2024/9 Peds ATI exam protocol Actual Questions and Answers
Verified by Expert | 2024-2025
Nurses caring for a newly admitted child with cystic fibrosis, which of the following members of the
inter- professional team should the nurse initiate a referral?
A. Dietitian
B. Physical therapist
C. Speech language pathologist
D. Occupational therapist
A. Dietitian
A nurse reviewing the lab results of a child who has recently been admitted for suspected rheumatic
fever. The nurse should identify the which of the following lab test can contribute, confirming the
diagnosis.
A. Partial thromboplastin PTT
B. Erythrocyte sedimentation rate ESR
C. ASO Antistretolysin O titer
D. C-reactive protein (CRF)
E. Blood urine nitrogen (BUN)
B. Erythrocyte sedimentation rate ESR.
C. ASO Astistretolysin O titer
D. C-reactive protein (CRF)
A nurse is planning care for a preschooler who has autism spectrum disorder, which of the following
interventions should the nurse include in the plan?
A. Maintain extended eye contact.
B. Engage in cooperative play.
C. Establish a reward system.
,D. Hold the child during assessments.
C. Establish a reward system.
A nurse is assessing a four-month-old infant during a well-baby visit for which of the following findings
should the nurse notify the provider?
A. Dolls eye reflex intact
B. No head lag when pulled to a sitting position.
C. Presence of tears when crying
D. Positive Babinski reflex
A. Dolls eye reflex intact.
Rationale: The nurse should notify the provider if the Doll's eye reflex is still present in a 4-month-old
infant. The Doll's eye reflex, also known as the oculocephalic reflex, is a normal reflex in newborns and
infants up to approximately 2 months of age. It is a protective reflex that helps keep the eyes fixed on a
point when the head is moved. After 2 months of age, this reflex should disappear as the baby starts to
gain control over eye movements. If this reflex is still present after this age, it could indicate a problem
with the development of the baby's nervous system.
Nurse is applying restraints to a child who was acting aggressively towards staff which of the action
should the nurse take?
A. Secure the restraints with a quick release, knot.
B. Assess the child every 4 hours while in restraints.
C. Request at the provider, renew the prescription for restraints every four hours.
D. Tie the restraints to the side rails of the child's bed.
A. Secure the restraints with a quick release, knot.
, A nurse was reviewing the complete blood count results of four-year-old child is receiving treatment for
acute lymphoblastic leukemia which finding should indicate to the nurse that the treatment is having a
therapeutic effect?
A. Platelet count 98,000/mm (150,000-400,000)
B. Hemoglobin 6.8 (9.5-14)
C. WBC count 15,000 (5,000-10,000)
D. RBC count 5 (4-5.5)
D. RBC count 5 (4-5.5)
A nurse is caring for a five-year-old child who has cute post-streptococcal glomerulonephritis. Which of
the following findings should indicate to the nurse that treatment has been effective?
A. Odorless l urine
B. Temperature 99°F
C. Clear urine
D. No report of pain with voiding
C. Clear urine
A nurse is caring for a one-week-old newborn who has hyperbilirubinemia and is being treated with
phototherapy. Which action should the nurse take?
A. Monitor the newborn every two hours.
B. Place ___ on the newborn hands.
C. Check the newborn eyes every eight hours.
D. Apply lotion to the skin.
A. Monitor the newborn every two hours.
A nurse came for a five-year-old child following a tonsillectomy and adenoidectomy, which of the
following findings should the nurses identify as an indication of hemorrhage?
A. Continuous swallowing
Verified by Expert | 2024-2025
Nurses caring for a newly admitted child with cystic fibrosis, which of the following members of the
inter- professional team should the nurse initiate a referral?
A. Dietitian
B. Physical therapist
C. Speech language pathologist
D. Occupational therapist
A. Dietitian
A nurse reviewing the lab results of a child who has recently been admitted for suspected rheumatic
fever. The nurse should identify the which of the following lab test can contribute, confirming the
diagnosis.
A. Partial thromboplastin PTT
B. Erythrocyte sedimentation rate ESR
C. ASO Antistretolysin O titer
D. C-reactive protein (CRF)
E. Blood urine nitrogen (BUN)
B. Erythrocyte sedimentation rate ESR.
C. ASO Astistretolysin O titer
D. C-reactive protein (CRF)
A nurse is planning care for a preschooler who has autism spectrum disorder, which of the following
interventions should the nurse include in the plan?
A. Maintain extended eye contact.
B. Engage in cooperative play.
C. Establish a reward system.
,D. Hold the child during assessments.
C. Establish a reward system.
A nurse is assessing a four-month-old infant during a well-baby visit for which of the following findings
should the nurse notify the provider?
A. Dolls eye reflex intact
B. No head lag when pulled to a sitting position.
C. Presence of tears when crying
D. Positive Babinski reflex
A. Dolls eye reflex intact.
Rationale: The nurse should notify the provider if the Doll's eye reflex is still present in a 4-month-old
infant. The Doll's eye reflex, also known as the oculocephalic reflex, is a normal reflex in newborns and
infants up to approximately 2 months of age. It is a protective reflex that helps keep the eyes fixed on a
point when the head is moved. After 2 months of age, this reflex should disappear as the baby starts to
gain control over eye movements. If this reflex is still present after this age, it could indicate a problem
with the development of the baby's nervous system.
Nurse is applying restraints to a child who was acting aggressively towards staff which of the action
should the nurse take?
A. Secure the restraints with a quick release, knot.
B. Assess the child every 4 hours while in restraints.
C. Request at the provider, renew the prescription for restraints every four hours.
D. Tie the restraints to the side rails of the child's bed.
A. Secure the restraints with a quick release, knot.
, A nurse was reviewing the complete blood count results of four-year-old child is receiving treatment for
acute lymphoblastic leukemia which finding should indicate to the nurse that the treatment is having a
therapeutic effect?
A. Platelet count 98,000/mm (150,000-400,000)
B. Hemoglobin 6.8 (9.5-14)
C. WBC count 15,000 (5,000-10,000)
D. RBC count 5 (4-5.5)
D. RBC count 5 (4-5.5)
A nurse is caring for a five-year-old child who has cute post-streptococcal glomerulonephritis. Which of
the following findings should indicate to the nurse that treatment has been effective?
A. Odorless l urine
B. Temperature 99°F
C. Clear urine
D. No report of pain with voiding
C. Clear urine
A nurse is caring for a one-week-old newborn who has hyperbilirubinemia and is being treated with
phototherapy. Which action should the nurse take?
A. Monitor the newborn every two hours.
B. Place ___ on the newborn hands.
C. Check the newborn eyes every eight hours.
D. Apply lotion to the skin.
A. Monitor the newborn every two hours.
A nurse came for a five-year-old child following a tonsillectomy and adenoidectomy, which of the
following findings should the nurses identify as an indication of hemorrhage?
A. Continuous swallowing
