ATI PEDIATRIC FINAL PROCTORED EXAM
QUESTIONS AND ANSWERS
Question 1
A nurse is reviewing the laboratory report of a school age child who has rheumatic
fever. Which of the following laboratory findings should the nurse expect?
A. Decreased BUN
B. Increased antistreptolysin O titer (ASO)
C. Increased immunoglobulin G (IgG)
D. Decreased erythrocyte sedimentation rate (ESR)
Correct Answer
B. Increased antistreptolysin O titer (ASO)
Question 2
A nurse is caring for a child who has impetigo contagiosa that developed in the
hospital. Which of the following actions should the nurse take?
A. Report the disease to the state health department.
B. Administer amphotericin B IV.
C. Initiate contact isolation precautions.
D. Applying lidocaine ointment topically.
Correct Answer
C. Initiate contact isolation precautions.
Question 3
A nurse is providing discharge teaching to the parents of an infant who is at risk for
sudden infant death syndrome is (SIDS). Which of the following statements by the
parents indicates an understanding of the teaching?
A. I will move my baby stuffed animal to the corner of her crib while she sleeps."
B. I will dress my baby in lightweight clothing to sleep."
C. I will have my baby sleep next to me in bed during the night."
D. I will lay my baby on her side to sleep for naps."
Correct Answer
B. "I will dress my baby in lightweight clothing to sleep."
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,Question 4
A nurse is planning care for a Toddler who has developed oral ulcers in response to
chemotherapy. Which of the following actions should the nurse include in the plan of
care?
A. Clean the gums with Saline soaked gauze.
B. Administer oral viscous lidocaine.
C. Schedule routine oral care every 8 hr.
D. Moisten the mucosa with lemon glycerin swabs
Correct Answer
A. Clean the gums with Saline soaked gauze.
Question 5
A nurse is preparing to perform peritoneal dialysis for a child who has an elevated
serum creatininelevel. After explaining the procedure, which of the following action
should the nurse plan to take?
A. Initiate IV access
B. Keep the dialysate refrigerated until time of infusion
C. Check the fistula site for a bruit.
D. Obtain the child's weight
Correct Answer
D. Obtain the child's weight
Question 6
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The
nurse should immediately report which of the following finding to the provider?
A. Rhinorrhea
B. Tachypnea
C. Pharyngitis
D. Coughing (and sneezing)
Correct Answer
B. Tachypnea
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, Question 7
A nurse is teaching a group of female adolescents about healthy eating. Which of the
following instructions should the nurse include in the teaching?
A. Consume 1,500 to 1,700 calories per day."
B. Decrease your vitamin D intake once you start to menstruate."
C. Increase the amount of your dietary iron intake."
D. Limit your sodium intake to 3,000 grams per day."
Correct Answer
C. 'Increase the amount of your dietary iron intake."
Question 8
A nurse is providing teaching to the parents of a child who has impetigo. Which of
the following instructions should the nurse include in the teaching?A. Administer as
acyclovir PO two times per day.
B. Soak hairbrushes in boiling water for 10 minutes
C. Apply bactericidal ointment to lesions.
D. Seals soft toys in a plastic bag for 14 days.
Correct Answer
C. Apply bactericidal ointment to lesions.
Question 9
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg
(26.5 Ib) and is postoperative following open heart surgery. Which of the following
findings should the nurse report tothe provider?
A. Skin temperature 36C (96.8 F)
B. Pedal and posterior tibial pulses of 2+
C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL
D. Drainage from the chest tube of 22 mL in the last hour
Correct Answer
C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL
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QUESTIONS AND ANSWERS
Question 1
A nurse is reviewing the laboratory report of a school age child who has rheumatic
fever. Which of the following laboratory findings should the nurse expect?
A. Decreased BUN
B. Increased antistreptolysin O titer (ASO)
C. Increased immunoglobulin G (IgG)
D. Decreased erythrocyte sedimentation rate (ESR)
Correct Answer
B. Increased antistreptolysin O titer (ASO)
Question 2
A nurse is caring for a child who has impetigo contagiosa that developed in the
hospital. Which of the following actions should the nurse take?
A. Report the disease to the state health department.
B. Administer amphotericin B IV.
C. Initiate contact isolation precautions.
D. Applying lidocaine ointment topically.
Correct Answer
C. Initiate contact isolation precautions.
Question 3
A nurse is providing discharge teaching to the parents of an infant who is at risk for
sudden infant death syndrome is (SIDS). Which of the following statements by the
parents indicates an understanding of the teaching?
A. I will move my baby stuffed animal to the corner of her crib while she sleeps."
B. I will dress my baby in lightweight clothing to sleep."
C. I will have my baby sleep next to me in bed during the night."
D. I will lay my baby on her side to sleep for naps."
Correct Answer
B. "I will dress my baby in lightweight clothing to sleep."
Page 1 of 24
,Question 4
A nurse is planning care for a Toddler who has developed oral ulcers in response to
chemotherapy. Which of the following actions should the nurse include in the plan of
care?
A. Clean the gums with Saline soaked gauze.
B. Administer oral viscous lidocaine.
C. Schedule routine oral care every 8 hr.
D. Moisten the mucosa with lemon glycerin swabs
Correct Answer
A. Clean the gums with Saline soaked gauze.
Question 5
A nurse is preparing to perform peritoneal dialysis for a child who has an elevated
serum creatininelevel. After explaining the procedure, which of the following action
should the nurse plan to take?
A. Initiate IV access
B. Keep the dialysate refrigerated until time of infusion
C. Check the fistula site for a bruit.
D. Obtain the child's weight
Correct Answer
D. Obtain the child's weight
Question 6
A nurse is assessing a 6-month-old infant who has respiratory syncytial virus. The
nurse should immediately report which of the following finding to the provider?
A. Rhinorrhea
B. Tachypnea
C. Pharyngitis
D. Coughing (and sneezing)
Correct Answer
B. Tachypnea
Page 2 of 24
, Question 7
A nurse is teaching a group of female adolescents about healthy eating. Which of the
following instructions should the nurse include in the teaching?
A. Consume 1,500 to 1,700 calories per day."
B. Decrease your vitamin D intake once you start to menstruate."
C. Increase the amount of your dietary iron intake."
D. Limit your sodium intake to 3,000 grams per day."
Correct Answer
C. 'Increase the amount of your dietary iron intake."
Question 8
A nurse is providing teaching to the parents of a child who has impetigo. Which of
the following instructions should the nurse include in the teaching?A. Administer as
acyclovir PO two times per day.
B. Soak hairbrushes in boiling water for 10 minutes
C. Apply bactericidal ointment to lesions.
D. Seals soft toys in a plastic bag for 14 days.
Correct Answer
C. Apply bactericidal ointment to lesions.
Question 9
A nurse on a pediatric intensive care unit is caring for a toddler who weighs 12 kg
(26.5 Ib) and is postoperative following open heart surgery. Which of the following
findings should the nurse report tothe provider?
A. Skin temperature 36C (96.8 F)
B. Pedal and posterior tibial pulses of 2+
C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL
D. Drainage from the chest tube of 22 mL in the last hour
Correct Answer
C. Urine output of 15 mL in the last 2 hr - urine output should = 1mL/kg/hr =>24mL
Page 3 of 24
