2024 ATI Peds Retake Proctored Assessment exam

2024 ATI Peds Retake Proctored Assessment exam 1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr. after the injury occurred? A. Osteomyelitis B. Compartment syndrome C. Volkmann ischemic contracture D. Renal calculi 2) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching? A. Use aspartame as sugar substitute B. Avoid foods containing milk products C. Increase the toddler’s protein consumption D. Limit foods high in iron 3) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? A. Vary daily routines when providing care for the child B. Keep the television on in the child’s room for background noise C. Keep staff visits with the child brief D. Place the child in a semiprivate room. 4) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect? A. Increase urine output B. Hypertension C. Increase respiratory rate D. Capillary refill of 2 seconds 5) A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse plan to include? A. Restrict the child’s physical activity to promote rest B. Administer pancreatic enzymes by mouth 1 hr. prior to each meal (Pancreatic enzymes should be taken within 30 minutes of eating) C. Provide the child with low sodium diet D. Use a vest to perform high-frequency chest compressions 6) A nurse is teaching the parent of a school age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? A. Your child’s feet should be 3 to 6 inches off the ground when seated on the bicycle B. Your child should walk the bicycle through intersections C. Your child should keep the bicycle at least 3 feet from the curb while riding in the street D. Your child should ride the bicycle against the flow of traffic 7) A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure? A. Lateral B. Prone C. Semi-fowler D. Supine 8) A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect? A. WBC count 15.000/mm B. Hemoglobin 6.8 g/dL C. Platelet count 98.0000/mm D. RBC count 5/mm 9) A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse take? A. Report the diagnosis to the public health department B. Place the child in a protected environment for 48hr C. Administer the pertussis vaccine D. Restrict oral fluids to 500mL per day 10) A nurse is assessing a week-old infant. The nurse should identify which of the following manifestations can indicate neonatal abstinence syndrome? A. Frequent coughing B. Constipation C. Excessive sucking (Gastrointestinal: poor feeding, regurgitation (projectile vomiting), diarrhea, and excessive, uncoordinated, and constant sucking) D. Lethargy 11) A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take? A. Use a 22-gauge catheter to the start the IV B. Start the IV in the infant’s foot C. Cover the insertion site with an opaque dressing???? D. Change the IV site every 3 days 12) A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider? A. Weak pedal pulse distal to the site B. Blood pressure 102/58mm Hg C. Bilateral cool extremities D. Serum glucose 90mg/dL 13) A nurse is caring for an adolescent who has scoliosis and is refusing to wear a back brace which of the following statement should the nurse make? A. I think you are worrying too much about wearing the brace. B. Let’s sit down and discuss why you do not want to wear the brace. C. Your primary care provider said you have to wear a brace. D. At first it is hard to wear a back brace, but it gets easier over time. 14) A nurse is providing teaching to a parent of a child who has HIV. which of the following statements by the parent indicates an understanding of the teaching? A. I will ensure that my child is tested for tuberculosis every year. B. My child will need to double his medications for the next 6 months. C. The risk of transmission decreases once my child is on zidovudine for 2 weeks. D. My child will need to repeat his childhood immunizations once he is in remission. 15) A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following finding is the nurse’s priority? A. Heart rate 162/min B. Negative doll’s eye reflex. C. Sunken anterior fontanel D. Potassium 5.1meq/l 16) A nurse in an emergency department is caring for a child who experienced submersion injury. Which of the following is the priority action for the nurse to take? A. Obtains an ABG sample. B. Apply warming blankets. C. Assist with intubation. D. Administer an IV bolus. 17) A nurse is caring for a school- age child who is experiencing a sickle cell crisis. Which of the following action should the nurse take? A. Initiate contact precaution B. Apply warm compresses to the affected area. C. Decrease the child’s fluid intake. D. Administer furosemide iv twice per day. 18) A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching? A. Avoid giving the child a bath while vesicles are present B. Keep the child away from others until the skin is clear of scabs C. Apply calamine lotion to vesicles on the child's skin D. Dress the child in warm clothing to promote healing of the vesicles 19) A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following action should the nurse include in the plan of care? A. Teach the client about ostomy care. B. Maintain an NG tube for decompression. C. Initiate long- term antibiotic therapy. D. Administer total parenteral nutrition. 20) A nurse is teaching a parent of a10-month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? (Select all that apply). A. Place gate at the top and bottom of the stairs. B. Ensure the crib mattress is in the lowest position. C. Remove labels from containers that contain toxic substance. D. Keep toilet lids in the upright position. E. Selects a toy chest that has a heavy, hinged lid. 21) A nurse is communicating with a child who had hearing loss. Which of the following action should the nurse take? A. Maintain a neutral facial expression when speaking to the child. B. Change positions frequently to maintain the child’s attention. C. Exaggerate the pronunciation of words. D. Use light touch when initiating conversation. 22) A nurse is creating plan of care for an adolescent who has muscular dystrophy. Which of the following intervention should the include in the plan? A. Avid influenza and pneumococcal vaccines for 24 months. B. Initiates a referral for chest physiotherapy every 4hr. C. Recommends the adolescent use a wheelchair to prevent stress the lower extremities. D. Encourage the adolescent to perform incentive spirometry to maintain lung capacity. 23) A nurse is creating a plan of care for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the nurse include. A. Place cooling blanket on the toddler. B. Administer iv dantrolene sodium to the toddler. C. Encourage the toddler to use an incentive spirometer. D. Administer aspirin to the toddler as needed for pain. 24) A nurse is caring for a child who has bacterial meningitis. Which of the following findings should indicate to the nurse that the child can be removed from droplet precaution? A. Antibiotics initiated 24hr ago B. Absent nuchal rigidity. C. Temperature below 37.4 c (99.3 f). D. Negative cerebrospinal fluid culture. 25) A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this this procedure. A. Mummy B. Elbow C. Mitten D. Jacket 26) A nurse is planning to perform tracheostomy care for a toddler. which of the following is an appropriate action for nurse to take? A. Use clean technique to change the tracheostomy tube. (Use sterile NOT clean) B. Clean around the stoma with full –strength hydrogen peroxide. C. Place the child in Trendelenburg position when performing care. D. Have the child flex his head when securing the ties. 27) A nurse is teaching an adolescent who has type1 diabetes mellitus. Which of the following finding is the nurse priority? A. Cholesterol 189mg/dl B. Glycosuria. C. HbA1c 11.5%. D. Pre-prandial blood glucose.124mg/dl. 28) A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care? A. Administer meperidine as needed for plan B. Initiate bed rest C. Limit fluid intake D. Apply cold compresses to affected joints 29) A charge nurses teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse? A. An 8-month-old infant cries when his parents leave the room B. A toddler repeatedly refuses to let a nurse auscultate his lungs C. A toddler has bruises on his knees D. A mother is hesitant to comfort her 6-month-old infant 30) A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medications are having therapeutic effect? A. Relaxed facial expression B. Increased blood pressure C. Bradycardia D. Limb withdrawal 31) A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 mEq/l. Which of the following assessment findings should the nurse expect? A. Hyporeflexia B. Hypertension C. Hyperactive bowel sounds D. Oliguria 32) A nurse is teaching the guardian of a 5-year-old child who has encopresis about management of the condition. Which of the following statements by the guardian indicates an understanding of the teaching? A. I will limit my child's fluid intake B. I will increase my child's dairy intake C. I will have my child sit in the toilet for 2o minutes at a time D. I will have my child try to defecate 15 minutes after each meal 33) A nurse is assisting an infant who has respiratory syncytial virus. For which of the following findings should the nurse intervene or immediately report to the provider? A. Brisk capillary refill B. Tachypnea C. Rhinorrhea D. Coughing 34) A nurse is performing a health assessment for a 6-month-old infant. The nurse should begin the assessment by performing which of the following actions while the infant is quiet and sitting on the guardian’s lap? A. Obtaining the infant's health history from the guardian B. Checking the infant reflexes C. Listening to the infant heart and lung sounds D. Looking in the infants’ eyes 35) A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first A. Administer an antidepressant to the client B. Ask the client if he is considering harming himself C. Encourage the client to attend a group therapy session D. Assist the client in completing his ADLs 36) A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following findings requires immediate intervention by the nurse? A. Dark brown blood noted in emesis B. Axillary temperature 38 C (100 F) C. Child resorts pain level 5 on FACES scale D. Frequent swallowing 37) A nurse in the emergency department is caring for a school age child who has developed respiratory stridor, wheezing, and urticarial after receiving an IV medication. Which of the following actions should the nurse take first? A. Administer oxygen B. Ad mister methylprednisolone C. Administer a nebulized bronchodilator D. Administer epinephrine 38) A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify that the defect is at which of the following locations of the heart? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) 39) A nurse is caring for a school aged child who is 1hr postoperative following a tonsillectomy. Which of the following actions should the nurse take first? (Select all that apply) A. Maintain the child in a supine position B. Observe the child for frequent swallowing C. Discourage the child from coughing D. Administer an analgesic to the child on a scheduled basis E. Provide cranberry juice to the child 40) A nurse is teaching the guardian of an infant who has congestive heart failure about methods to preserve energy during bottle feeding. Which of the following statements by the guardian indicates a clear understanding of the teaching? A. I will feed my baby every 2 hours B. I will allow my baby to suck for 45 minutes during each feeding C. I will use a low-calorie formula for my baby's feeding D. I will stroke my baby's cheek during feeding 41) A nurse in a family practice clinic is assessing a preschool age child who recently experienced the death of a sibling. Which of the following reactions in an age-appropriate response to death? A. The child views the sibling’s death as permanent B. The child feels responsible for the sibling’s death C. The child can give a logical explanation for the sibling’s death D. The child is curious about what happened to the sibling’s body 42) A nurse is planning to admit a preschooler from the PACU following removal of a Wilms’ tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler? A. A child who has a fractured left femur. B. A child who has cellulites of the right radius. C. A child who has impetigo. D. A child who has viral pneumonia. 43) A nurse is planning to administer immunizations to a 2-month –old infant. Which of the following actions should the nurse take to decrease the infant pain. A. Apply a warm pack to the injection site prior to administration. B. Ask the parent to leave the room during the injections. C. Administer the injections in the deltoid muscle. D. Administer the injections while the infant is breastfeeding.