ATI RN Pediatric Nursing Online Practice 2026-2027 B
A nurse is caring for a preschool-age child. For each -Timing of child's crying: Nightmares
assessment finding, click to specify if the finding is
consistent with nightmares or sleep terrors. Each -Child's responsiveness to guardian: Nightmares
finding may support more than 1 disease process.
-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 -Dress the toddler in minimal clothing
media and a temperature of 40 C (104 F). After
administering acetaminophen, which of the following Rationale: The nurse should recognize that dressing the toddler in minimal
actions should the nurse plan to take to reduce the clothing will expose the skin to air and maximize heat evaporation from the
toddler's temperature? skin, thus reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age -Arterial blood gases
child. After reviewing the information in the child's Rationale: The child's arterial blood gases (ABGs) indicate respiratory alkalosis,
medical record, which of the following findings should which is associated with complications of asthma, such as hyperventilation and
the nurse report to the provider? hypoxia. Therefore, the nurse should report these findings to the provider.
Select the 4 findings that the nurse should report to the
provider. -WBC Count
Rationale: 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
Rationale: 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
Rationale: 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.
, ATI RN Pediatric Nursing Online Practice 2026-2027 B
A nurse is caring for a preschooler who has congestive -Potassium chloride
heart failure. The nurse observes wide QRS complexes
and peaked T waves on the cardiac monitor. Which of Rationale: The nurse should identify that a child who has congestive heart
the following prescriptions should the nurse clarify with failure can develop electrolyte imbalances, such as hyperkalemia or
the provider? hypokalemia. The nurse should identify that the child is exhibiting
manifestations of hyperkalemia and contact the provider about the
administration of potassium chloride, which can increase the severity of
hyperkalemia.
A nurse is caring for a toddler. Complete the diagram Potential Condition: Cystic Fibrosis
by dragging from the choices below to specify what
condition the client is most likely experiencing, 2 Actions to take:
actions the nurse should take to address that condition, 1: Educate the guardian about swear chloride testing.
and 2 parameters the nurse should monitor to assess 2: Prepare toddler for chest physiotherapy.
the client's progress.
Parameters to Monitor:
1: Oxygen saturation level
2: Stools
Rationale: Upon recognizing and analyzing client findings, the nurse's priority
hypothesis is that the toddler is most likely experiencing cystic fibrosis and that
is it important to generate solutions and take actions by planning to educate
the guardian about sweat chloride testing for the toddler and prepare the
toddler for chest physiotherapy. The toddler is most likely experiencing cystic
fibrosis, as evidenced by reports of recurring respiratory infections, wheezing,
coughing, tachypnea, tachycardia, labored respirations, decreased oxygen
saturation, nasal congestion, inability to gain weight, loose fatty stool, salty
tasting sweat, and hyponatremia. To evaluate the toddler's response to these
interventions, the nurse should monitor the toddler's oxygen saturation level
and stools. These are parameters that indicate if the toddler is further
experiencing respiratory distress, inadequate intake, and dehydration, which
can lead to further complications, including pneumothorax, respiratory failure,
and failure to thrive.
A school nurse is preparing to administer atomoxetine 1
1.2 mg/kg/day PO to a school-age child who weighs 75
lb. Available is atomoxetine 40 mg/capsule. How many Rationale:
capsules should the nurse administer per day? Round 75 lb = 34.0909 kg
to the nearest whole number.
1.2 mg x 34.0909 kg = 40.9090
40. = 1.02 = 1
A nurse is caring for a toddler who is experiencing -Oral rehydration solution
acute diarrhea and has moderate dehydration. Which of
the following nutritional items should the nurse offer to Rationale: A toddler who has acute diarrhea should consume an oral
the toddler? rehydration solution to replace electrolytes and water by promoting the
reabsorption of water and sodium. This promotes recovery from dehydration.
A nurse is caring for a preschool-age child. For each -Timing of child's crying: Nightmares
assessment finding, click to specify if the finding is
consistent with nightmares or sleep terrors. Each -Child's responsiveness to guardian: Nightmares
finding may support more than 1 disease process.
-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 -Dress the toddler in minimal clothing
media and a temperature of 40 C (104 F). After
administering acetaminophen, which of the following Rationale: The nurse should recognize that dressing the toddler in minimal
actions should the nurse plan to take to reduce the clothing will expose the skin to air and maximize heat evaporation from the
toddler's temperature? skin, thus reducing the toddler's temperature.
A nurse on a pediatric unit is caring for a school-age -Arterial blood gases
child. After reviewing the information in the child's Rationale: The child's arterial blood gases (ABGs) indicate respiratory alkalosis,
medical record, which of the following findings should which is associated with complications of asthma, such as hyperventilation and
the nurse report to the provider? hypoxia. Therefore, the nurse should report these findings to the provider.
Select the 4 findings that the nurse should report to the
provider. -WBC Count
Rationale: 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
Rationale: 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
Rationale: 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.
, ATI RN Pediatric Nursing Online Practice 2026-2027 B
A nurse is caring for a preschooler who has congestive -Potassium chloride
heart failure. The nurse observes wide QRS complexes
and peaked T waves on the cardiac monitor. Which of Rationale: The nurse should identify that a child who has congestive heart
the following prescriptions should the nurse clarify with failure can develop electrolyte imbalances, such as hyperkalemia or
the provider? hypokalemia. The nurse should identify that the child is exhibiting
manifestations of hyperkalemia and contact the provider about the
administration of potassium chloride, which can increase the severity of
hyperkalemia.
A nurse is caring for a toddler. Complete the diagram Potential Condition: Cystic Fibrosis
by dragging from the choices below to specify what
condition the client is most likely experiencing, 2 Actions to take:
actions the nurse should take to address that condition, 1: Educate the guardian about swear chloride testing.
and 2 parameters the nurse should monitor to assess 2: Prepare toddler for chest physiotherapy.
the client's progress.
Parameters to Monitor:
1: Oxygen saturation level
2: Stools
Rationale: Upon recognizing and analyzing client findings, the nurse's priority
hypothesis is that the toddler is most likely experiencing cystic fibrosis and that
is it important to generate solutions and take actions by planning to educate
the guardian about sweat chloride testing for the toddler and prepare the
toddler for chest physiotherapy. The toddler is most likely experiencing cystic
fibrosis, as evidenced by reports of recurring respiratory infections, wheezing,
coughing, tachypnea, tachycardia, labored respirations, decreased oxygen
saturation, nasal congestion, inability to gain weight, loose fatty stool, salty
tasting sweat, and hyponatremia. To evaluate the toddler's response to these
interventions, the nurse should monitor the toddler's oxygen saturation level
and stools. These are parameters that indicate if the toddler is further
experiencing respiratory distress, inadequate intake, and dehydration, which
can lead to further complications, including pneumothorax, respiratory failure,
and failure to thrive.
A school nurse is preparing to administer atomoxetine 1
1.2 mg/kg/day PO to a school-age child who weighs 75
lb. Available is atomoxetine 40 mg/capsule. How many Rationale:
capsules should the nurse administer per day? Round 75 lb = 34.0909 kg
to the nearest whole number.
1.2 mg x 34.0909 kg = 40.9090
40. = 1.02 = 1
A nurse is caring for a toddler who is experiencing -Oral rehydration solution
acute diarrhea and has moderate dehydration. Which of
the following nutritional items should the nurse offer to Rationale: A toddler who has acute diarrhea should consume an oral
the toddler? rehydration solution to replace electrolytes and water by promoting the
reabsorption of water and sodium. This promotes recovery from dehydration.
