ATI RN Pediatric Nursing Online
Practice 2023 B with correct
answers and rationale
A nurse in an emergency department is caring for a school-age child who has
appendicitis and rates their abdominal pain as 7 on a scale of 0-10. Which of
the following actions should the nurse take?
-Give morphine 0.05 mg/kg IV.
Rationale: A pain level of 7 on a scale of 0 to 10 is considered severe. The
nurse should administer an analgesic medication for pain relief.
A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of the skin
and angioedema. After discontinuing the medication infusion, which of the
following medications should the nurse administer first?
-Epinephrine
Rationale: This child is most likely experiencing an anaphylactic reaction to
the cefazolin. According to evidence-based practice, the nurse should first
administer epinephrine to treat the anaphylaxis. Epinephrine is a beta-
adrenergic agonist that stimulates the heart, causes vasoconstriction of
blood vessels in the skin and mucous membranes, and triggers
bronchodilation in the lungs.
,A nurse is caring for a school-age child who has experienced a tonic-clonic
seizure. Which of the following actions should the nurse take during the
immediate postictal period?
-Place the child in a side-lying position
Rationale: The nurse should place the child in a side-lying position to prevent
aspiration.
A school nurse is assessing an adolescent who has multiple burns in various
stages of healing. Which of the following behaviors should the nurse identify
as a possible indication of physical abuse?
-Denies discomfort during assessment of injuries
Rationale: The nurse should suspect child maltreatment in the form of
physical abuse if the adolescent has a blunted response to painful stimuli or
injury.
A nurse is teaching the guardian of a 6-month-old infant about teaching.
Which of the following statements should the nurse make?
-"Your baby might pull at their ears when they are teething."
Rationale: The nurse should inform the guardian that teething can result in
discomfort for the infant. Therefore, the guardian should look for indications
,such as pulling on the ears, difficulty sleeping, increased drooling, or
increased fussiness
A nurse is caring for a preschool-age child. For each assessment finding, click
to specify if the finding is consistent with nightmares or sleep terrors. Each
finding may support more than 1 disease process.
-Timing of child's crying: Nightmares
-Child's responsiveness to guardian: Nightmares
-Child's return to sleeping: Sleep terrors
-Child's description of the dream: Nightmares
-Impulsivity: Sleep terrors and Nightmares
-Child's concentration: Sleep terrors and Nightmares
-Daytime alertness: Sleep terrors and Nightmares
Rationale: When analyzing cues, the nurse should recognize that
manifestations of nightmares include awakening during the night after a
, scary dream. Nightmares are a sleep disturbance that cause distress after
the dream is over. The child might be crying, fearful of returning to sleep,
and believe the dream is real. Sleep disturbances cause interruptions in the
sleep-wake cycle and can cause impaired concentration, daytime fatigue,
and impulsive behaviors.
When analyzing cues, the nurse should recognize that manifestations of
sleep terrors include a partial awakening during a deep sleep. Sleep terrors
are sleep disturbances that cause a child to exhibit behaviors such as
thrashing, screaming, moaning, and diaphoresis that disappear once the
child awakens. The child does not remember the episode and is not
comforted by others during the disturbance. The child usually falls asleep
easily afterwards. Sleep terrors cause interruptions in the sleep-wake cycle
and can cause impaired concentration, daytime fatigue, and impulsive
behaviors.
A nurse is caring for a toddler who has acute otitis media and a temperature
of 40 C (104 F). After administering acetaminophen, which of the following
actions should the nurse plan to take to reduce the toddler's temperature?
-Dress the toddler in minimal clothing
Rationale: The nurse should recognize that dressing the toddler in minimal
clothing will expose the skin to air and maximize heat evaporation from the
skin, thus reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age child. After reviewing
the information in the child's medical record, which of the following findings
should the nurse report to the provider?
Practice 2023 B with correct
answers and rationale
A nurse in an emergency department is caring for a school-age child who has
appendicitis and rates their abdominal pain as 7 on a scale of 0-10. Which of
the following actions should the nurse take?
-Give morphine 0.05 mg/kg IV.
Rationale: A pain level of 7 on a scale of 0 to 10 is considered severe. The
nurse should administer an analgesic medication for pain relief.
A nurse is caring for a school-age child who is receiving cefazolin via
intermittent IV bolus. The child suddenly develops diffuse flushing of the skin
and angioedema. After discontinuing the medication infusion, which of the
following medications should the nurse administer first?
-Epinephrine
Rationale: This child is most likely experiencing an anaphylactic reaction to
the cefazolin. According to evidence-based practice, the nurse should first
administer epinephrine to treat the anaphylaxis. Epinephrine is a beta-
adrenergic agonist that stimulates the heart, causes vasoconstriction of
blood vessels in the skin and mucous membranes, and triggers
bronchodilation in the lungs.
,A nurse is caring for a school-age child who has experienced a tonic-clonic
seizure. Which of the following actions should the nurse take during the
immediate postictal period?
-Place the child in a side-lying position
Rationale: The nurse should place the child in a side-lying position to prevent
aspiration.
A school nurse is assessing an adolescent who has multiple burns in various
stages of healing. Which of the following behaviors should the nurse identify
as a possible indication of physical abuse?
-Denies discomfort during assessment of injuries
Rationale: The nurse should suspect child maltreatment in the form of
physical abuse if the adolescent has a blunted response to painful stimuli or
injury.
A nurse is teaching the guardian of a 6-month-old infant about teaching.
Which of the following statements should the nurse make?
-"Your baby might pull at their ears when they are teething."
Rationale: The nurse should inform the guardian that teething can result in
discomfort for the infant. Therefore, the guardian should look for indications
,such as pulling on the ears, difficulty sleeping, increased drooling, or
increased fussiness
A nurse is caring for a preschool-age child. For each assessment finding, click
to specify if the finding is consistent with nightmares or sleep terrors. Each
finding may support more than 1 disease process.
-Timing of child's crying: Nightmares
-Child's responsiveness to guardian: Nightmares
-Child's return to sleeping: Sleep terrors
-Child's description of the dream: Nightmares
-Impulsivity: Sleep terrors and Nightmares
-Child's concentration: Sleep terrors and Nightmares
-Daytime alertness: Sleep terrors and Nightmares
Rationale: When analyzing cues, the nurse should recognize that
manifestations of nightmares include awakening during the night after a
, scary dream. Nightmares are a sleep disturbance that cause distress after
the dream is over. The child might be crying, fearful of returning to sleep,
and believe the dream is real. Sleep disturbances cause interruptions in the
sleep-wake cycle and can cause impaired concentration, daytime fatigue,
and impulsive behaviors.
When analyzing cues, the nurse should recognize that manifestations of
sleep terrors include a partial awakening during a deep sleep. Sleep terrors
are sleep disturbances that cause a child to exhibit behaviors such as
thrashing, screaming, moaning, and diaphoresis that disappear once the
child awakens. The child does not remember the episode and is not
comforted by others during the disturbance. The child usually falls asleep
easily afterwards. Sleep terrors cause interruptions in the sleep-wake cycle
and can cause impaired concentration, daytime fatigue, and impulsive
behaviors.
A nurse is caring for a toddler who has acute otitis media and a temperature
of 40 C (104 F). After administering acetaminophen, which of the following
actions should the nurse plan to take to reduce the toddler's temperature?
-Dress the toddler in minimal clothing
Rationale: The nurse should recognize that dressing the toddler in minimal
clothing will expose the skin to air and maximize heat evaporation from the
skin, thus reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age child. After reviewing
the information in the child's medical record, which of the following findings
should the nurse report to the provider?
