ATI PEDIATRIC CMS PROCTORED EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
1. A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the
insertion of an IV catheter. Which of the following actions should the nurse plan to
take?
#$%
A. Wash the site with alcohol prior to applying the cream ^&*(
B. Gently rub the cream into the skin (never) )
C. Apply the cream 1 hr. before the procedure
D. Avoid removing the cream prior to the procedure.: Correct Answer : C Washing
the site with alcohol prior to applying the cream is not recommended. Alcohol can cause
skin irritation and dryness, which may increase the discomfort during the procedure.
Rubbing the cream into the skin is not advised. The cream should be applied in a thick
layer and not spread on the skin. Rubbing the cream can cause it to absorb into the skin
too quickly and reduce its numbing effect.
Applying the cream 1 hour before the procedure is the correct action. Lidocaine and prilocain
cream should be applied at least 1 hour before the procedure to ensure adequate numbing o
the skin.
The cream should not be left on the skin during the procedure. The healthcare provider will
remove the cream just before the procedure. Leaving the cream on the skin could interfere
with the procedure.
2. Question 2:
A nurse is planning care for an adolescent following repair of Meckel Diver-
ticulum.Which of the following
actions should the nurse include in the plan of care?
A. Administer total parenteral nutrition
B. Initiate long term antibiotic therapy
C. Maintain an Ng tube for decompression
D. Teach the client about ostomy care: Correct Answer : C
Administering total parenteral nutrition is not typically necessary following repair of
Meckel's Diverticulum. The patient is usually able to resume normal eating habits after
surgery.
Long-term antibiotic therapy is not typically required following repair of Meckel's
Diverticulum. Antibiotics may be used in the short term to prevent infection, but long-
term use is not usually necessary.
Maintaining an NG tube for decompression is a common part of care following abdominal
surgery, including repair of Meckel's Diverticulum. This helps to relieve pressure and allow
the intestines to rest and heal.
Teaching the client about ostomy care is not typically necessary following repair of Meckel
Diverticulum, as an ostomy is not usually required.
, ATI PEDIATRIC CMS PROCTORED EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
3. Question 3:
A nurse in an emergency department is caring for a preschool-age child who has acute
acetylsalicylic acid
poisoning. Which of the following should the nurse expect? #$%
^&*(
A. polyuria )
B. neck vein distension
C. jaundice
D. hyperpyrexia: Correct Answer : D
Polyuria, or excessive urination, is not a typical symptom of acute acetylsalicylic acid
poisoning. Neck vein distension is not a typical symptom of acute acetylsalicylic acid
poisoning.
Jaundice, or yellowing of the skin and eyes, is not a typical symptom of acute
acetylsalicylic acid poisoning. Hyperpyrexia, or extremely high fever, can be a
symptom of severe acute acetylsalicylic acid poisoning.
4. Question 4: Report an IssueReport Wrong Answer
A nurse is reviewing the medical record of a 24-month-old child who has acute
lymphocytic
leukemia.Which of the following actions should the nurse take?
A. initiate bleeding precautions
B. place the child in knee-chest position
C. Apply viscous lidocaine to the oral mucosa
D. Obtain a rectal temperature every 4 hours .: Show Correct Answer and Expla- nation
Explanation Correct
Answer : A
Initiating bleeding precautions is an important action when caring for a child with acute
lymphocytic leukemia. These patients are at increased risk of bleeding due to decreased
platelet counts.
Placing the child in a knee-chest position is not typically necessary in the care of a child wi
acute lymphocytic leukemia.
Applying viscous lidocaine to the oral mucosa is not typically necessary in the care of a
child with acute lymphocytic leukemia.
Obtaining a rectal temperature every 4 hours is not typically necessary in the care of a child
with acute lymphocytic leukemia. However, regular monitoring of the child's temperature
is important to detect any signs of infection.
Submit
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comments
, ATI PEDIATRIC CMS PROCTORED EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
5. Question 5: Report an IssueReport Wrong Answer
A nurse is creating a plan of care for an adolescent who has muscular
dystrophy.Which of the following interventions should the nurse include in the plan?
#$%
^&*(
A. Avoid influence and pneumococcal vaccines for 24 months )
B. Initiate a referral for chest physiotherapy every 4 hr.
C. Recommend the adolescent use a wheelchair to prevent stress the lower
extremities
D. Encourage the adolescent to perform incentive spirometry to maintain lung
capacity: Show Correct Answer and Explanation
Explanation Correct
Answer: D Solution
The Correct Answer is choice d. Encourage the adolescent to perform incentive spirometry
maintain lung capacity.
Choice A rationale: Avoiding influenza and pneumococcal vaccines for 24 months is not
recommended. Vaccinations are crucial for preventing respiratory infections, which can be
particularly dangerous for individuals with muscular dystrophy due to their compromised
respiratory function.
Choice B rationale: Initiating a referral for chest physiotherapy every 4 hours is excessive
and impractical. While chest physiotherapy can be beneficial, it is typically recommended at
frequency that is manageable and tailored to the individual's needs.
Choice C rationale: Recommending the adolescent use a wheelchair to prevent stress on the
lower extremities is not ideal. Encouraging mobility and physical activity as tolerated is
important to maintain muscle strength and function for as long as possible.
Choice D rationale: Encouraging the adolescent to perform incentive spirometry to
maintain lung capacity is appropriate. Incentive spirometry helps improve lung function
and prevent respiratory complications, which are common in individuals with muscular
dystrophy.
6. Question 6: Report an IssueReport Wrong Answer
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
A. Your child should walk the bicycle through intersections
B. your child's feet should be three to six inches off the ground when Seated on the
bicycle
C. you should try to keep the bicycle at least three feet from the curb while
, ATI PEDIATRIC CMS PROCTORED EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
riding in the street
D. your child should ride the bicycle against the flow of traffic: Correct Answer: A
Solution
#$%
The Correct Answer is choice A. Your child should walk the bicycle through intersec- ^&*(
tions.
Choice A rationale: )
Walking the bicycle through intersections is a key safety measure to prevent acci- dents. It
ensures that the child is more visible to drivers and reduces the risk of collisions.
Choice B rationale:
This is incorrect because the child's feet should be able to touch the ground comfortably
when seated on the bicycle, but not necessarily three to six inches off the ground. Proper
seat height is crucial for balance and control.
Choice C rationale:
Keeping the bicycle at least three feet from the curb is not a standard safety rec-
ommendation. Instead, children should ride as close to the curb as safely possible, following
the flow of traffic.
Choice D rationale:
Riding against the flow of traffic is dangerous and increases the risk of accidents. Bicyclist
should always ride with the flow of traffic to be more predictable to drivers. Submit
0 Pulse Checks No
comments
7. Question 7: A nurse is preparing to administer immunizations to a 3-
month-old infant.
Which of the following is an appropriate action for the nurse to take to deliver
atraumatic care?
A. Provide a pacifier coated with an oral sucrose prior to injections
B. Inject the immunizations into the deltoid muscle
C. Use as 20-gauge needle for injections
D. Apply eutectic mixture of local anesthetics cream immediately before the
injections .: Correct Answer: A,D
Solution
Choice A rationale
Providing a pacifier coated with an oral sucrose prior to injections can help reduce the
infant's pain response. The sweetness of the sucrose can distract the infant and provide some
comfort.
Choice B rationale
ANSWERS|ALREADY GRADED A+
1. A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the
insertion of an IV catheter. Which of the following actions should the nurse plan to
take?
#$%
A. Wash the site with alcohol prior to applying the cream ^&*(
B. Gently rub the cream into the skin (never) )
C. Apply the cream 1 hr. before the procedure
D. Avoid removing the cream prior to the procedure.: Correct Answer : C Washing
the site with alcohol prior to applying the cream is not recommended. Alcohol can cause
skin irritation and dryness, which may increase the discomfort during the procedure.
Rubbing the cream into the skin is not advised. The cream should be applied in a thick
layer and not spread on the skin. Rubbing the cream can cause it to absorb into the skin
too quickly and reduce its numbing effect.
Applying the cream 1 hour before the procedure is the correct action. Lidocaine and prilocain
cream should be applied at least 1 hour before the procedure to ensure adequate numbing o
the skin.
The cream should not be left on the skin during the procedure. The healthcare provider will
remove the cream just before the procedure. Leaving the cream on the skin could interfere
with the procedure.
2. Question 2:
A nurse is planning care for an adolescent following repair of Meckel Diver-
ticulum.Which of the following
actions should the nurse include in the plan of care?
A. Administer total parenteral nutrition
B. Initiate long term antibiotic therapy
C. Maintain an Ng tube for decompression
D. Teach the client about ostomy care: Correct Answer : C
Administering total parenteral nutrition is not typically necessary following repair of
Meckel's Diverticulum. The patient is usually able to resume normal eating habits after
surgery.
Long-term antibiotic therapy is not typically required following repair of Meckel's
Diverticulum. Antibiotics may be used in the short term to prevent infection, but long-
term use is not usually necessary.
Maintaining an NG tube for decompression is a common part of care following abdominal
surgery, including repair of Meckel's Diverticulum. This helps to relieve pressure and allow
the intestines to rest and heal.
Teaching the client about ostomy care is not typically necessary following repair of Meckel
Diverticulum, as an ostomy is not usually required.
, ATI PEDIATRIC CMS PROCTORED EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
3. Question 3:
A nurse in an emergency department is caring for a preschool-age child who has acute
acetylsalicylic acid
poisoning. Which of the following should the nurse expect? #$%
^&*(
A. polyuria )
B. neck vein distension
C. jaundice
D. hyperpyrexia: Correct Answer : D
Polyuria, or excessive urination, is not a typical symptom of acute acetylsalicylic acid
poisoning. Neck vein distension is not a typical symptom of acute acetylsalicylic acid
poisoning.
Jaundice, or yellowing of the skin and eyes, is not a typical symptom of acute
acetylsalicylic acid poisoning. Hyperpyrexia, or extremely high fever, can be a
symptom of severe acute acetylsalicylic acid poisoning.
4. Question 4: Report an IssueReport Wrong Answer
A nurse is reviewing the medical record of a 24-month-old child who has acute
lymphocytic
leukemia.Which of the following actions should the nurse take?
A. initiate bleeding precautions
B. place the child in knee-chest position
C. Apply viscous lidocaine to the oral mucosa
D. Obtain a rectal temperature every 4 hours .: Show Correct Answer and Expla- nation
Explanation Correct
Answer : A
Initiating bleeding precautions is an important action when caring for a child with acute
lymphocytic leukemia. These patients are at increased risk of bleeding due to decreased
platelet counts.
Placing the child in a knee-chest position is not typically necessary in the care of a child wi
acute lymphocytic leukemia.
Applying viscous lidocaine to the oral mucosa is not typically necessary in the care of a
child with acute lymphocytic leukemia.
Obtaining a rectal temperature every 4 hours is not typically necessary in the care of a child
with acute lymphocytic leukemia. However, regular monitoring of the child's temperature
is important to detect any signs of infection.
Submit
0 Pulse Checks No
comments
, ATI PEDIATRIC CMS PROCTORED EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
5. Question 5: Report an IssueReport Wrong Answer
A nurse is creating a plan of care for an adolescent who has muscular
dystrophy.Which of the following interventions should the nurse include in the plan?
#$%
^&*(
A. Avoid influence and pneumococcal vaccines for 24 months )
B. Initiate a referral for chest physiotherapy every 4 hr.
C. Recommend the adolescent use a wheelchair to prevent stress the lower
extremities
D. Encourage the adolescent to perform incentive spirometry to maintain lung
capacity: Show Correct Answer and Explanation
Explanation Correct
Answer: D Solution
The Correct Answer is choice d. Encourage the adolescent to perform incentive spirometry
maintain lung capacity.
Choice A rationale: Avoiding influenza and pneumococcal vaccines for 24 months is not
recommended. Vaccinations are crucial for preventing respiratory infections, which can be
particularly dangerous for individuals with muscular dystrophy due to their compromised
respiratory function.
Choice B rationale: Initiating a referral for chest physiotherapy every 4 hours is excessive
and impractical. While chest physiotherapy can be beneficial, it is typically recommended at
frequency that is manageable and tailored to the individual's needs.
Choice C rationale: Recommending the adolescent use a wheelchair to prevent stress on the
lower extremities is not ideal. Encouraging mobility and physical activity as tolerated is
important to maintain muscle strength and function for as long as possible.
Choice D rationale: Encouraging the adolescent to perform incentive spirometry to
maintain lung capacity is appropriate. Incentive spirometry helps improve lung function
and prevent respiratory complications, which are common in individuals with muscular
dystrophy.
6. Question 6: Report an IssueReport Wrong Answer
A nurse is teaching the parent of a school-age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
A. Your child should walk the bicycle through intersections
B. your child's feet should be three to six inches off the ground when Seated on the
bicycle
C. you should try to keep the bicycle at least three feet from the curb while
, ATI PEDIATRIC CMS PROCTORED EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS|ALREADY GRADED A+
riding in the street
D. your child should ride the bicycle against the flow of traffic: Correct Answer: A
Solution
#$%
The Correct Answer is choice A. Your child should walk the bicycle through intersec- ^&*(
tions.
Choice A rationale: )
Walking the bicycle through intersections is a key safety measure to prevent acci- dents. It
ensures that the child is more visible to drivers and reduces the risk of collisions.
Choice B rationale:
This is incorrect because the child's feet should be able to touch the ground comfortably
when seated on the bicycle, but not necessarily three to six inches off the ground. Proper
seat height is crucial for balance and control.
Choice C rationale:
Keeping the bicycle at least three feet from the curb is not a standard safety rec-
ommendation. Instead, children should ride as close to the curb as safely possible, following
the flow of traffic.
Choice D rationale:
Riding against the flow of traffic is dangerous and increases the risk of accidents. Bicyclist
should always ride with the flow of traffic to be more predictable to drivers. Submit
0 Pulse Checks No
comments
7. Question 7: A nurse is preparing to administer immunizations to a 3-
month-old infant.
Which of the following is an appropriate action for the nurse to take to deliver
atraumatic care?
A. Provide a pacifier coated with an oral sucrose prior to injections
B. Inject the immunizations into the deltoid muscle
C. Use as 20-gauge needle for injections
D. Apply eutectic mixture of local anesthetics cream immediately before the
injections .: Correct Answer: A,D
Solution
Choice A rationale
Providing a pacifier coated with an oral sucrose prior to injections can help reduce the
infant's pain response. The sweetness of the sucrose can distract the infant and provide some
comfort.
Choice B rationale
