Peds- ATI Practice Exam B 2023
Questions with Complete Answers
Nurse is reviewing lab results of a school age child 1 week postop following an open
fracture repair. Which findings should nurse ID as indication of potential complication?
a. Erythrocyte sedimentation rate 18 mm/hr
b. WBC count 6,200/mm3
c. C-reactive protein 1.4 mg/LRBC count 4.7 million/mm3 - Answer-a. Erythrocyte
sedimentation rate 18 mm/hr
Nurse planning care for school age child with tunneled CVA device. Which interventions
should the nurse include in plan?
a. Use sterile scissors to remove the dressing from the site.
b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in
use
c. Access the site using a noncoring angled needle
d. Use a semipermeable transparent dressing to cover the site - Answer-d. Use a
semipermeable transparent dressing to cover the site
Nurse is planning care to address nutritional needs for preschooler with cystic fibrosis.
Which interventions should the nurse include in plans?
a. Administer pancreatic enzymes 2 hr after meals.
b. Discontinue the use of pancreatic enzymes if steatorrhea develops.
c. Limit fluid intake to 750 mL per day.
d. Increase fat content in the child's diet to 40% of total calories. - Answer-d. Increase
fat content in the child's diet to 40% of total calories
Nurse in ED auscultates lungs of adolescent experiencing dyspnea. Nurse should ID
sound as what?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi - Answer-a. Wheezes
Nurse assesses school age child with infratentorial brain tumor. Which findings should
the nurse ID as manifestation of IICP?
a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia - Answer-c. Difficulty concentrating
, Nurse assesses infant with pneumonia. Which findings is priority for nurse to report to
HCP?
a. Nasal flaring
b. WBC count 11,300/mm3
c. Diarrhea
d. Abdominal distension - Answer-a. Nasal flaring
Nurse in health department is caring for emancipated adolescent with STI and
unaccompanied by guardian. Which actions should the nurse take?
a. Have the adolescent sign a consent form for treatment.
b. Instruct the adolescent to return with a guardian.
c. Obtain consent from the adolescent's guardian over the phone
d. Treat the adolescent without a consent form - Answer-a. Have the adolescent sign a
consent form for treatment
Nurse teaches adolescent about how to manage tinea pedis. Which statements by
adolescent indicates understanding of teaching?
a. "I should buy plastic shoes to wear at the swimming pool."
b. "I should wear sandals as much as possible."
c. "I should place the permethrin cream between my toes twice daily."
d. "I should seal my nonwashable shoes in plastic bags for a couple of weeks." -
Answer-b. "I should wear sandals as much as possible."
Nurse assesses 8 y/o child with early indications of shock. After establishing airway and
stabilizing child's resp, which actions should the nurse take next?
a. Insert an indwelling urinary catheter.
b. Measure weight and height.
c. Initiate IV access.
d. Maintain ECG monitoring. - Answer-c. Initiate IV access
Charge nurse prepares to make room assignment for newly admitted school age child.
Which considerations is the nurse's priority?
a. Length of stay
b. Treatment schedule
c. Disease process
d. Self-care ability - Answer-c. Disease process
Nurse in ED assesses 3 month old infant with rotavirus and experiences acute vomiting
and diarrhea. Which manifestations should nurse ID as indication that infant has
moderate to severe dehydration?
Questions with Complete Answers
Nurse is reviewing lab results of a school age child 1 week postop following an open
fracture repair. Which findings should nurse ID as indication of potential complication?
a. Erythrocyte sedimentation rate 18 mm/hr
b. WBC count 6,200/mm3
c. C-reactive protein 1.4 mg/LRBC count 4.7 million/mm3 - Answer-a. Erythrocyte
sedimentation rate 18 mm/hr
Nurse planning care for school age child with tunneled CVA device. Which interventions
should the nurse include in plan?
a. Use sterile scissors to remove the dressing from the site.
b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in
use
c. Access the site using a noncoring angled needle
d. Use a semipermeable transparent dressing to cover the site - Answer-d. Use a
semipermeable transparent dressing to cover the site
Nurse is planning care to address nutritional needs for preschooler with cystic fibrosis.
Which interventions should the nurse include in plans?
a. Administer pancreatic enzymes 2 hr after meals.
b. Discontinue the use of pancreatic enzymes if steatorrhea develops.
c. Limit fluid intake to 750 mL per day.
d. Increase fat content in the child's diet to 40% of total calories. - Answer-d. Increase
fat content in the child's diet to 40% of total calories
Nurse in ED auscultates lungs of adolescent experiencing dyspnea. Nurse should ID
sound as what?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi - Answer-a. Wheezes
Nurse assesses school age child with infratentorial brain tumor. Which findings should
the nurse ID as manifestation of IICP?
a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia - Answer-c. Difficulty concentrating
, Nurse assesses infant with pneumonia. Which findings is priority for nurse to report to
HCP?
a. Nasal flaring
b. WBC count 11,300/mm3
c. Diarrhea
d. Abdominal distension - Answer-a. Nasal flaring
Nurse in health department is caring for emancipated adolescent with STI and
unaccompanied by guardian. Which actions should the nurse take?
a. Have the adolescent sign a consent form for treatment.
b. Instruct the adolescent to return with a guardian.
c. Obtain consent from the adolescent's guardian over the phone
d. Treat the adolescent without a consent form - Answer-a. Have the adolescent sign a
consent form for treatment
Nurse teaches adolescent about how to manage tinea pedis. Which statements by
adolescent indicates understanding of teaching?
a. "I should buy plastic shoes to wear at the swimming pool."
b. "I should wear sandals as much as possible."
c. "I should place the permethrin cream between my toes twice daily."
d. "I should seal my nonwashable shoes in plastic bags for a couple of weeks." -
Answer-b. "I should wear sandals as much as possible."
Nurse assesses 8 y/o child with early indications of shock. After establishing airway and
stabilizing child's resp, which actions should the nurse take next?
a. Insert an indwelling urinary catheter.
b. Measure weight and height.
c. Initiate IV access.
d. Maintain ECG monitoring. - Answer-c. Initiate IV access
Charge nurse prepares to make room assignment for newly admitted school age child.
Which considerations is the nurse's priority?
a. Length of stay
b. Treatment schedule
c. Disease process
d. Self-care ability - Answer-c. Disease process
Nurse in ED assesses 3 month old infant with rotavirus and experiences acute vomiting
and diarrhea. Which manifestations should nurse ID as indication that infant has
moderate to severe dehydration?
