ATI Peds Dynamic Quiz
1. 1- A nurse is performing a well-child assessment on a 7-year-old client who takes great
pride in bringing school papers home. The nurse recognizesthat this behavior demonstrates
which of the following of Erikson's stages ofpsychosocial development?
A. Initiative vs. guilt
B. Industry vs. inferiority
C. Identity vs. role confusion
D. Autonomy vs. shame and doubt: B. Industry vs. inferiority
2. 2- A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which
of the following statements by the parent indicates an under-standing of the teaching?
A. "My child should consume 1,000 calories per day."
B. "My child should have 4 oz of protein per day."
C. "I should give my child 32 oz (4 cups) of milk per day."
D. "I should feed my child 4 oz (1/2 cup) of vegetables per day.": A. "My childshould
consume 1,000 calories per day."
3. 3- A nurse is caring for a 4-month-old child who has acute otitis media and a fever of
38.3°C (101°F). Which of the following medications should the nurseadminister?
A. Diphenhydramine
B. Furosemide
C. Amoxicillin
D. Ibuprofen: C. Amoxicillin
4. 4- A nurse is assessing the fine motor skill development of a 4-year-oldchild. The nurse
should expect the child to be able to perform which of thefollowing activities?
A. Tying shoelaces into a bow
B. Copying a square
C. Drawing a person with at least 8 parts
D. Printing the letters of her name: B. Copying a square
,5. 5- A nurse is creating a plan of care for a child who has aplastic anemia.Which of the
following interventions should the nurse include?
A. Initiate protective-environment isolation for the child
B. Apply pressure for 1-2 min at the puncture site following blood specimencollection
C. Mix the child's ferrous sulfate elixir twice per day into a glass of milk foradministration
D. Check the child's blood glucose level every 4 hr: A. Initiate protective-environ-ment isolation
for the child
6. 6- A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
Which of the following immunizations should the nurseplan to administer?
A. Human papillomavirus (HPV) and hepatitis A
B. Measles, mumps, and rubella (MMR) and tetanus, diphtheria, and acellularpertussis (DaP)
C. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
D. Varicella (VAR) and live attenuated influenza vaccine (LAIV): C. Haemophilusinfluenzae
type B (Hib) and inactivated polio virus (IPV)
7. 7- A nurse is caring for a 4-year-old child who has pneumonia. The child'smother left 2
hours ago, and he is currently experiencing the separation anxiety stage of despair. Which of
the following findings should the nurse expect?
A. Crying and screaming
B. Inactivity and thumb sucking
C. Showing interest in nearby toys
D. Attempting to escape and find the parent: B. Inactivity and thumb sucking
8. 8- A nurse is admitting a child who has Wilms' tumor. Which of the followingactions should
the nurse take?
A. Initiate contact precautions for the child.
B. Explain to the child's parents that chemotherapy will start 3 months aftersurgery.
C. Put a "no abdominal palpation" sign over the child's bed.
D. Prepare the child for a spinal tap.: C. Put a "no abdominal palpation" sign overthe child's
bed.
,9. 9- A nurse is providing discharge teaching to the guardian of an adolescentwho is
postoperative following a tonsillectomy. Which of the following manifestations should the
guardian report to the provider?
A. Nasal secretions containing dark brown blood
B. Constant clearing of the throat
C. Unpleasant odor from the oral cavity
D. Temperature of 37.7°C (99.8°F) at 48 hr postoperative: B. Constant clearing ofthe throat
10. 10- A nurse is assessing an adolescent who is receiving fentanyl via epidural. Which of
the following assessments should the nurse identify as thepriority?
A. Skin around the catheter site
B. Blood pressure
C. Pain level
D. Oxygen saturation: D. Oxygen saturation
11. 11- A nurse is planning to assess an 8-year-old child who was brought tothe clinic by a
parent. The parent reports the child has missed school for 3 weeks and refuses to go back due
to "not feeling well." Which of the followingactions should the nurse perform during the initial
interview with the child?
A. Ask the child to describe what things were like right before not wanting togo to school
B. Use a direct question and ask the child why going to school is no longerfun
C. Tell the child it is okay not to like school, but she has to go back
D. Reassure the child that things might not be going well right now, but they will soon
improve: A. Ask the child to describe what things were like right before not wanting to go to
school
12. 12- A nurse is teaching a group of parents of toddlers about growth and development. A
parent asks, "Why does my child's abdomen stick out?" Whichof the following replies should the
nurse provide?
A. "You should give your child a stool softener daily."
B. "Toddlers gain weight at a rapid pace."
C. "You should have your child assessed for a spinal deformity."
D. "Toddlers do not have well-developed abdominal muscles.": D. "Toddlers donot have well-
developed abdominal muscles."
, 13. 13- A nurse is caring for an infant who has pertussis.Which of the followingactions 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: D. Maintain a cardiorespiratory monitor
14. 14- A nurse is observing the behavior of a 2-year-old child. Which of the following
actions should the nurse expect to observe when the child is in anactivity room with other
toddlers?
A. Playing a simple game with another child
B. Engaging in play near other children
C. Sharing crayons with another toddler
D. Jumping on 1 foot without help: B. Engaging in play near other children
15. 15- A nurse is caring for a school-age child who has glomerulonephritis. The child has
decreased urinary output and a blood pressure of 160/78 mmHgand is receiving hydralazine.
Which of the following lunch choices should thenurse recommend?
Question Feedback
A. 1 hot dog, 22 potato chips, and 120 mL (4 oz) of orange juice
B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a small apple; and240 mL (8 oz) of
milk
C. 3 oz grilled chicken, 1 cup of pear slices, and 120 mL (4 oz) of apple juice
D. 1 cup of cottage cheese, a small banana, and 240 mL (8 oz) of soda: C. 3 ozgrilled chicken,
1 cup of pear slices, and 120 mL (4 oz) of apple juice
16. 16- A nurse is providing teaching to the parent of a child who has ADHD and a new
prescription for methylphenidate sustained-release tablets. Whichof the following statements
by the parent indicates an understanding of the teaching?
A. "I should expect my child to gain weight while taking this medication."
B. "I should expect this medication to decrease my child's heart rate."
C. "I should crush the medication and put it in my child's food."
D. "I should give this medication to my child half an hour before breakfast.": D."I should give
this medication to my child half an hour before breakfast."
17. 17- A nurse is teaching the parents of a child who has cerebral palsy.Whichof the following
statements should the nurse make?
1. 1- A nurse is performing a well-child assessment on a 7-year-old client who takes great
pride in bringing school papers home. The nurse recognizesthat this behavior demonstrates
which of the following of Erikson's stages ofpsychosocial development?
A. Initiative vs. guilt
B. Industry vs. inferiority
C. Identity vs. role confusion
D. Autonomy vs. shame and doubt: B. Industry vs. inferiority
2. 2- A nurse is providing teaching to the parent of a 2-year-old toddler about nutrition. Which
of the following statements by the parent indicates an under-standing of the teaching?
A. "My child should consume 1,000 calories per day."
B. "My child should have 4 oz of protein per day."
C. "I should give my child 32 oz (4 cups) of milk per day."
D. "I should feed my child 4 oz (1/2 cup) of vegetables per day.": A. "My childshould
consume 1,000 calories per day."
3. 3- A nurse is caring for a 4-month-old child who has acute otitis media and a fever of
38.3°C (101°F). Which of the following medications should the nurseadminister?
A. Diphenhydramine
B. Furosemide
C. Amoxicillin
D. Ibuprofen: C. Amoxicillin
4. 4- A nurse is assessing the fine motor skill development of a 4-year-oldchild. The nurse
should expect the child to be able to perform which of thefollowing activities?
A. Tying shoelaces into a bow
B. Copying a square
C. Drawing a person with at least 8 parts
D. Printing the letters of her name: B. Copying a square
,5. 5- A nurse is creating a plan of care for a child who has aplastic anemia.Which of the
following interventions should the nurse include?
A. Initiate protective-environment isolation for the child
B. Apply pressure for 1-2 min at the puncture site following blood specimencollection
C. Mix the child's ferrous sulfate elixir twice per day into a glass of milk foradministration
D. Check the child's blood glucose level every 4 hr: A. Initiate protective-environ-ment isolation
for the child
6. 6- A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
Which of the following immunizations should the nurseplan to administer?
A. Human papillomavirus (HPV) and hepatitis A
B. Measles, mumps, and rubella (MMR) and tetanus, diphtheria, and acellularpertussis (DaP)
C. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
D. Varicella (VAR) and live attenuated influenza vaccine (LAIV): C. Haemophilusinfluenzae
type B (Hib) and inactivated polio virus (IPV)
7. 7- A nurse is caring for a 4-year-old child who has pneumonia. The child'smother left 2
hours ago, and he is currently experiencing the separation anxiety stage of despair. Which of
the following findings should the nurse expect?
A. Crying and screaming
B. Inactivity and thumb sucking
C. Showing interest in nearby toys
D. Attempting to escape and find the parent: B. Inactivity and thumb sucking
8. 8- A nurse is admitting a child who has Wilms' tumor. Which of the followingactions should
the nurse take?
A. Initiate contact precautions for the child.
B. Explain to the child's parents that chemotherapy will start 3 months aftersurgery.
C. Put a "no abdominal palpation" sign over the child's bed.
D. Prepare the child for a spinal tap.: C. Put a "no abdominal palpation" sign overthe child's
bed.
,9. 9- A nurse is providing discharge teaching to the guardian of an adolescentwho is
postoperative following a tonsillectomy. Which of the following manifestations should the
guardian report to the provider?
A. Nasal secretions containing dark brown blood
B. Constant clearing of the throat
C. Unpleasant odor from the oral cavity
D. Temperature of 37.7°C (99.8°F) at 48 hr postoperative: B. Constant clearing ofthe throat
10. 10- A nurse is assessing an adolescent who is receiving fentanyl via epidural. Which of
the following assessments should the nurse identify as thepriority?
A. Skin around the catheter site
B. Blood pressure
C. Pain level
D. Oxygen saturation: D. Oxygen saturation
11. 11- A nurse is planning to assess an 8-year-old child who was brought tothe clinic by a
parent. The parent reports the child has missed school for 3 weeks and refuses to go back due
to "not feeling well." Which of the followingactions should the nurse perform during the initial
interview with the child?
A. Ask the child to describe what things were like right before not wanting togo to school
B. Use a direct question and ask the child why going to school is no longerfun
C. Tell the child it is okay not to like school, but she has to go back
D. Reassure the child that things might not be going well right now, but they will soon
improve: A. Ask the child to describe what things were like right before not wanting to go to
school
12. 12- A nurse is teaching a group of parents of toddlers about growth and development. A
parent asks, "Why does my child's abdomen stick out?" Whichof the following replies should the
nurse provide?
A. "You should give your child a stool softener daily."
B. "Toddlers gain weight at a rapid pace."
C. "You should have your child assessed for a spinal deformity."
D. "Toddlers do not have well-developed abdominal muscles.": D. "Toddlers donot have well-
developed abdominal muscles."
, 13. 13- A nurse is caring for an infant who has pertussis.Which of the followingactions 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: D. Maintain a cardiorespiratory monitor
14. 14- A nurse is observing the behavior of a 2-year-old child. Which of the following
actions should the nurse expect to observe when the child is in anactivity room with other
toddlers?
A. Playing a simple game with another child
B. Engaging in play near other children
C. Sharing crayons with another toddler
D. Jumping on 1 foot without help: B. Engaging in play near other children
15. 15- A nurse is caring for a school-age child who has glomerulonephritis. The child has
decreased urinary output and a blood pressure of 160/78 mmHgand is receiving hydralazine.
Which of the following lunch choices should thenurse recommend?
Question Feedback
A. 1 hot dog, 22 potato chips, and 120 mL (4 oz) of orange juice
B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a small apple; and240 mL (8 oz) of
milk
C. 3 oz grilled chicken, 1 cup of pear slices, and 120 mL (4 oz) of apple juice
D. 1 cup of cottage cheese, a small banana, and 240 mL (8 oz) of soda: C. 3 ozgrilled chicken,
1 cup of pear slices, and 120 mL (4 oz) of apple juice
16. 16- A nurse is providing teaching to the parent of a child who has ADHD and a new
prescription for methylphenidate sustained-release tablets. Whichof the following statements
by the parent indicates an understanding of the teaching?
A. "I should expect my child to gain weight while taking this medication."
B. "I should expect this medication to decrease my child's heart rate."
C. "I should crush the medication and put it in my child's food."
D. "I should give this medication to my child half an hour before breakfast.": D."I should give
this medication to my child half an hour before breakfast."
17. 17- A nurse is teaching the parents of a child who has cerebral palsy.Whichof the following
statements should the nurse make?
