Pediatrics ATI Practice A
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1. A nurse is a providers office is preparing A. Withhold the measles, mumps, and rubella
to administer vaccinations to a toddler (MMR) vaccine.
during a well-child visit. Which of the Rationale: The nurse should recognize that an
actions should the nurse plan to take? allergy to neomycin with an anaphylactic reac-
(kid has increased RR & HR; allergy to tion is a contraindication for receiving the MMR
Neomycin) vaccine. Clients who have a severe allergy to
A. Withhold the measles, mumps, and eggs or gelatin should not receive this vaccine.
rubella (MMR) vaccine.
B. Withhold the diphtheria, tetanus, and
pertussis (DTaP) vaccine.
C. Withhold the influenza vaccine.
D. Withhold the tuberculin skin test
(TST).
2. A nurse is providing teaching to the par- A. "Shake the medication prior to administra-
ent of a school-aged child who has a tion."
new prescription for oral nystatin for Rationale: The nurse should instruct the parent
the treatment of oral candidacies. Which to shake the medication prior to administration
of the following instructions should the to disperse the medication evenly within the
nurse include? suspension.
A. "Shake the medication prior to admin-
istration."
B. "Provide the medication through a
straw."
C. "Rinse the child's mouth with wa-
ter immediately after giving the medica-
tion."
D. "Mix the medication with applesauce
if the child dislikes the taste."
3. A nurse is reviewing the lumbar punc- C. Increased protein concentration
ture results of a school-aged child Rationale: The nurse should identify that an in-
, Pediatrics ATI Practice A
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who has suspected bacterial meningitis. creased protein concentration in the spinal fluid
Which of the following findings should is a finding that can indicate bacterial meningi-
the nurse identify as an indication of tis.
bacterial meningitis?
A. Decreased cerebrospinal fluid pres-
sure
B. Decreased WBC count
C. Increased protein concentration
D. Increased glucose level
4. A nurse is caring for a preschooler B. "Your daddy will be back after you eat."
whose father is going home home for Rationale: Preschoolers make sense of time best
a few hours while another relative stays when they can associate it with an expected dai-
with the child. Which of the following ly routine, such as meals and bedtime. There-
statements should the nurse make to fore, the child comprehends time best when it
explain to the child when their father will is explained to them in relation to an event they
return? are familiar with, such as eating.
A. "Your daddy will be back at 7 p.m."
B. "Your daddy will be back after you
eat."
C. "Your daddy will be back in the morn-
ing."
D."Your daddy will be back after he takes
care of your brother."
5. A nurse is reviewing the laboratory re- A. Hematocrit 28%
port of a school-aged child who is expe- Rationale: The nurse should recognize that this
riencing fatigue. Which of the following hematocrit level is below the expected reference
findings should the nurse recognize as range of 32% to 44% for a school-age child.
an indication of anemia? The child can exhibit fatigue, lightheadedness,
A. Hematocrit 28% tachycardia, dyspnea, and pallor due to the de-
B. Hemoglobin 13.5 g/dL creased oxygen-carrying capacity.
, Pediatrics ATI Practice A
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C. WBC count 8,000/mm3
D. Platelets 250,000/mm3
6. A nurse is reviewing the laboratory re- B. Sodium 140 mEq/L
sults of an infant who is receiving treat- Rationale: The nurse should identify that a sodi-
ment for severe dehydration. The nurse um level of 140 mEq/L is within the expected
should identify which of the following reference range of 134 to 150 mEq/L and indi-
lab values indicates that the treatment is cates the current treatment regimen the infant
working? is receiving for dehydration is effective.
A. Potassium 2.9 mEq/L
B. Sodium 140 mEq/L
C. Urine specific gravity 1.035
D. BUN 25 mg/dL
7. A nurse is reviewing the laboratory re- A. Hgb 8.5 g/dL
port of a 7-year-old child who is going Rationale: A child receiving chemotherapy is at
through chemotherapy. which of the fol- risk for anemia due to the chemotherapy effects
lowing lab values should the nurse re- on the blood-forming cells of the bone mar-
port to the provider? row. The development of anemia is diagnosed
A. Hgb 8.5 g/dL through laboratory testing of hemoglobin and
B. WBC count 9,500/mm3 hematocrit levels. The nurse should recognize
C. Prealbumin 18 mg/dL that a hemoglobin level of 8.5 g/dL is below the
D. Platelets 300,000/mm3 expected reference range of 10 to 15.5 g/dL for
a 7-year-old child and should be reported to the
provider.
8. A nurse is teaching the parents of an D. "Give the infant a pacifier at bedtime."
infant ways to prevent sudden infant Rationale: The nurse should inform the par-
death syndrome (SIDS). Which of the fol- ent that protective factors against SIDS include
lowing instructions should the nurse in- breastfeeding and the use of a pacifier when the
clude? infant is sleeping.
A. "Place the infant in a prone position to
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1. A nurse is a providers office is preparing A. Withhold the measles, mumps, and rubella
to administer vaccinations to a toddler (MMR) vaccine.
during a well-child visit. Which of the Rationale: The nurse should recognize that an
actions should the nurse plan to take? allergy to neomycin with an anaphylactic reac-
(kid has increased RR & HR; allergy to tion is a contraindication for receiving the MMR
Neomycin) vaccine. Clients who have a severe allergy to
A. Withhold the measles, mumps, and eggs or gelatin should not receive this vaccine.
rubella (MMR) vaccine.
B. Withhold the diphtheria, tetanus, and
pertussis (DTaP) vaccine.
C. Withhold the influenza vaccine.
D. Withhold the tuberculin skin test
(TST).
2. A nurse is providing teaching to the par- A. "Shake the medication prior to administra-
ent of a school-aged child who has a tion."
new prescription for oral nystatin for Rationale: The nurse should instruct the parent
the treatment of oral candidacies. Which to shake the medication prior to administration
of the following instructions should the to disperse the medication evenly within the
nurse include? suspension.
A. "Shake the medication prior to admin-
istration."
B. "Provide the medication through a
straw."
C. "Rinse the child's mouth with wa-
ter immediately after giving the medica-
tion."
D. "Mix the medication with applesauce
if the child dislikes the taste."
3. A nurse is reviewing the lumbar punc- C. Increased protein concentration
ture results of a school-aged child Rationale: The nurse should identify that an in-
, Pediatrics ATI Practice A
Study online at https://quizlet.com/_e2s8rb
who has suspected bacterial meningitis. creased protein concentration in the spinal fluid
Which of the following findings should is a finding that can indicate bacterial meningi-
the nurse identify as an indication of tis.
bacterial meningitis?
A. Decreased cerebrospinal fluid pres-
sure
B. Decreased WBC count
C. Increased protein concentration
D. Increased glucose level
4. A nurse is caring for a preschooler B. "Your daddy will be back after you eat."
whose father is going home home for Rationale: Preschoolers make sense of time best
a few hours while another relative stays when they can associate it with an expected dai-
with the child. Which of the following ly routine, such as meals and bedtime. There-
statements should the nurse make to fore, the child comprehends time best when it
explain to the child when their father will is explained to them in relation to an event they
return? are familiar with, such as eating.
A. "Your daddy will be back at 7 p.m."
B. "Your daddy will be back after you
eat."
C. "Your daddy will be back in the morn-
ing."
D."Your daddy will be back after he takes
care of your brother."
5. A nurse is reviewing the laboratory re- A. Hematocrit 28%
port of a school-aged child who is expe- Rationale: The nurse should recognize that this
riencing fatigue. Which of the following hematocrit level is below the expected reference
findings should the nurse recognize as range of 32% to 44% for a school-age child.
an indication of anemia? The child can exhibit fatigue, lightheadedness,
A. Hematocrit 28% tachycardia, dyspnea, and pallor due to the de-
B. Hemoglobin 13.5 g/dL creased oxygen-carrying capacity.
, Pediatrics ATI Practice A
Study online at https://quizlet.com/_e2s8rb
C. WBC count 8,000/mm3
D. Platelets 250,000/mm3
6. A nurse is reviewing the laboratory re- B. Sodium 140 mEq/L
sults of an infant who is receiving treat- Rationale: The nurse should identify that a sodi-
ment for severe dehydration. The nurse um level of 140 mEq/L is within the expected
should identify which of the following reference range of 134 to 150 mEq/L and indi-
lab values indicates that the treatment is cates the current treatment regimen the infant
working? is receiving for dehydration is effective.
A. Potassium 2.9 mEq/L
B. Sodium 140 mEq/L
C. Urine specific gravity 1.035
D. BUN 25 mg/dL
7. A nurse is reviewing the laboratory re- A. Hgb 8.5 g/dL
port of a 7-year-old child who is going Rationale: A child receiving chemotherapy is at
through chemotherapy. which of the fol- risk for anemia due to the chemotherapy effects
lowing lab values should the nurse re- on the blood-forming cells of the bone mar-
port to the provider? row. The development of anemia is diagnosed
A. Hgb 8.5 g/dL through laboratory testing of hemoglobin and
B. WBC count 9,500/mm3 hematocrit levels. The nurse should recognize
C. Prealbumin 18 mg/dL that a hemoglobin level of 8.5 g/dL is below the
D. Platelets 300,000/mm3 expected reference range of 10 to 15.5 g/dL for
a 7-year-old child and should be reported to the
provider.
8. A nurse is teaching the parents of an D. "Give the infant a pacifier at bedtime."
infant ways to prevent sudden infant Rationale: The nurse should inform the par-
death syndrome (SIDS). Which of the fol- ent that protective factors against SIDS include
lowing instructions should the nurse in- breastfeeding and the use of a pacifier when the
clude? infant is sleeping.
A. "Place the infant in a prone position to
