2023 PEDS ATI Proctored Exam
1. The nurse is preparing to administer an immunization to a four-year-old
child.Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3 seconds: C-
administer the immunization using a 24-gauge needle; The nurse should
administer an immunization for a 4-year-old child using a 24gauge needle to
minimize the amount of pain experienced by the toddler.
2. A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
following laboratory values indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg: B- sodium 140; The nurse should identify that a sodium level of
140 mEq/L is within the expected reference range and indicates the current
treatment regimen the infant is receiving for dehydration is effective.
3. The nurse is providing teaching about Social Development to the
parents of a preschooler. Which of the following play activities should the
nurse recommend for the child? A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up: D- playing dress-up; The nurse should instruct the parents
that at the preschool age, play should focus on social, mental, and physical
development. Therefore, playing dress-up is a recommended play activity for
this child.
4. A nurse is teaching the parents of a newborn about ways to prevent
sudden infant death syndrome SIDS. Which of the following instructions
should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.: D- Give the infant a pacifier at bedtime;
, 2023 PEDS ATI Proctored Exam
The nurse should inform the parent that protective factors against SIDS include
breastfeeding and the use of a pacifier when the infant is sleeping. A- The nurse
should instruct the parent to place the infant in a supine
5. A nurse is assessing an infant who has pneumonia. Which of the
following findings is the priority for the nurse to report to the provider?
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension: A- Nasal flaring; When using the airway, breathing,
circulation approach to client care, the nurse should place the priority on nasal
flaring. Nasal flaring indicates that the infant is experiencing acute respiratory
distress.
6. A school nurse is assessing a school-age child blood pressure while he is
seated in a chair. The child starts to experience a tonic-clonic seizure.
Which of the following actions should the nurse take first?
A- Clear the immediate area around the child of hazardous objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child: C- assist the child to a side-lying position
on the floor; The greatest risk to this child is aspiration, occlusion of the airway,
and bodily injury from falling out of the chair. The nurse should ease the child
down to floor in a side-lying position immediately. This position enables the
child's secretions to drain from the mouth, preventing aspiration, and
maintaining a patent airway.
7. A nurse is receiving change-of-shift Report on for children. Which of the
following children should the nurse assesses 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 hour ago and rates
his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and brown colored
urine: A- A toddler who has a concussion and an episode of forceful vomiting;
When using the urgent vs. no urgent approach to client care, the nurse should
, 2023 PEDS ATI Proctored Exam
assess this child first. An episode of forceful vomiting is an indication of increased
intracranial pressure in a toddler who has a concussion.
8. A nurse in the emergency department is caring for an adolescent who
has severe abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as mcburney's point?: A is correct. The
nurse should identify the lower right quadrant of the abdomen between the
umbilicus and the anterior iliac crest as the location of Burney's point.
9. A nurse is providing teaching to the family of a school-age child who
has juvenile idiopathic arthritis. Which of the following instructions should
the nurse include in the teaching?
A- Limit the movement of the child 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- Encourage
the child to perform independent self-care; 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.
10. A nurse is assessing a client who has a new diagnosis of celiac disease.
Which
of the following clinical manifestations should the nurse expect?
A- Steatorrhea
B- projectile vomiting
C- sunken abdomen
D- weight gain: A- Steatorrhea; The nurse should realize that clients who have
celiac disease are unable to digest gluten. This will cause damage to the cells
in the bowel, leading to malabsorption, steatorrhea, and diarrhea.
11. A nurse is providing teaching to an adolescent about how to manage
tinea pedis. Which of the following statements by the Adolescent indicates
an understanding of the teaching?
A- I should buy some plastic shoes to wear at the swimming pool
B- I should wear sandals as much as possible
C- I should place the permethrin cream between my toes twice-dailyD- I
should I seal my non washable shoes in plastic bags for a couple of
weeks: D- I should I seal my non washable shoes in plastic bags for a couple
of weeks; Sealing non-washable items in plastic bags for 14 days is a
1. The nurse is preparing to administer an immunization to a four-year-old
child.Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3 seconds: C-
administer the immunization using a 24-gauge needle; The nurse should
administer an immunization for a 4-year-old child using a 24gauge needle to
minimize the amount of pain experienced by the toddler.
2. A nurse is reviewing the laboratory report of an infant who is receiving
treatment for severe dehydration. The nurse should identify which of the
following laboratory values indicates effectiveness of the current treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg: B- sodium 140; The nurse should identify that a sodium level of
140 mEq/L is within the expected reference range and indicates the current
treatment regimen the infant is receiving for dehydration is effective.
3. The nurse is providing teaching about Social Development to the
parents of a preschooler. Which of the following play activities should the
nurse recommend for the child? A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up: D- playing dress-up; The nurse should instruct the parents
that at the preschool age, play should focus on social, mental, and physical
development. Therefore, playing dress-up is a recommended play activity for
this child.
4. A nurse is teaching the parents of a newborn about ways to prevent
sudden infant death syndrome SIDS. Which of the following instructions
should the nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.: D- Give the infant a pacifier at bedtime;
, 2023 PEDS ATI Proctored Exam
The nurse should inform the parent that protective factors against SIDS include
breastfeeding and the use of a pacifier when the infant is sleeping. A- The nurse
should instruct the parent to place the infant in a supine
5. A nurse is assessing an infant who has pneumonia. Which of the
following findings is the priority for the nurse to report to the provider?
A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension: A- Nasal flaring; When using the airway, breathing,
circulation approach to client care, the nurse should place the priority on nasal
flaring. Nasal flaring indicates that the infant is experiencing acute respiratory
distress.
6. A school nurse is assessing a school-age child blood pressure while he is
seated in a chair. The child starts to experience a tonic-clonic seizure.
Which of the following actions should the nurse take first?
A- Clear the immediate area around the child of hazardous objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child: C- assist the child to a side-lying position
on the floor; The greatest risk to this child is aspiration, occlusion of the airway,
and bodily injury from falling out of the chair. The nurse should ease the child
down to floor in a side-lying position immediately. This position enables the
child's secretions to drain from the mouth, preventing aspiration, and
maintaining a patent airway.
7. A nurse is receiving change-of-shift Report on for children. Which of the
following children should the nurse assesses 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 hour ago and rates
his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and brown colored
urine: A- A toddler who has a concussion and an episode of forceful vomiting;
When using the urgent vs. no urgent approach to client care, the nurse should
, 2023 PEDS ATI Proctored Exam
assess this child first. An episode of forceful vomiting is an indication of increased
intracranial pressure in a toddler who has a concussion.
8. A nurse in the emergency department is caring for an adolescent who
has severe abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as mcburney's point?: A is correct. The
nurse should identify the lower right quadrant of the abdomen between the
umbilicus and the anterior iliac crest as the location of Burney's point.
9. A nurse is providing teaching to the family of a school-age child who
has juvenile idiopathic arthritis. Which of the following instructions should
the nurse include in the teaching?
A- Limit the movement of the child 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- Encourage
the child to perform independent self-care; 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.
10. A nurse is assessing a client who has a new diagnosis of celiac disease.
Which
of the following clinical manifestations should the nurse expect?
A- Steatorrhea
B- projectile vomiting
C- sunken abdomen
D- weight gain: A- Steatorrhea; The nurse should realize that clients who have
celiac disease are unable to digest gluten. This will cause damage to the cells
in the bowel, leading to malabsorption, steatorrhea, and diarrhea.
11. A nurse is providing teaching to an adolescent about how to manage
tinea pedis. Which of the following statements by the Adolescent indicates
an understanding of the teaching?
A- I should buy some plastic shoes to wear at the swimming pool
B- I should wear sandals as much as possible
C- I should place the permethrin cream between my toes twice-dailyD- I
should I seal my non washable shoes in plastic bags for a couple of
weeks: D- I should I seal my non washable shoes in plastic bags for a couple
of weeks; Sealing non-washable items in plastic bags for 14 days is a
