2025 ATI PEDIATRIC CMS PROCTORED EXAM VERSION
1/ACTUAL EXAM WITH CORRECT DETAILED ANSWERS
WITH RATIONALES/A+ GRADE
A nurse is caring for an adolescent following a lumbar puncture. which of the
following actions should the nurse take?
- initiate NPO status for the adolescent
- place the adolescent in a supine position
- place a moist, warm pack on the adolescents lower back
- apply a eutectic mixture of local anesthetics to the adolescent's puncture
site - ANSWER>>Place the adolescent in supine position
RATIONALE:(The nurse should place the adolescent in a supine position for 30
minutes to an 1 hour following a lumbar puncture to decrease the risk of a post Dural
puncture headache)
A nurse is assessing a child who is receiving IV chemotherapy. assessment
findings include extravasation of the tissues surrounding the IV insertion site. In
which order should the nurse take the following actions?
-Remove IV line
-Elevate the extremity
-Stop the infusion
-Notify the provider - ANSWER>>Stop the
infusion Elevate the extremity
Notify the
provider Remove
the IV line
A nurse is discussing the causes of chronic diarrhea with a client. which of the
following conditions is caused by malabsorption
, -Celiac disease
-Ulcerative colitis
-Hirschsprung's disease
-Crohn's disease - ANSWER>>Celiac Disease
RATIONALE:( (the nurse should recognize that celiac disease causes chronic diarrhea
due to malabsorption. other malabsorption conditions include short bowel syndrome,
lactose intolerance, and congenital enzyme deficiency)
A nurse is caring for an 8 year old child who has sickle cell anemia. which of the
following actions should the nurse take?
-Apply cool compresses to the painful area
-Initiate contact isolation precautions
-Give the child flavored popsicles
-Administer phytonadione - ANSWER>>Give the child flavored popsicles
RATIONALE:( (Maintaining hydration with a child who has sickle cell anemia is
important to prevent sickling. children often accept flavored popsicles as a source of
fluid
A nurse is caring for a toddler who has a fever, a high pitched cry, irritability,
and vomiting. which of the following actions should the nurse take?
-Administer 81 mg of aspirin to the toddler
-Give the toddler a cold bath
-Place the toddler in a supine position
-Pad the rails of the toddler's bed - ANSWER>>Pad the rails of the toddler's bed
RATIONALE:( (When caring for a toddler who has manifestations of bacterial
meningitis, the nurse should implement seizure precautions, which includes padding
the side rails of the bed)
1/ACTUAL EXAM WITH CORRECT DETAILED ANSWERS
WITH RATIONALES/A+ GRADE
A nurse is caring for an adolescent following a lumbar puncture. which of the
following actions should the nurse take?
- initiate NPO status for the adolescent
- place the adolescent in a supine position
- place a moist, warm pack on the adolescents lower back
- apply a eutectic mixture of local anesthetics to the adolescent's puncture
site - ANSWER>>Place the adolescent in supine position
RATIONALE:(The nurse should place the adolescent in a supine position for 30
minutes to an 1 hour following a lumbar puncture to decrease the risk of a post Dural
puncture headache)
A nurse is assessing a child who is receiving IV chemotherapy. assessment
findings include extravasation of the tissues surrounding the IV insertion site. In
which order should the nurse take the following actions?
-Remove IV line
-Elevate the extremity
-Stop the infusion
-Notify the provider - ANSWER>>Stop the
infusion Elevate the extremity
Notify the
provider Remove
the IV line
A nurse is discussing the causes of chronic diarrhea with a client. which of the
following conditions is caused by malabsorption
, -Celiac disease
-Ulcerative colitis
-Hirschsprung's disease
-Crohn's disease - ANSWER>>Celiac Disease
RATIONALE:( (the nurse should recognize that celiac disease causes chronic diarrhea
due to malabsorption. other malabsorption conditions include short bowel syndrome,
lactose intolerance, and congenital enzyme deficiency)
A nurse is caring for an 8 year old child who has sickle cell anemia. which of the
following actions should the nurse take?
-Apply cool compresses to the painful area
-Initiate contact isolation precautions
-Give the child flavored popsicles
-Administer phytonadione - ANSWER>>Give the child flavored popsicles
RATIONALE:( (Maintaining hydration with a child who has sickle cell anemia is
important to prevent sickling. children often accept flavored popsicles as a source of
fluid
A nurse is caring for a toddler who has a fever, a high pitched cry, irritability,
and vomiting. which of the following actions should the nurse take?
-Administer 81 mg of aspirin to the toddler
-Give the toddler a cold bath
-Place the toddler in a supine position
-Pad the rails of the toddler's bed - ANSWER>>Pad the rails of the toddler's bed
RATIONALE:( (When caring for a toddler who has manifestations of bacterial
meningitis, the nurse should implement seizure precautions, which includes padding
the side rails of the bed)
