ATI PEDIATRIC PROCTORED EXAM:
Book & Assessments A & B
Assessment A - ANSWER...-
A nurse is contributing to the plan of care for a school-age child who has acute
poststreptococcal glomerulonephritis (APSGN) and is mildly hypertensive. Which of the
following actions should the nurse include in the plan of care?
A. Restrict the child's sodium intake
B. Weigh the child every other day
C. Monitor the child's blood pressure every 12 hour
D. Place the child on bed rest - ANSWER...-Restrict the child's sodium intake
A nurse is collecting data from a toddler at a well-child visit. Which of the following
findings should the nurse identify as a possible indication of child maltreatment?
A. diaper dermatitis
B. bruise on the front of the lower leg
C. inflamed unilateral conjunctiva
D. laceration on the side of the torso - ANSWER...-laceration on the side of the torso
A nurse is reinforcing discharge teaching with the parent of a school-age child who is
being treated for nephrotic syndrome. The parents asks the nurse why it is necessary to
check the child's urine for protein. Which of the following explanations should the nurse
offer?
A. "A decrease in urine protein indicates that treatment is effective."
B. "Protein in the urine indicates your child's protein intake is adequate."
C. "Protein in the urine indicates a need to begin dialysis."
D. "An increase in urine protein indicates your child has a secondary infection." -
ANSWER...-"A decrease in urine protein indicates that treatment is effective."
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of
the following parent statements indicates an understanding of the teaching?
,A. "We will keep our child out of the sun between 3 p.m. and 5 p.m."
B. "We will transition our child to a toddler bed when he is 2 feet tall."
C. "We will purchase a toy storage box with a lightweight lid."
D. "We will provide a healthy snack of peanuts." - ANSWER...-"We will purchase a toy
storage box with a lightweight lid."
A nurse is contributing to the plan of care for a child who has sickle cell anemia and is
experiencing a vaso-occlusive crisis. Which of the following is the priority intervention
for the nurse to recommend to include in the plan?
A. promote oxygen utilization
B. Administer antibiotics
C. encourage fluid intake
D. apply a warm compress to the joints - ANSWER...-promote oxygen utilization
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk factor for
this disorder? (select all that apply)
A. hypothyroidism
B. obesity
C. cannabis use
D. oral contraceptive use
E. emotional stress - ANSWER...-1. hypothyroidism
2. cannabis use
3. oral contraceptive use
4. emotional stress
A nurse is reviewing the laboratory report of a preschooler who has Wilms' tumor and is
scheduled to begin treatment with an antineoplastic medication regimen. Which of the
following laboratory results should the nurse report to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C. serum glucose 98 mg/dL
D. Platelet count 70,000 - ANSWER...-Platelet count 70,000
A nurse is collecting data from an infant who is receiving IV therapy for fluid
replacement. Which of the following findings indicates the infant's status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C. Capillary refill greater than 3 seconds
D. Dry mucous membranes - ANSWER...-Sodium level 145 mEq/L
,A nurse is collecting data from a 12 month old infant during a well-child visit. The nurse
should identify which of the following findings as a deviation from expected growth and
development?
A. vocabulary of three words
B. negative Babinski reflex
C. birth weight doubled
D. unable to build a two-block tower - ANSWER...-birth weight doubled
A nurse is assisting the provider with a developmental assessment of a toddler. Which
of the following behaviors should the nurse recognize as an expected finding?
A. Walks backwards with heel to toe
B. Stands on one foot for several seconds
C. Uses scissors to cut out shapes
D. Prints letters with a pencil - ANSWER...-Stands on one foot for several seconds
A nurse is caring for a school-age child who has been admitted to the facility in sickle
cell crisis. The nurse is measuring the child's oral intake for the shift. The child
consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 z of
gelatin, and drank 7 oz of water. What is the child's oral intake for this shift in milliliters?
(round to the nearest whole number) - ANSWER...-690 ml
# of oz x 30=mL
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a
child who is recovering from acute glomerulonephritis. Which of the following food
choices by the parents indicates an understanding of the teaching?
A. pretzels
B. apples
C. canned corn
D. peanut butter - ANSWER...-apples
A nurse is collecting data from an infant who has severe dehydration. Which of the
following findings should the nurse expect?
A. capillary refill of 2 seconds
B. flushed skin
C. weight loss of 10%
D. bulging anterior fonanel - ANSWER...-weight loss of 10%
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile
idiopathic arthritis (JIA). Which of the following statements by the guardian indicates an
understanding of the teaching?
, A. "I will have my child sleep in knee, wrist, and hand splints."
B. "I will encourage my child to take an afternoon nap."
C. "I will apply topical hydrocortisone to my child's joints as needed."
D. "I will administer opioids to my child for the next several months to control the pain." -
ANSWER...-"I will have my child sleep in knee, wrist, and hand splints."
A nurse is caring for a preschooler who has a new diagnosis of asthma. Which of the
following medications should the nurse instruct the parent to administer for an acute
asthma attack?
A. Levalbuterol
B. Fluticasone
C. Omalizumab
D. Montelukast - ANSWER...-Levalbuterol
A nurse is reinforcing teaching with an adolescent female client who has acne vulgaris
and a new prescription for isotretinoin. Which of the following information should the
nurse include?
A. "You should apply this medication to the affected skin twice daily."
B. "You will need to have two negative pregnancy tests prior to starting this medication."
C. "Your provider will monitor your kidney function while you are taking this medication."
D. "Your provider will prescribe a vitamin A supplement to take with each dose of this
medication." - ANSWER...-"You will need to have two negative pregnancy tests prior to
starting this medication."
A nurse is assisting with the administration of a nasogastric enteral feeding for an infant.
Which of the following actions should the nurse take?
A. Place the infant in semi-Fowler's position for 1 hr after the feeding
B. Flush the tube with 30 mL of normal saline before the feeding
C. Warm the feeding in the microwave immediately prior to administration
D. Auscultate over the infant's epigastric area to ensure proper tube placement -
ANSWER...-Place the infant in semi-Fowler's position for 1 hr after the feeding
A nurse is collecting data about a 4 year old preschooler's gross motor skills. The nurse
should expect the preschooler to be able to perform which of the following activities?
A. Hopping on one foot
B. Skipping on alternate feet
C. Jumping rope
D. Roller skating - ANSWER...-hopping on one foot
A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and is
taking pancrelipase as a pancreatic enzyme replacement. The nurse should plan to
Book & Assessments A & B
Assessment A - ANSWER...-
A nurse is contributing to the plan of care for a school-age child who has acute
poststreptococcal glomerulonephritis (APSGN) and is mildly hypertensive. Which of the
following actions should the nurse include in the plan of care?
A. Restrict the child's sodium intake
B. Weigh the child every other day
C. Monitor the child's blood pressure every 12 hour
D. Place the child on bed rest - ANSWER...-Restrict the child's sodium intake
A nurse is collecting data from a toddler at a well-child visit. Which of the following
findings should the nurse identify as a possible indication of child maltreatment?
A. diaper dermatitis
B. bruise on the front of the lower leg
C. inflamed unilateral conjunctiva
D. laceration on the side of the torso - ANSWER...-laceration on the side of the torso
A nurse is reinforcing discharge teaching with the parent of a school-age child who is
being treated for nephrotic syndrome. The parents asks the nurse why it is necessary to
check the child's urine for protein. Which of the following explanations should the nurse
offer?
A. "A decrease in urine protein indicates that treatment is effective."
B. "Protein in the urine indicates your child's protein intake is adequate."
C. "Protein in the urine indicates a need to begin dialysis."
D. "An increase in urine protein indicates your child has a secondary infection." -
ANSWER...-"A decrease in urine protein indicates that treatment is effective."
A nurse is reinforcing home safety instructions with the parents of a toddler. Which of
the following parent statements indicates an understanding of the teaching?
,A. "We will keep our child out of the sun between 3 p.m. and 5 p.m."
B. "We will transition our child to a toddler bed when he is 2 feet tall."
C. "We will purchase a toy storage box with a lightweight lid."
D. "We will provide a healthy snack of peanuts." - ANSWER...-"We will purchase a toy
storage box with a lightweight lid."
A nurse is contributing to the plan of care for a child who has sickle cell anemia and is
experiencing a vaso-occlusive crisis. Which of the following is the priority intervention
for the nurse to recommend to include in the plan?
A. promote oxygen utilization
B. Administer antibiotics
C. encourage fluid intake
D. apply a warm compress to the joints - ANSWER...-promote oxygen utilization
A nurse is reviewing the medical record of a female adolescent client who has primary
amenorrhea. Which of the following findings should the nurse identify as a risk factor for
this disorder? (select all that apply)
A. hypothyroidism
B. obesity
C. cannabis use
D. oral contraceptive use
E. emotional stress - ANSWER...-1. hypothyroidism
2. cannabis use
3. oral contraceptive use
4. emotional stress
A nurse is reviewing the laboratory report of a preschooler who has Wilms' tumor and is
scheduled to begin treatment with an antineoplastic medication regimen. Which of the
following laboratory results should the nurse report to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C. serum glucose 98 mg/dL
D. Platelet count 70,000 - ANSWER...-Platelet count 70,000
A nurse is collecting data from an infant who is receiving IV therapy for fluid
replacement. Which of the following findings indicates the infant's status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C. Capillary refill greater than 3 seconds
D. Dry mucous membranes - ANSWER...-Sodium level 145 mEq/L
,A nurse is collecting data from a 12 month old infant during a well-child visit. The nurse
should identify which of the following findings as a deviation from expected growth and
development?
A. vocabulary of three words
B. negative Babinski reflex
C. birth weight doubled
D. unable to build a two-block tower - ANSWER...-birth weight doubled
A nurse is assisting the provider with a developmental assessment of a toddler. Which
of the following behaviors should the nurse recognize as an expected finding?
A. Walks backwards with heel to toe
B. Stands on one foot for several seconds
C. Uses scissors to cut out shapes
D. Prints letters with a pencil - ANSWER...-Stands on one foot for several seconds
A nurse is caring for a school-age child who has been admitted to the facility in sickle
cell crisis. The nurse is measuring the child's oral intake for the shift. The child
consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 z of
gelatin, and drank 7 oz of water. What is the child's oral intake for this shift in milliliters?
(round to the nearest whole number) - ANSWER...-690 ml
# of oz x 30=mL
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a
child who is recovering from acute glomerulonephritis. Which of the following food
choices by the parents indicates an understanding of the teaching?
A. pretzels
B. apples
C. canned corn
D. peanut butter - ANSWER...-apples
A nurse is collecting data from an infant who has severe dehydration. Which of the
following findings should the nurse expect?
A. capillary refill of 2 seconds
B. flushed skin
C. weight loss of 10%
D. bulging anterior fonanel - ANSWER...-weight loss of 10%
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile
idiopathic arthritis (JIA). Which of the following statements by the guardian indicates an
understanding of the teaching?
, A. "I will have my child sleep in knee, wrist, and hand splints."
B. "I will encourage my child to take an afternoon nap."
C. "I will apply topical hydrocortisone to my child's joints as needed."
D. "I will administer opioids to my child for the next several months to control the pain." -
ANSWER...-"I will have my child sleep in knee, wrist, and hand splints."
A nurse is caring for a preschooler who has a new diagnosis of asthma. Which of the
following medications should the nurse instruct the parent to administer for an acute
asthma attack?
A. Levalbuterol
B. Fluticasone
C. Omalizumab
D. Montelukast - ANSWER...-Levalbuterol
A nurse is reinforcing teaching with an adolescent female client who has acne vulgaris
and a new prescription for isotretinoin. Which of the following information should the
nurse include?
A. "You should apply this medication to the affected skin twice daily."
B. "You will need to have two negative pregnancy tests prior to starting this medication."
C. "Your provider will monitor your kidney function while you are taking this medication."
D. "Your provider will prescribe a vitamin A supplement to take with each dose of this
medication." - ANSWER...-"You will need to have two negative pregnancy tests prior to
starting this medication."
A nurse is assisting with the administration of a nasogastric enteral feeding for an infant.
Which of the following actions should the nurse take?
A. Place the infant in semi-Fowler's position for 1 hr after the feeding
B. Flush the tube with 30 mL of normal saline before the feeding
C. Warm the feeding in the microwave immediately prior to administration
D. Auscultate over the infant's epigastric area to ensure proper tube placement -
ANSWER...-Place the infant in semi-Fowler's position for 1 hr after the feeding
A nurse is collecting data about a 4 year old preschooler's gross motor skills. The nurse
should expect the preschooler to be able to perform which of the following activities?
A. Hopping on one foot
B. Skipping on alternate feet
C. Jumping rope
D. Roller skating - ANSWER...-hopping on one foot
A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and is
taking pancrelipase as a pancreatic enzyme replacement. The nurse should plan to
