expect an 8 month old infant to have a heightened fear of strangers.
the infant is expected to cling to her parent and turn away when approached by a
stranger.)
A nurse is caring for a toddler who has gastroenteritis caused by salmonella. which of
the following is the priority action for the nurse?
-Weigh the child
with complete answers
A nurse is caring for an adolescent following a lumbar puncture. which of the following
actions should the nurse take?
- initiate NPO status for the adolescent
- place the adolescent in a supine position
- place a moist, warm pack on the adolescents lower back
- apply a eutectic mixture of local anesthetics to the adolescent's puncture site -
Answer-Place the adolescent in supine position
(The nurse should place the adolescent in a supine position for 30 minutes to an 1 hour
following a lumbar puncture to decrease the risk of a post Dural puncture headache)
A nurse is assessing a child who is receiving IV chemotherapy. assessment findings
include extravasation of the tissues surrounding the IV insertion site. In which order
should the nurse take the following actions?
-Remove IV line
-Elevate the extremity
-Stop the infusion
-Notify the provider - Answer-Stop the infusion
Elevate the extremity
Notify the provider
Remove the IV line
A nurse is discussing the causes of chronic diarrhea with a client. which of the following
conditions is caused by malabsorption
-Celiac disease
-Ulcerative colitis
-Hirschsprung's disease
-Crohn's disease - Answer-Celiac Disease
(the nurse should recognize that celiac disease causes chronic diarrhea due to
malabsorption. other malabsorption conditions include short bowel syndrome, lactose
intolerance, and congenital enzyme deficiency)
A nurse is caring for an 8 year old child who has sickle cell anemia. which of the
following actions should the nurse take?
-Apply cool compresses to the painful area
-Initiate contact isolation precautions
-Give the child flavored popsicles
-Administer phytonadione - Answer-Give the child flavored popsicles
, (Maintaining hydration with a child who has sickle cell anemia is important to prevent
sickling. children often accept flavored popsicles as a source of fluid
A nurse is caring for a toddler who has a fever, a high pitched cry, irritability, and
vomiting. which of the following actions should the nurse take?
-Administer 81 mg of aspirin to the toddler
-Give the toddler a cold bath
-Place the toddler in a supine position
-Pad the rails of the toddler's bed - Answer-Pad the rails of the toddler's bed
(When caring for a toddler who has manifestations of bacterial meningitis, the nurse
should implement seizure precautions, which includes padding the side rails of the bed)
A Nurse is teaching the guardian of a preschooler. The guardian states that the
preschooler has had an imaginary playmate for about 3 months. which of the following
pieces of information should the nurse give to guardian?
-children commonly begin having imaginary friends when they reach school age
-Notify your provider if the imaginary friend persists longer than 6 months
-Have your child take responsibility for actions if he tries to blame the imaginary friend
-Set limits by not allowing your child to have the imaginary friend present during family
meals - Answer-Have your child take responsibility or actions if he tries to blame the
imaginary friend
(the nurse should inform the guardian that imaginary playmates are common during the
preschool years due to the high level of imagination among this age group. Although
having an imaginary friend is considered healthy, the preschooler might try to use this
imaginary friend as a means of avoiding responsibility or punishment for unacceptable
behavior. the nurse should inform the guardian of the need to have the preschooler take
responsibility for his actions)
A nurse in a providers office enters an examination room to assess an 8 month old
infant for the first time. which of the following reactions by the infant should the nurse
expect.
-The infant gives the nurse a social smile
-the infant turns away when the nurse approaches
-The infant reaches out to the nurse to be held
-The infant is responsive and alert as the nurse comes closer - Answer-the infant turns
away when the nurse approaches
(the nurse should expect an 8 month old infant to have a heightened fear of strangers.
the infant is expected to cling to her parent and turn away when approached by a
stranger.)
A nurse is caring for a toddler who has gastroenteritis caused by salmonella. which of
the following is the priority action for the nurse?
-Weigh the child
