ATI RN PEDIATRIC EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: A nurse is reviewing the laboratory report of a toddler
who is receiving chemotherapy for leukemia. Which of the
following laboratory values should the nurse report to the
provider?
A. Platelets 150,000/mm
B. Hgb 6g/dL
C. WBC 6,000/mm3
D. Potassium 4.5 mEg/L
Answer:
B. Hgb 6 g/dL
Rationale: This hemoglobin level is below the expected reference range and is
indicative of anemia;
therefore, the nurse should report this finding to the provider.
Question 2: A nurse is caring for an 8-year-old child who has acute
glomerulonephritis. Which of the following findings should the
nurse expect?
A. Hypotension
B. Stomatitis
C. Bloody diarrhea
D. Periorbital edema
Answer:
D. Periorbital edema
Rationale: Periorbital edema is an expected finding in a child who has
glomerulonephritis.
,Question 3: A nurse is providing teaching to the parents of a
school-age child who has type 1 diabetes mellitus about
management of hypoglycemia. Which of the following responses
by the parents indicates an understanding of the teaching?
A. "I will make sure my child drinks 240 mL (8 oz) of milk as soon as
possible."
B. "I will give my child 2 units of regular insulin."
C. "I will insist that my child lies down to rest for 30 minutes."
D. "I will check my child's urine for glucose twice daily."
Answer:
A. "I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible."
Rationale: Giving the child 10 to 15 g of simple carbohydrates, such as 240 mL
(8 oz) of milk, will elevate the blood glucose level and alleviate the
hypoglycemia.
Question 4: A nurse is teaching about clinical manifestations of
tracheomalacia to a parent of an infant who had tracheoesophageal
fistula repair as a newborn. Which of the following findings should
the nurse include in the teaching?
A. Absence of bowel sounds
B. Neck contortions
C. Barking cough
D. Projectile vomiting
Answer:
C. Barking cough
Rationale: Infants who have tracheomalacia have a weakened trachea, which
leads to collapse. Clinical manifestations of tracheomalacia include barking
cough, stridor, wheezing cyanosis, and apnea.
Question 5: A nurse is teaching an adolescent who has asthma
about how to use a peak expiratory flow meter (PEFM). Which of
,the following responses by the adolescent indicates an
understanding of the teaching?
A. "I will breathe in through the mouthpiece, hold my breath for 5
seconds, and then exhale."
B. "If l get a reading in the green zone, I will tell my parents
immediately so they can call the
doctor."
C. "I will slowly exhale through the mouthpiece over a 10 second
interval."
D. "I will record the highest reading of three attempts."
Answer:
D. "I will record the highest reading of three attempts."
Rationale: Once the client establishes a personal best, she should routinely
check the PEFM by performing three attempts and recording the highest
reading of the three.
Question 6: A nurse in an emergency department is caring for a
toddler who is in acute respiratory distress. Which of the following
findings should alert the nurse to the possibility of epiglottitis?
A. Lethargy
B. Spontaneous coughing
C. Drooling
D. Hoarseness
Answer:
C. Drooling
Rationale: Epiglottitis is a disorder caused by an inflammation of the epiglottis.
It results in rapid swelling of the epiglottis, which can obstruct breathing.
Drooling is common finding due to the toddler's inability to swallow saliva.
Question 7: A nurse is assessing a 2-month-old infant who has a
ventricular septal defect. Which of the following findings should
, the nurse report to the provider?
A. Weight gain of 1.8 kg (4 lb)
B. Heart rate 125/min
C. Soft, flat fontanel
D. Systemic murmur
Answer:
A. Weight gain of 1.8 kg (4 lb)
Rationale: A 4 lb weight gain indicates increased fluid and worsening of the
child's heart failure; therefore, the nurse should report this finding to the
provider.
Question 8: A nurse is providing discharge teaching to the parent
of a school-age child who has leukemia and is receiving
chemotherapy. Which of the following statements by the parent
indicates an understanding of the teaching?
A. "I will take my child's rectal temperature daily."
B. "I will make sure my child gets his MMR vaccine this week."
C. "I will inspect my child's mouth every day for sores."
D. "I will allow my child to ride his bicycle tomorrow."
Answer:
C. "I will inspect my child's mouth every day for sores."
Rationale: A child who has leukemia is at an increased risk for mucositis;
therefore, the parent should inspect the child's mouth daily for lesions or
ulcerations.
Question 9: A nurse is assessing pain in a 3-year-old child
following a tonsillectomy. Which of the following rating scales
should the nurse use to determine the child's pain level?
A. Word-Graphic Rating Scale
B. Color Tool
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST
RELEASED
Question 1: A nurse is reviewing the laboratory report of a toddler
who is receiving chemotherapy for leukemia. Which of the
following laboratory values should the nurse report to the
provider?
A. Platelets 150,000/mm
B. Hgb 6g/dL
C. WBC 6,000/mm3
D. Potassium 4.5 mEg/L
Answer:
B. Hgb 6 g/dL
Rationale: This hemoglobin level is below the expected reference range and is
indicative of anemia;
therefore, the nurse should report this finding to the provider.
Question 2: A nurse is caring for an 8-year-old child who has acute
glomerulonephritis. Which of the following findings should the
nurse expect?
A. Hypotension
B. Stomatitis
C. Bloody diarrhea
D. Periorbital edema
Answer:
D. Periorbital edema
Rationale: Periorbital edema is an expected finding in a child who has
glomerulonephritis.
,Question 3: A nurse is providing teaching to the parents of a
school-age child who has type 1 diabetes mellitus about
management of hypoglycemia. Which of the following responses
by the parents indicates an understanding of the teaching?
A. "I will make sure my child drinks 240 mL (8 oz) of milk as soon as
possible."
B. "I will give my child 2 units of regular insulin."
C. "I will insist that my child lies down to rest for 30 minutes."
D. "I will check my child's urine for glucose twice daily."
Answer:
A. "I will make sure my child drinks 240 mL (8 oz) of milk as soon as possible."
Rationale: Giving the child 10 to 15 g of simple carbohydrates, such as 240 mL
(8 oz) of milk, will elevate the blood glucose level and alleviate the
hypoglycemia.
Question 4: A nurse is teaching about clinical manifestations of
tracheomalacia to a parent of an infant who had tracheoesophageal
fistula repair as a newborn. Which of the following findings should
the nurse include in the teaching?
A. Absence of bowel sounds
B. Neck contortions
C. Barking cough
D. Projectile vomiting
Answer:
C. Barking cough
Rationale: Infants who have tracheomalacia have a weakened trachea, which
leads to collapse. Clinical manifestations of tracheomalacia include barking
cough, stridor, wheezing cyanosis, and apnea.
Question 5: A nurse is teaching an adolescent who has asthma
about how to use a peak expiratory flow meter (PEFM). Which of
,the following responses by the adolescent indicates an
understanding of the teaching?
A. "I will breathe in through the mouthpiece, hold my breath for 5
seconds, and then exhale."
B. "If l get a reading in the green zone, I will tell my parents
immediately so they can call the
doctor."
C. "I will slowly exhale through the mouthpiece over a 10 second
interval."
D. "I will record the highest reading of three attempts."
Answer:
D. "I will record the highest reading of three attempts."
Rationale: Once the client establishes a personal best, she should routinely
check the PEFM by performing three attempts and recording the highest
reading of the three.
Question 6: A nurse in an emergency department is caring for a
toddler who is in acute respiratory distress. Which of the following
findings should alert the nurse to the possibility of epiglottitis?
A. Lethargy
B. Spontaneous coughing
C. Drooling
D. Hoarseness
Answer:
C. Drooling
Rationale: Epiglottitis is a disorder caused by an inflammation of the epiglottis.
It results in rapid swelling of the epiglottis, which can obstruct breathing.
Drooling is common finding due to the toddler's inability to swallow saliva.
Question 7: A nurse is assessing a 2-month-old infant who has a
ventricular septal defect. Which of the following findings should
, the nurse report to the provider?
A. Weight gain of 1.8 kg (4 lb)
B. Heart rate 125/min
C. Soft, flat fontanel
D. Systemic murmur
Answer:
A. Weight gain of 1.8 kg (4 lb)
Rationale: A 4 lb weight gain indicates increased fluid and worsening of the
child's heart failure; therefore, the nurse should report this finding to the
provider.
Question 8: A nurse is providing discharge teaching to the parent
of a school-age child who has leukemia and is receiving
chemotherapy. Which of the following statements by the parent
indicates an understanding of the teaching?
A. "I will take my child's rectal temperature daily."
B. "I will make sure my child gets his MMR vaccine this week."
C. "I will inspect my child's mouth every day for sores."
D. "I will allow my child to ride his bicycle tomorrow."
Answer:
C. "I will inspect my child's mouth every day for sores."
Rationale: A child who has leukemia is at an increased risk for mucositis;
therefore, the parent should inspect the child's mouth daily for lesions or
ulcerations.
Question 9: A nurse is assessing pain in a 3-year-old child
following a tonsillectomy. Which of the following rating scales
should the nurse use to determine the child's pain level?
A. Word-Graphic Rating Scale
B. Color Tool
