2026 ATI PEDIATRIC CMS PROCTORED EXAM d d d d d d
VERSION 1/ACTUAL EXAM WITH CORRECT DETAI d d d d d
LED ANSWERS WITH RATIONALES/A+ GRADE d d d d
A nurse is caring for an adolescent following a lumbar puncture. which of the f
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ollowingactions should the nurse take?
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- initiatedNPOdstatusdfordthedadolescent
- placedthedadolescentdindadsupinedposition
- placedadmoist,dwarmdpackdondthedadolescentsdlowerdback
- applydadeutecticdmixturedofdlocaldanestheticsdtodthedadolescent'sdpunc
ture site -ANSWER>>Place the adolescent in supine position
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RATIONALE:(The nurse should place the adolescent in a supine position for d d d d d d d d d d d
30 minutes to an 1 hourfollowing a lumbar puncture to decrease the risk of a po
d d d d d d d d d d d d d d d d
st Dural puncture headache)
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A nurse is assessing a child who is receiving IV chemotherapy. assessme
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nt findingsinclude extravasation of the tissues surrounding the IV insertion
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site. In which order should the nurse take the following actions?
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-Remove IV line d d
-Elevate the extremity d d
-Stop the infusion d d
-Notify the provider - d d d
ANSWER>>Stop the infusionElevate the ex
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tremity
Notify the provid d d
er Remove the I
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V line
d
, A nurse is discussing the causes of chronic diarrhea with a client. which of the
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followingconditions is caused by malabsorption
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-Celiac disease d
-Ulcerative colitis d
-Hirschsprung's disease d
-Crohn's disease - ANSWER>>Celiac Disease
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RATIONALE:( (the nurse should recognize that celiac disease causes chroni
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c diarrhea due to malabsorption. other malabsorption conditions include short
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bowel syndrome, lactoseintolerance, and congenital enzyme deficiency)
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A nurse is caring for an 8 year old child who has sickle cell anemia. which
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of thefollowing actions should the nurse take?
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-Apply cool compresses to the painful area
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-Initiate contact isolation precautions
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-Give the child flavored popsicles
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-Administer phytonadione - ANSWER>>Give the child flavored popsicles
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RATIONALE:( (Maintaining hydration with a child who has sickle cell anemia i
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s important to preventsickling. children often accept flavored popsicles as a so
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urce of fluid
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A nurse is caring for a toddler who has a fever, a high pitched cry, irritabilit
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y, andvomiting. which of the following actions should the nurse take?
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-Administer 81 mg of aspirin to the toddler d d d d d d d
-Give the toddler a cold bath
d d d d d
-Place the toddler in a supine position
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-Pad the rails of the toddler's bed -
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VERSION 1/ACTUAL EXAM WITH CORRECT DETAI d d d d d
LED ANSWERS WITH RATIONALES/A+ GRADE d d d d
A nurse is caring for an adolescent following a lumbar puncture. which of the f
d d d d d d d d d d d d d d d
ollowingactions should the nurse take?
d d d d d
- initiatedNPOdstatusdfordthedadolescent
- placedthedadolescentdindadsupinedposition
- placedadmoist,dwarmdpackdondthedadolescentsdlowerdback
- applydadeutecticdmixturedofdlocaldanestheticsdtodthedadolescent'sdpunc
ture site -ANSWER>>Place the adolescent in supine position
d d d d d d d d
RATIONALE:(The nurse should place the adolescent in a supine position for d d d d d d d d d d d
30 minutes to an 1 hourfollowing a lumbar puncture to decrease the risk of a po
d d d d d d d d d d d d d d d d
st Dural puncture headache)
d d d
A nurse is assessing a child who is receiving IV chemotherapy. assessme
d d d d d d d d d d d
nt findingsinclude extravasation of the tissues surrounding the IV insertion
d d d d d d d d d d
site. In which order should the nurse take the following actions?
d d d d d d d d d d d
-Remove IV line d d
-Elevate the extremity d d
-Stop the infusion d d
-Notify the provider - d d d
ANSWER>>Stop the infusionElevate the ex
d d d d d d
tremity
Notify the provid d d
er Remove the I
d d d
V line
d
, A nurse is discussing the causes of chronic diarrhea with a client. which of the
d d d d d d d d d d d d d d d
followingconditions is caused by malabsorption
d d d d d
-Celiac disease d
-Ulcerative colitis d
-Hirschsprung's disease d
-Crohn's disease - ANSWER>>Celiac Disease
d d d d
RATIONALE:( (the nurse should recognize that celiac disease causes chroni
d d d d d d d d d
c diarrhea due to malabsorption. other malabsorption conditions include short
d d d d d d d d d d
bowel syndrome, lactoseintolerance, and congenital enzyme deficiency)
d d d d d d d
A nurse is caring for an 8 year old child who has sickle cell anemia. which
d d d d d d d d d d d d d d d d
of thefollowing actions should the nurse take?
d d d d d d d
-Apply cool compresses to the painful area
d d d d d d
-Initiate contact isolation precautions
d d d
-Give the child flavored popsicles
d d d d
-Administer phytonadione - ANSWER>>Give the child flavored popsicles
d d d d d d d
RATIONALE:( (Maintaining hydration with a child who has sickle cell anemia i
d d d d d d d d d d d
s important to preventsickling. children often accept flavored popsicles as a so
d d d d d d d d d d d d
urce of fluid
d d
A nurse is caring for a toddler who has a fever, a high pitched cry, irritabilit
d d d d d d d d d d d d d d d
y, andvomiting. which of the following actions should the nurse take?
d d d d d d d d d d d
-Administer 81 mg of aspirin to the toddler d d d d d d d
-Give the toddler a cold bath
d d d d d
-Place the toddler in a supine position
d d d d d d
-Pad the rails of the toddler's bed -
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