ATI PEDIATRICS ACTUAL FINAL EXAM 1
WITH REAL QUESTIONS AND VERIFIED
CORRECT ANSWERS |ALREADY GRADED
A+ |ATI PEDIATRICS LATEST EXAM 2024-
2025[BRAND NEW!!!]
A nurse is caring for an infant who has pertussis. Which of the following actions
should the nurse take?
A. Assess for edema of the extremities
B. Apply warm compresses to the neck area
C. Initiate airborne precautions
D. Maintain a cardiorespiratory monitor - ANSWER- Correct Answer: D. Maintain
a cardiorespiratory monitor
Infants with pertussis typically present with APNEA in response to coughing
spasms and mucus plugs. Humidified oxygen and suction equipment should be
used as needed.
Incorrect Answers:
A. Pertussis causes paroxysms of coughing with frequent VOMITING. Therefore,
infants who have pertussis are at risk of fluid volume deficit.
B. The nurse should take this action when caring for a child who has a mumps
infection, which causes enlarged, painful parotid glands.
C. The nurse should initiate standard and droplet precautions when providing care
for a client who has pertussis.
,A nurse is planning care for a child who has meningococcal meningitis. Which of
the following isolation precautions should the nurse plan to implement?
A. Airborne precautions
B. Contact precautions
C. Protective environment
D. Droplet precautions - ANSWER- Correct Answer: D. Droplet precautions
The nurse should maintain droplet precautions for a client who has meningococcal
meningitis for 24 - 72 hours after the initiation of antibiotic therapy. Disease
transmission can occur through large-droplet particles when the client is talking.
There is no drainage of infected body fluids with meningitis, so contact precautions
are not necessary.
Incorrect Answers:
A. This type of isolation would be appropriate for diseases such as rubeola, in
which transmission can occur via inhalation but there is no chance of transmission
through infected body fluids.
B. This type of isolation would be appropriate for diseases such as varicella-zoster,
smallpox, and tuberculosis, in which there is a potential for transmission by both
inhalation and contact with infected body fluids.
C. This type of isolation precaution would be appropriate for a client who
underwent an allogeneic hematopoietic stem cell transplant.
An 18-month-old infant has Pneumocystis carinii pneumonia. Results of enzyme-
linked immunosorbent assay (ELISA) testing indicate that she is HIV positive.
When planning care, the nurse should consider which of the following factors?
A. The infant's mother is likely HIV positive.
B. The infant's ELISA test result is probably a false positive for HIV.
C. Antiretroviral medications are inappropriate for infants and children who have
HIV.
,D. HIV-positive status is a contraindication for measles, mumps, and rubella
immunizations. - ANSWER- Correct Answer: A. The infant's mother is likely HIV
positive.
Transmission of HIV from a woman to her infant can occur during pregnancy, in
delivery, or through breastfeeding. Although the infant can acquire HIV from
sexual abuse, mother-to-child transmission accounts for the majority of HIV/AIDS
cases in infants.
Incorrect Answers:
B. The ELISA test is unreliable for HIV testing in infants under 18 months of age
because of false-positive results due to maternal antibodies. The results are
reliable, however, for clients 18 months of age and older.
C. While antiretroviral medications cannot cure HIV, they do slow the progress of
the infection for clients of all ages.
D. Infants who are HIV positive should receive immunization against childhood
illnesses, including MMR and influenza.
A nurse is planning to implement relaxation strategies with a young child prior to a
painful procedure. Which of the following actions should the nurse take?
A. Ask the child to hold a breath and blow it out slowly
B. Ask the child to describe a pleasurable event
C. Bounce the child gently while holding him upright
D. Rock the child using long, rhythmic movements - ANSWER- Correct Answer:
D. Rock the child using long, rhythmic movements
A nurse on a pediatric unit is caring for a child who has an autism spectrum
disorder. Which of the following actions should the nurse take?
A. Provide activities to stimulate the child's interest in the environment
B. Make frequent eye contact when talking to the child
C. Offer the child choices when scheduling planned care
D. Ensure that staff visits with the child are kept short - ANSWER- Correct
Answer: D.
, Children who have ASD have difficulty adjusting to new situations. The staff
members should keep interactions with the child as brief as possible.
Incorrect Answers:
A. Children who have ASD have difficulty adjusting to new situations. The nurse
should assign this child to a private room with decreased auditory and visual
stimulation to assist the child's adaptation.
B. Children who have ASD prefer minimal physical contact. The nurse should
refrain from holding or restraining the child and should reduce eye contact as much
as possible to prevent outbursts.
C. Children who have ASD have difficulty redirecting their focus and changing
activities. The nurse should clearly state expectations and instructions at the
appropriate developmental level and should not provide choices about scheduling
planned care.
A nurse is providing discharge teaching to the parents of a child who has nephrotic
syndrome. Which of the following instructions should the nurse include in the
teaching?
A. Restrict the child's potassium intake
B. Administer acetaminophen to the child twice daily
C. Weigh the child once each week
D. Keep the child away from people who have an infection - ANSWER- Correct
Answer: D. Keep the child away from people who have an infection
Children who have nephrotic syndrome are at increased risk for infection and
should avoid contact with people who have infections.
Incorrect Answers:
A. The nurse should instruct the parents to restrict the child's sodium (NOT
Potassium) intake and, in severe cases, restrict fluids. A child who has acute
glomerulonephritis should have a restricted potassium intake.
B. Corticosteroids are the first-line treatment for children who have nephrotic
syndrome.
WITH REAL QUESTIONS AND VERIFIED
CORRECT ANSWERS |ALREADY GRADED
A+ |ATI PEDIATRICS LATEST EXAM 2024-
2025[BRAND NEW!!!]
A nurse is caring for an infant who has pertussis. Which of the following actions
should the nurse take?
A. Assess for edema of the extremities
B. Apply warm compresses to the neck area
C. Initiate airborne precautions
D. Maintain a cardiorespiratory monitor - ANSWER- Correct Answer: D. Maintain
a cardiorespiratory monitor
Infants with pertussis typically present with APNEA in response to coughing
spasms and mucus plugs. Humidified oxygen and suction equipment should be
used as needed.
Incorrect Answers:
A. Pertussis causes paroxysms of coughing with frequent VOMITING. Therefore,
infants who have pertussis are at risk of fluid volume deficit.
B. The nurse should take this action when caring for a child who has a mumps
infection, which causes enlarged, painful parotid glands.
C. The nurse should initiate standard and droplet precautions when providing care
for a client who has pertussis.
,A nurse is planning care for a child who has meningococcal meningitis. Which of
the following isolation precautions should the nurse plan to implement?
A. Airborne precautions
B. Contact precautions
C. Protective environment
D. Droplet precautions - ANSWER- Correct Answer: D. Droplet precautions
The nurse should maintain droplet precautions for a client who has meningococcal
meningitis for 24 - 72 hours after the initiation of antibiotic therapy. Disease
transmission can occur through large-droplet particles when the client is talking.
There is no drainage of infected body fluids with meningitis, so contact precautions
are not necessary.
Incorrect Answers:
A. This type of isolation would be appropriate for diseases such as rubeola, in
which transmission can occur via inhalation but there is no chance of transmission
through infected body fluids.
B. This type of isolation would be appropriate for diseases such as varicella-zoster,
smallpox, and tuberculosis, in which there is a potential for transmission by both
inhalation and contact with infected body fluids.
C. This type of isolation precaution would be appropriate for a client who
underwent an allogeneic hematopoietic stem cell transplant.
An 18-month-old infant has Pneumocystis carinii pneumonia. Results of enzyme-
linked immunosorbent assay (ELISA) testing indicate that she is HIV positive.
When planning care, the nurse should consider which of the following factors?
A. The infant's mother is likely HIV positive.
B. The infant's ELISA test result is probably a false positive for HIV.
C. Antiretroviral medications are inappropriate for infants and children who have
HIV.
,D. HIV-positive status is a contraindication for measles, mumps, and rubella
immunizations. - ANSWER- Correct Answer: A. The infant's mother is likely HIV
positive.
Transmission of HIV from a woman to her infant can occur during pregnancy, in
delivery, or through breastfeeding. Although the infant can acquire HIV from
sexual abuse, mother-to-child transmission accounts for the majority of HIV/AIDS
cases in infants.
Incorrect Answers:
B. The ELISA test is unreliable for HIV testing in infants under 18 months of age
because of false-positive results due to maternal antibodies. The results are
reliable, however, for clients 18 months of age and older.
C. While antiretroviral medications cannot cure HIV, they do slow the progress of
the infection for clients of all ages.
D. Infants who are HIV positive should receive immunization against childhood
illnesses, including MMR and influenza.
A nurse is planning to implement relaxation strategies with a young child prior to a
painful procedure. Which of the following actions should the nurse take?
A. Ask the child to hold a breath and blow it out slowly
B. Ask the child to describe a pleasurable event
C. Bounce the child gently while holding him upright
D. Rock the child using long, rhythmic movements - ANSWER- Correct Answer:
D. Rock the child using long, rhythmic movements
A nurse on a pediatric unit is caring for a child who has an autism spectrum
disorder. Which of the following actions should the nurse take?
A. Provide activities to stimulate the child's interest in the environment
B. Make frequent eye contact when talking to the child
C. Offer the child choices when scheduling planned care
D. Ensure that staff visits with the child are kept short - ANSWER- Correct
Answer: D.
, Children who have ASD have difficulty adjusting to new situations. The staff
members should keep interactions with the child as brief as possible.
Incorrect Answers:
A. Children who have ASD have difficulty adjusting to new situations. The nurse
should assign this child to a private room with decreased auditory and visual
stimulation to assist the child's adaptation.
B. Children who have ASD prefer minimal physical contact. The nurse should
refrain from holding or restraining the child and should reduce eye contact as much
as possible to prevent outbursts.
C. Children who have ASD have difficulty redirecting their focus and changing
activities. The nurse should clearly state expectations and instructions at the
appropriate developmental level and should not provide choices about scheduling
planned care.
A nurse is providing discharge teaching to the parents of a child who has nephrotic
syndrome. Which of the following instructions should the nurse include in the
teaching?
A. Restrict the child's potassium intake
B. Administer acetaminophen to the child twice daily
C. Weigh the child once each week
D. Keep the child away from people who have an infection - ANSWER- Correct
Answer: D. Keep the child away from people who have an infection
Children who have nephrotic syndrome are at increased risk for infection and
should avoid contact with people who have infections.
Incorrect Answers:
A. The nurse should instruct the parents to restrict the child's sodium (NOT
Potassium) intake and, in severe cases, restrict fluids. A child who has acute
glomerulonephritis should have a restricted potassium intake.
B. Corticosteroids are the first-line treatment for children who have nephrotic
syndrome.
