ATI PEDS EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE JUST RELEASED
Question 1: A nurse is caring for a child with a vesicular rash that
has been present for 6 days. The nurse should expect that the child
has which of the followig conditions?
A. Measles
B. Fifth disease
C. Tetanus
D. Varicella
Answer:
D. Rationale: Children who has varicella may present first with a
maculopapular rash that progresses to vesicles on erythematous bases,
which eventually rupture and crust over.
Question 2: A nurse is providing teaching to the guardians of a 4
month old infant on how to play with the infant. Which of the
following play activities should the nurse sugget for this infant?
A. Show the infant a board book with large pictures.
B. Imitate the sounds of different farm animals for the infant.
C. Give the infant a large push-pull toy.
D. Allow the infant to splash in the bathtub.
Answer:
D. Rationale: Splashing is appropriate for the developmental age of the
infant and provides tactile stimulation. However, the nurse shoud
emphasize and teach bath safety to prevent injury.
,Question 3: A nurse is providing discharge teaching to parents
whose infant had a ventriculoperitoneal shunt placement for the
treatment of hydrocephalus. Which of the following statements by
the parents indicates an understanding of the teaching?
A. "We will chech his abdomen daily for signs of fluid accumulation."
B. "We will notifiy the doctor right away if he has a fever."
C. "We should keep a helmet on him when he's awake"
D. "We can expect him to have occasional seizure episodes."
Answer:
B. Rationale: Infection is a risk after ventriculoperitoneal shunt insertion,
esp 1 to 2 months after placement. The parents should report fevers,
vomiting, seizure activity, and decreased responsiveness, as these
findings can indicate infections.
Question 4: A nurse is caring for a school-age child who has
glomerulonephritis. The child has decreased urinary output and a
blood pressure of 160/78 mmHg and is receiving hydralazine.
Which of the following lunch choices should the nurse
recommend?
A. 1 hotdog, 22 potato chips, and 120 ml (4oz) of orange juice
B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a small
apple,; and 240 mL (8oz) of milk
C. 3 oz grilled chicken, 1 cup of pear slices, and 120 mL (4oz) of
apple juice.
D. 1 cup of cottage cheese, a small banana, and 240 mL (8oz) of
soda
Answer:
C. Rationale: Children with glomerulonephritis has moderate sodium
restriction, and further restriction is given to foods that are high in
potassium for children who have decreased urinary output. These
restrictions are because the kidneys of these children are not funtioning
, appropriately. This menu consist of 571 g of potassium and 268g of
sodium.
Question 5: A nurse is assessing a 6-year old child who began
treatment for pneumococcal pnemonia 4 days ago. Which of the
following findings should the nurse identify as an indication the
treatment is effective?
A. Dullness with chest percussion
B. Heart rate 118/min
C. Conjunctival discharge
D. Respiratory rate 28/min
Answer:
B. Rationale: Heart rate of 118/min is within the expected range for a
6-year-old child. A child who has an acute pneumococcal pneumonia
infection will exhibit tachycardia.
Question 6: A nurse is caring for a child who has exacerbation of
cystic fibrosis. Which of the following laboratory findings should
the nurse report to the provider immediately?
A. Blood glucose 140 mg/dl
B. Oxygen saturation 85%
C. RBC 3.2 million/uL
D. Serum sodium 156 mEq/L
Answer:
B. Rationale: Apply ABC priority-setting framework
Question 7: A nurse is assessing a 6 month-old infant during a
well-child visit. Which of the following motor activities should the
nurse expect the infant to have achieved?
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE JUST RELEASED
Question 1: A nurse is caring for a child with a vesicular rash that
has been present for 6 days. The nurse should expect that the child
has which of the followig conditions?
A. Measles
B. Fifth disease
C. Tetanus
D. Varicella
Answer:
D. Rationale: Children who has varicella may present first with a
maculopapular rash that progresses to vesicles on erythematous bases,
which eventually rupture and crust over.
Question 2: A nurse is providing teaching to the guardians of a 4
month old infant on how to play with the infant. Which of the
following play activities should the nurse sugget for this infant?
A. Show the infant a board book with large pictures.
B. Imitate the sounds of different farm animals for the infant.
C. Give the infant a large push-pull toy.
D. Allow the infant to splash in the bathtub.
Answer:
D. Rationale: Splashing is appropriate for the developmental age of the
infant and provides tactile stimulation. However, the nurse shoud
emphasize and teach bath safety to prevent injury.
,Question 3: A nurse is providing discharge teaching to parents
whose infant had a ventriculoperitoneal shunt placement for the
treatment of hydrocephalus. Which of the following statements by
the parents indicates an understanding of the teaching?
A. "We will chech his abdomen daily for signs of fluid accumulation."
B. "We will notifiy the doctor right away if he has a fever."
C. "We should keep a helmet on him when he's awake"
D. "We can expect him to have occasional seizure episodes."
Answer:
B. Rationale: Infection is a risk after ventriculoperitoneal shunt insertion,
esp 1 to 2 months after placement. The parents should report fevers,
vomiting, seizure activity, and decreased responsiveness, as these
findings can indicate infections.
Question 4: A nurse is caring for a school-age child who has
glomerulonephritis. The child has decreased urinary output and a
blood pressure of 160/78 mmHg and is receiving hydralazine.
Which of the following lunch choices should the nurse
recommend?
A. 1 hotdog, 22 potato chips, and 120 ml (4oz) of orange juice
B. 1 sandwich with lettuce, tomato, and 4 slices of bacon; a small
apple,; and 240 mL (8oz) of milk
C. 3 oz grilled chicken, 1 cup of pear slices, and 120 mL (4oz) of
apple juice.
D. 1 cup of cottage cheese, a small banana, and 240 mL (8oz) of
soda
Answer:
C. Rationale: Children with glomerulonephritis has moderate sodium
restriction, and further restriction is given to foods that are high in
potassium for children who have decreased urinary output. These
restrictions are because the kidneys of these children are not funtioning
, appropriately. This menu consist of 571 g of potassium and 268g of
sodium.
Question 5: A nurse is assessing a 6-year old child who began
treatment for pneumococcal pnemonia 4 days ago. Which of the
following findings should the nurse identify as an indication the
treatment is effective?
A. Dullness with chest percussion
B. Heart rate 118/min
C. Conjunctival discharge
D. Respiratory rate 28/min
Answer:
B. Rationale: Heart rate of 118/min is within the expected range for a
6-year-old child. A child who has an acute pneumococcal pneumonia
infection will exhibit tachycardia.
Question 6: A nurse is caring for a child who has exacerbation of
cystic fibrosis. Which of the following laboratory findings should
the nurse report to the provider immediately?
A. Blood glucose 140 mg/dl
B. Oxygen saturation 85%
C. RBC 3.2 million/uL
D. Serum sodium 156 mEq/L
Answer:
B. Rationale: Apply ABC priority-setting framework
Question 7: A nurse is assessing a 6 month-old infant during a
well-child visit. Which of the following motor activities should the
nurse expect the infant to have achieved?