2024 PEDS ATI Proctored Exam graded A+
The nurse is preparing to administer an immunization to a four-
year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the
immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3 seconds -
C- administer the immunization using a 24-gauge needle; The
nurse should administer an immunization for a 4-year-old child
using a 24-
gauge needle to minimize the amount of pain experienced by the
toddler.
A nurse is reviewing the laboratory report of an infant who is
receiving
treatment for severe dehydration. The nurse should identify
which of the
following laboratory values indicates effectiveness of the current
treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg - B- sodium 140; The nurse should identify that a
sodium level of 140 mEq/L is within the
expected reference range and indicates the current treatment
regimen the infant
is receiving for dehydration is effective.
,The nurse is providing teaching about Social Development to the
parents of a
preschooler. Which of the following play activities should the
nurse
recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up - D- playing dress-up; The nurse should
instruct the parents that at the preschool age, play should focus
on social, mental, and physical development. Therefore, playing
dress-up is a
recommended play activity for this child.
A nurse is teaching the parents of a newborn about ways to
prevent sudden
infant death syndrome SIDS. Which of the following instructions
should the
nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime. - D- Give the infant a
pacifier at bedtime; The nurse should inform the parent that
protective factors against SIDS include
breastfeeding and the use of a pacifier when the infant is
sleeping.
A- The nurse should instruct the parent to place the infant in a
supine
A nurse is assessing an infant who has pneumonia. Which of the
following
findings is the priority for the nurse to report to the provider?
,A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension - A- Nasal flaring; When using the
airway, breathing, circulation approach to client care, the nurse
should place the priority on nasal flaring. Nasal flaring indicates
that the
infant is experiencing acute respiratory distress.
A school nurse is assessing a school-age child blood pressure
while he is seated
in a chair. The child starts to experience a tonic-clonic seizure.
Which of the
following actions should the nurse take first?
A- Clear the immediate area around the child of hazardous
objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child - C- assist the child to a
side-lying position on the floor; The greatest risk to this child is
aspiration, occlusion of the airway, and bodily
injury from falling out of the chair. The nurse should ease the
child down to
floor in a side-lying position immediately. This position enables
the child's
secretions to drain from the mouth, preventing aspiration, and
maintaining a
patent airway.
A nurse is receiving change-of-shift Report on for children.
Which of the
following children should the nurse assesses first?
, A- A toddler who has a concussion and an episode of forceful
vomiting
B- an adolescent who has infective endocarditis and reports
having a headache
C- an adolescent who was placed into Halo traction 1 hour ago
and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and
brown colored urine - A- A toddler who has a concussion and an
episode of forceful vomiting; When using the urgent vs. no urgent
approach to client care, the nurse should assess
this child first. An episode of forceful vomiting is an indication of
increased
intracranial pressure in a toddler who has a concussion.
A nurse in the emergency department is caring for an adolescent
who has
severe abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as mcburney's point? - A is
correct. The nurse should identify the lower right quadrant of the
abdomen
between the umbilicus and the anterior iliac crest as the location
of Burney's
point.
A nurse is providing teaching to the family of a school-age child
who has
juvenile idiopathic arthritis. Which of the following instructions
should
the nurse include in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self-care.
C- Provide the child with a soft mattress for sleeping.
The nurse is preparing to administer an immunization to a four-
year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during the
immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3 seconds -
C- administer the immunization using a 24-gauge needle; The
nurse should administer an immunization for a 4-year-old child
using a 24-
gauge needle to minimize the amount of pain experienced by the
toddler.
A nurse is reviewing the laboratory report of an infant who is
receiving
treatment for severe dehydration. The nurse should identify
which of the
following laboratory values indicates effectiveness of the current
treatment?
A- Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg - B- sodium 140; The nurse should identify that a
sodium level of 140 mEq/L is within the
expected reference range and indicates the current treatment
regimen the infant
is receiving for dehydration is effective.
,The nurse is providing teaching about Social Development to the
parents of a
preschooler. Which of the following play activities should the
nurse
recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up - D- playing dress-up; The nurse should
instruct the parents that at the preschool age, play should focus
on social, mental, and physical development. Therefore, playing
dress-up is a
recommended play activity for this child.
A nurse is teaching the parents of a newborn about ways to
prevent sudden
infant death syndrome SIDS. Which of the following instructions
should the
nurse include?
A- Place the infant in a prone position to sleep.
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime. - D- Give the infant a
pacifier at bedtime; The nurse should inform the parent that
protective factors against SIDS include
breastfeeding and the use of a pacifier when the infant is
sleeping.
A- The nurse should instruct the parent to place the infant in a
supine
A nurse is assessing an infant who has pneumonia. Which of the
following
findings is the priority for the nurse to report to the provider?
,A- Nasal flaring
B- WBC 11,300
C- diarrhea
D- abdominal distension - A- Nasal flaring; When using the
airway, breathing, circulation approach to client care, the nurse
should place the priority on nasal flaring. Nasal flaring indicates
that the
infant is experiencing acute respiratory distress.
A school nurse is assessing a school-age child blood pressure
while he is seated
in a chair. The child starts to experience a tonic-clonic seizure.
Which of the
following actions should the nurse take first?
A- Clear the immediate area around the child of hazardous
objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
D- apply an oxygen mask to the child - C- assist the child to a
side-lying position on the floor; The greatest risk to this child is
aspiration, occlusion of the airway, and bodily
injury from falling out of the chair. The nurse should ease the
child down to
floor in a side-lying position immediately. This position enables
the child's
secretions to drain from the mouth, preventing aspiration, and
maintaining a
patent airway.
A nurse is receiving change-of-shift Report on for children.
Which of the
following children should the nurse assesses first?
, A- A toddler who has a concussion and an episode of forceful
vomiting
B- an adolescent who has infective endocarditis and reports
having a headache
C- an adolescent who was placed into Halo traction 1 hour ago
and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and
brown colored urine - A- A toddler who has a concussion and an
episode of forceful vomiting; When using the urgent vs. no urgent
approach to client care, the nurse should assess
this child first. An episode of forceful vomiting is an indication of
increased
intracranial pressure in a toddler who has a concussion.
A nurse in the emergency department is caring for an adolescent
who has
severe abdominal pain due to appendicitis. Which of the following
locations should the nurse identify as mcburney's point? - A is
correct. The nurse should identify the lower right quadrant of the
abdomen
between the umbilicus and the anterior iliac crest as the location
of Burney's
point.
A nurse is providing teaching to the family of a school-age child
who has
juvenile idiopathic arthritis. Which of the following instructions
should
the nurse include in the teaching?
A- Limit the movement of the child large joints.
B- Encourage the child to perform independent self-care.
C- Provide the child with a soft mattress for sleeping.
