Peds ATI Practice Exams
Questions with Complete
Solutions
Denning [Date] [Course title]
,A nurse is providing teaching about food high in fiber to the guardian of a child who has chronic
constipation. Which of the following foods should the nurse recommend? - Correct Answers -1/2 cup
cooked pinot beans
rational: the nurse should recommend foods high in fiber for a child who has chronic constipation. A half
cup of cooked pinto beans contain approx. 5 g of fiber. Therefore, the nurse should instruct the guardian
to include this food in the child's diet
A nurse i8s caring for a child who has a tracheostomy. Which of the following techniques should the
nurse use to suction the child's tracheostomy? - Correct Answers -remove the catheter while applying
intermittent suction
rational: the nurse should insert the catheter w/out suction & then withdraw the catheter while
applying intermittent suction
A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in
the morning. The child has been crying despite his parents' presence at his bedside. The nurse should
add engaging the child in therapeutic play to the care plan to offer while of the following benefits? -
Correct Answers -allow the child to manipulate toy medical equipment
rational: a major function of play therapy is making potentially unmanageable situations manageable
through symbolic representation, which provides kids w/ opportunities to learn to cope. A preschooler
does not have the language development to express fear of the unfamiliar medical equipment in the
hospital. By encouraging th child to touch the equipment, the nurse is helping decrease the child's fear
and intimidation in a safe environment using age-appropriate vocabulary. The use of toys enables kids to
transfer anxieties, fears, fantasies, and guild to objects rather than people
A nurse is planning care for a toddler who has acute gastroenteritis and was recently admitted. Which of
the following should the nurse plan to provide for the child? - Correct Answers -oral rehydration solution
rational: the nurse should plan to provide an oral rehydration solution to this child who has acute
gastroenteritis. ORS promotes the body's reabsorption of water and sodium and is more effective and
less traumatic than the administration of IV fluids for the tx of dehydrations due to diarrhea and emesis
,A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by
a parent indicates an understanding of the teaching? - Correct Answers -my child may take aspirin for his
joint pain
rational: kids who has rheumatic fever may take salicylates (aspirin) to control the inflammatory process
that occurs in the joints
A nurse is caring for an infant who is postop following a myelomeningocele repair. Which of the
following is the priority action the nurse should take? - Correct Answers -measure the infants head
circumference
rational: increased head circumference is an indication that the infant is at greater risk of increased
intracranial pressure; measuring the infant's head circumference is the priority nursing action.
Hydrocephalus can occur as a complication of a myelomeningocele repair and is monitored using head
circum. measurements.
A nurse is assessing a 4 yr old child for growth and developmental milestones during a well child visit.
Which of the following findings suggests a possible delay in development? - Correct Answers -speaking
using 2-3 sentences
rational: a 4 yr old child should be speaking in 4-5 word sentences. Speaking in 2-3 word sentences is
typical of a 2 yr old child
A nurse is teaching the parent of an infant about home safety. Which of the following pieces of info
should the nurse include? SATA - Correct Answers -position the care seat so it is rear facing
-secure a safety gate at the top and bottom of the stairs
-maintain the water heater temp at 49 C (120F)
rational: infants and kids should remain in the rear facing position in a care seat until the age of 2 yrs or
until they reach the recommended height and weight per the manufacturer's guidelines. As the infant
begins to crawl and becomes more mobile, the risk of falls increase. To prevent burn injury, the temp of
the water heart should not exceed 49 C ( 120F)
, A nurse is caring for a 4 yr old child who has pneumonia. The child's mother left 2 hrs ago, and he is
currently experiencing the separation anxiety stage of despair. Which of the following findings should
the nurse expect? - Correct Answers -inactivity and thumb sucking
rational: a child who is sucking his thumb and refusing to eat or drink is displaying manifestations of the
second state of separations anxiety, which is despair
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following actions
should the nurse take? - Correct Answers -preform oropharyngeal suctioning
rational: when caring for an infant who has a tracheoesophageal fistula, the nurse should perform
frequent oropharyngeal suctioning to decrease the infant's risk of aspiration
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following lab values
should the nurse expect? - Correct Answers -RBCs 2.5 million/uL
rational: an RBC count of 2.5 million/uL is below the expected reference range. A child who has acute
lymphocytic leukemia has a low RBC count
A nurse is assessing a 6 month old infant. The guardian reports that the infant does not appear
interested in the brightly colored mobile hanging above the crib at home. Which of the following
techniques should the nurse use to check the infant's visual acuity? - Correct Answers -move a brightly
colored toy from side to side in front of the infant's face
rational: the nurse should check the infant's ability to see by positioning the infant upright and holding a
brightly colored toy or object in front of the infant's face and moving it from side to side. The nurse
should observe the infant's ability to fixate on the toy and track its movement. The nurse can also
perform this assessment using the human face as a visual target
A nurse is performing an annual physical assessment of a preschooler. The parent expresses concern
about the child's 1.8 kg (4lbs) weight gain over the past year. Which of the following responses should
the nurse make? - Correct Answers -your child's weight change is expected for this age group
Questions with Complete
Solutions
Denning [Date] [Course title]
,A nurse is providing teaching about food high in fiber to the guardian of a child who has chronic
constipation. Which of the following foods should the nurse recommend? - Correct Answers -1/2 cup
cooked pinot beans
rational: the nurse should recommend foods high in fiber for a child who has chronic constipation. A half
cup of cooked pinto beans contain approx. 5 g of fiber. Therefore, the nurse should instruct the guardian
to include this food in the child's diet
A nurse i8s caring for a child who has a tracheostomy. Which of the following techniques should the
nurse use to suction the child's tracheostomy? - Correct Answers -remove the catheter while applying
intermittent suction
rational: the nurse should insert the catheter w/out suction & then withdraw the catheter while
applying intermittent suction
A nurse on a pediatric unit is planning care for a preschooler who will be having a surgical procedure in
the morning. The child has been crying despite his parents' presence at his bedside. The nurse should
add engaging the child in therapeutic play to the care plan to offer while of the following benefits? -
Correct Answers -allow the child to manipulate toy medical equipment
rational: a major function of play therapy is making potentially unmanageable situations manageable
through symbolic representation, which provides kids w/ opportunities to learn to cope. A preschooler
does not have the language development to express fear of the unfamiliar medical equipment in the
hospital. By encouraging th child to touch the equipment, the nurse is helping decrease the child's fear
and intimidation in a safe environment using age-appropriate vocabulary. The use of toys enables kids to
transfer anxieties, fears, fantasies, and guild to objects rather than people
A nurse is planning care for a toddler who has acute gastroenteritis and was recently admitted. Which of
the following should the nurse plan to provide for the child? - Correct Answers -oral rehydration solution
rational: the nurse should plan to provide an oral rehydration solution to this child who has acute
gastroenteritis. ORS promotes the body's reabsorption of water and sodium and is more effective and
less traumatic than the administration of IV fluids for the tx of dehydrations due to diarrhea and emesis
,A nurse is teaching the parents of a child who has rheumatic fever. Which of the following statements by
a parent indicates an understanding of the teaching? - Correct Answers -my child may take aspirin for his
joint pain
rational: kids who has rheumatic fever may take salicylates (aspirin) to control the inflammatory process
that occurs in the joints
A nurse is caring for an infant who is postop following a myelomeningocele repair. Which of the
following is the priority action the nurse should take? - Correct Answers -measure the infants head
circumference
rational: increased head circumference is an indication that the infant is at greater risk of increased
intracranial pressure; measuring the infant's head circumference is the priority nursing action.
Hydrocephalus can occur as a complication of a myelomeningocele repair and is monitored using head
circum. measurements.
A nurse is assessing a 4 yr old child for growth and developmental milestones during a well child visit.
Which of the following findings suggests a possible delay in development? - Correct Answers -speaking
using 2-3 sentences
rational: a 4 yr old child should be speaking in 4-5 word sentences. Speaking in 2-3 word sentences is
typical of a 2 yr old child
A nurse is teaching the parent of an infant about home safety. Which of the following pieces of info
should the nurse include? SATA - Correct Answers -position the care seat so it is rear facing
-secure a safety gate at the top and bottom of the stairs
-maintain the water heater temp at 49 C (120F)
rational: infants and kids should remain in the rear facing position in a care seat until the age of 2 yrs or
until they reach the recommended height and weight per the manufacturer's guidelines. As the infant
begins to crawl and becomes more mobile, the risk of falls increase. To prevent burn injury, the temp of
the water heart should not exceed 49 C ( 120F)
, A nurse is caring for a 4 yr old child who has pneumonia. The child's mother left 2 hrs ago, and he is
currently experiencing the separation anxiety stage of despair. Which of the following findings should
the nurse expect? - Correct Answers -inactivity and thumb sucking
rational: a child who is sucking his thumb and refusing to eat or drink is displaying manifestations of the
second state of separations anxiety, which is despair
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the following actions
should the nurse take? - Correct Answers -preform oropharyngeal suctioning
rational: when caring for an infant who has a tracheoesophageal fistula, the nurse should perform
frequent oropharyngeal suctioning to decrease the infant's risk of aspiration
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following lab values
should the nurse expect? - Correct Answers -RBCs 2.5 million/uL
rational: an RBC count of 2.5 million/uL is below the expected reference range. A child who has acute
lymphocytic leukemia has a low RBC count
A nurse is assessing a 6 month old infant. The guardian reports that the infant does not appear
interested in the brightly colored mobile hanging above the crib at home. Which of the following
techniques should the nurse use to check the infant's visual acuity? - Correct Answers -move a brightly
colored toy from side to side in front of the infant's face
rational: the nurse should check the infant's ability to see by positioning the infant upright and holding a
brightly colored toy or object in front of the infant's face and moving it from side to side. The nurse
should observe the infant's ability to fixate on the toy and track its movement. The nurse can also
perform this assessment using the human face as a visual target
A nurse is performing an annual physical assessment of a preschooler. The parent expresses concern
about the child's 1.8 kg (4lbs) weight gain over the past year. Which of the following responses should
the nurse make? - Correct Answers -your child's weight change is expected for this age group
