ATI Peds Practice Exam 4
1. A nurse is assessing a school-age child who has heart failure and is taking
furosemide. Which of the following findings should the nurse identify as an
indication that the medication is effective?
o A. An increase in venous pressure
o B. A decrease in peripheral edema
o C. A decrease in cardiac output
o D. An increase in potassium levels
2. A nurse is assessing an infant who has acute otitis media. Which of the
following findings should the nurse expect (select all that apply)?
o A. Increased appetite
o B. Enlarged subclavian lymph node
o C. Crying
o D. Restlessness
o E. Fever
3. A nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine iontophoresis testing for cystic fibrosis. Which of the following
statements should the nurse include in the teaching?
o A. We will measure the amount of protein in your baby's urine over a
24-hour period.
o B. The test will measure the amount of water in your baby's sweat.
o C. A nurse will insert an IV prior to the test.
o D. Your baby will need to fast for 8 hours prior to the test.
,4. A nurse in an urgent care clinic is prioritizing care for children. Which of the
following children should the nurse assess first?
o A. A toddler who has nephrotic syndrome and facial edema
o B. A preschool-age child who has a muffled voice and no
spontaneous cough
o C. A preschool-age child who has diabetes mellitus and a blood
glucose of 200 mg/dl
o D. An adolescent who has Crohn's disease and recent weight loss of 5
kg (11 lb)
5. A nurse is providing teaching to the parents of a toddler who is to undergo
a sweat chloride test. Which of the following statements should the nurse
include?
o A. The purpose of the test is to determine if your child has Crohn's
disease.
o B. The technician will use a device to produce an electrical current
during the test.
o C. During the test, your child will be in a room that is cold.
o D. Your child's sweat will be collected over 24 hours.
6. A nurse in the emergency department is caring for an adolescent who is
requesting testing for an STI. Which of the following actions is appropriate
for the nurse to take?
o A. Request verbal consent from the social worker.
o B. Contact the client's parents to obtain phone consent.
o C. Postpone the testing until the client's parents are present.
o D. Obtain written consent from the client.
, 7. A nurse in the emergency department is assessing a toddler who has
hyperpyrexia, severe dyspnea, and drooling. Which of the following actions
should the nurse take first?
o A. Obtain a blood culture from the toddler.
o B. Administer antibiotics to the toddler.
o C. Insert an IV catheter for the toddler.
o D. Prepare the toddler for nasotracheal intubation.
8. A nurse is providing teaching to a 10-year-old child scheduled for an arterial
cardiac catheterization. Which of the following information should the
nurse include in the teaching?
o A. You will have your dressing removed 12 hours after the procedure.
o B. You will need to keep your legs straight for 8 hours following the
procedure.
o C. You will be on a clear liquid diet for 24 hours following the
procedure.
o D. You will be on bed rest for 2 days after the procedure.
9. A nurse is caring for a preschooler who is post-operative following a
tonsillectomy. The child is now ready to resume oral intake. Which of the
following dietary choices should the nurse offer the child?
o A. Sugar-free cherry gelatin
o B. Vanilla ice cream
o C. Chocolate milk
o D. Lime-flavored ice pop.
10.A nurse is caring for an infant who has patent ductus arteriosus. The nurse
should identify that the defect is a switch of the following locations of the
1. A nurse is assessing a school-age child who has heart failure and is taking
furosemide. Which of the following findings should the nurse identify as an
indication that the medication is effective?
o A. An increase in venous pressure
o B. A decrease in peripheral edema
o C. A decrease in cardiac output
o D. An increase in potassium levels
2. A nurse is assessing an infant who has acute otitis media. Which of the
following findings should the nurse expect (select all that apply)?
o A. Increased appetite
o B. Enlarged subclavian lymph node
o C. Crying
o D. Restlessness
o E. Fever
3. A nurse is providing teaching to the parents of an infant who is to undergo
pilocarpine iontophoresis testing for cystic fibrosis. Which of the following
statements should the nurse include in the teaching?
o A. We will measure the amount of protein in your baby's urine over a
24-hour period.
o B. The test will measure the amount of water in your baby's sweat.
o C. A nurse will insert an IV prior to the test.
o D. Your baby will need to fast for 8 hours prior to the test.
,4. A nurse in an urgent care clinic is prioritizing care for children. Which of the
following children should the nurse assess first?
o A. A toddler who has nephrotic syndrome and facial edema
o B. A preschool-age child who has a muffled voice and no
spontaneous cough
o C. A preschool-age child who has diabetes mellitus and a blood
glucose of 200 mg/dl
o D. An adolescent who has Crohn's disease and recent weight loss of 5
kg (11 lb)
5. A nurse is providing teaching to the parents of a toddler who is to undergo
a sweat chloride test. Which of the following statements should the nurse
include?
o A. The purpose of the test is to determine if your child has Crohn's
disease.
o B. The technician will use a device to produce an electrical current
during the test.
o C. During the test, your child will be in a room that is cold.
o D. Your child's sweat will be collected over 24 hours.
6. A nurse in the emergency department is caring for an adolescent who is
requesting testing for an STI. Which of the following actions is appropriate
for the nurse to take?
o A. Request verbal consent from the social worker.
o B. Contact the client's parents to obtain phone consent.
o C. Postpone the testing until the client's parents are present.
o D. Obtain written consent from the client.
, 7. A nurse in the emergency department is assessing a toddler who has
hyperpyrexia, severe dyspnea, and drooling. Which of the following actions
should the nurse take first?
o A. Obtain a blood culture from the toddler.
o B. Administer antibiotics to the toddler.
o C. Insert an IV catheter for the toddler.
o D. Prepare the toddler for nasotracheal intubation.
8. A nurse is providing teaching to a 10-year-old child scheduled for an arterial
cardiac catheterization. Which of the following information should the
nurse include in the teaching?
o A. You will have your dressing removed 12 hours after the procedure.
o B. You will need to keep your legs straight for 8 hours following the
procedure.
o C. You will be on a clear liquid diet for 24 hours following the
procedure.
o D. You will be on bed rest for 2 days after the procedure.
9. A nurse is caring for a preschooler who is post-operative following a
tonsillectomy. The child is now ready to resume oral intake. Which of the
following dietary choices should the nurse offer the child?
o A. Sugar-free cherry gelatin
o B. Vanilla ice cream
o C. Chocolate milk
o D. Lime-flavored ice pop.
10.A nurse is caring for an infant who has patent ductus arteriosus. The nurse
should identify that the defect is a switch of the following locations of the
