ATI RN PEDIATRIC NURSING ONLINE
PRACTICE
REAL ATI PEDIATRICS EXAM STUDY
GUIDE AND PRACTICE TEST.
THE PAPER CONSISTS 60 PLUS PRACTICE QUESTIONS AND ANSWERS
1. 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.ANS> -Timing of
child's cryingANS> Nightmares
-Child's responsiveness to guardianANS> Nightmares
-Child's return to sleepingANS> Sleep terrors
-Child's description of the dreamANS> Nightmares
-ImpulsivityANS> Sleep terrors and Nightmares
-Child's concentrationANS> Sleep terrors and Nightmares
-Daytime alertnessANS> Sleep terrors and Nightmares
RationaleANS> 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.
2. 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 ac- tions should the nurse plan to take to reduce the toddler's
temperature?ANS> -Dress the toddler in minimal clothing
RationaleANS> 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.
, 3. 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?
Select the 4 findings that the nurse should report to the provider.ANS> -
Arterial blood gases
RationaleANS> The child's arterial blood gases (ABGs) indicate respiratory alkalosis, which is associated with
complications of asthma, such as hyperventilation and hypoxia. Therefore, the nurse should report these findings
to the provider.
-WBC Count
RationaleANS> The child's WBC count is above the expected reference range, which could be an indication of
infection or inflammation. Therefore, the nurse should report this finding to the provider.
-Oxygen Saturation
RationaleANS> The child's oxygen saturation level has decreased below the expected reference range despite the
use of supplemental oxygen. Therefore, the nurse should report this finding to the provider.
-Respiratory Assessment
RationaleANS> The child's respiratory assessment indicates increased respiratory distress, as evidenced by the
presence of tachypnea, retractions, and increased wheezing. Therefore, the nurse should report these findings to the
provider.
4. A nurse is caring for a preschooler who has congestive heart failure.
The nurse observes wide QRS complexes and peaked T waves on the
cardiac monitor. Which of the following prescriptions should the nurse
clarify with the provider?ANS> -Potassium chloride
RationaleANS> The nurse should identify that a child who has congestive heart failure can develop electrolyte
imbalances, such as hyperkalemia or hypokalemia. The nurse should identify that the child is exhibiting
manifestations of hyper- kalemia and contact the provider about the administration of potassium chloride, which can
increase the severity of hyperkalemia.
5. A nurse is caring for a toddler. Complete the diagram by dragging
from the choices below to specify what condition the client is most likely
experiencing, 2 actions the nurse should take to address that condition, and
2 parameters the nurse should monitor to assess the client's progress.ANS> Potential
PRACTICE
REAL ATI PEDIATRICS EXAM STUDY
GUIDE AND PRACTICE TEST.
THE PAPER CONSISTS 60 PLUS PRACTICE QUESTIONS AND ANSWERS
1. 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.ANS> -Timing of
child's cryingANS> Nightmares
-Child's responsiveness to guardianANS> Nightmares
-Child's return to sleepingANS> Sleep terrors
-Child's description of the dreamANS> Nightmares
-ImpulsivityANS> Sleep terrors and Nightmares
-Child's concentrationANS> Sleep terrors and Nightmares
-Daytime alertnessANS> Sleep terrors and Nightmares
RationaleANS> 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.
2. 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 ac- tions should the nurse plan to take to reduce the toddler's
temperature?ANS> -Dress the toddler in minimal clothing
RationaleANS> 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.
, 3. 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?
Select the 4 findings that the nurse should report to the provider.ANS> -
Arterial blood gases
RationaleANS> The child's arterial blood gases (ABGs) indicate respiratory alkalosis, which is associated with
complications of asthma, such as hyperventilation and hypoxia. Therefore, the nurse should report these findings
to the provider.
-WBC Count
RationaleANS> The child's WBC count is above the expected reference range, which could be an indication of
infection or inflammation. Therefore, the nurse should report this finding to the provider.
-Oxygen Saturation
RationaleANS> The child's oxygen saturation level has decreased below the expected reference range despite the
use of supplemental oxygen. Therefore, the nurse should report this finding to the provider.
-Respiratory Assessment
RationaleANS> The child's respiratory assessment indicates increased respiratory distress, as evidenced by the
presence of tachypnea, retractions, and increased wheezing. Therefore, the nurse should report these findings to the
provider.
4. A nurse is caring for a preschooler who has congestive heart failure.
The nurse observes wide QRS complexes and peaked T waves on the
cardiac monitor. Which of the following prescriptions should the nurse
clarify with the provider?ANS> -Potassium chloride
RationaleANS> The nurse should identify that a child who has congestive heart failure can develop electrolyte
imbalances, such as hyperkalemia or hypokalemia. The nurse should identify that the child is exhibiting
manifestations of hyper- kalemia and contact the provider about the administration of potassium chloride, which can
increase the severity of hyperkalemia.
5. A nurse is caring for a toddler. Complete the diagram by dragging
from the choices below to specify what condition the client is most likely
experiencing, 2 actions the nurse should take to address that condition, and
2 parameters the nurse should monitor to assess the client's progress.ANS> Potential
