VRN ATI PEDS CMS 2019 QUESTIONS
WITH COMPLETE SOLUTION
A nurse is assessing the pain level of a 3 year old toddler. Which of the following assessment scales
should the nurse use?
A. FACES
B. Numeric
C. CRIES
D. Visual analog - A. FACES
The nurse should use the FACES pain rating scale for pediatric clients who are 3 years old and older. this
scale allows the toddler to point to the face that depicts their current level of pain. the nurse can then
determine the need for pain management.
A nurse is planning an educational program to teach parents about protecting their children from
sunburns. Which of the following instructions should the nurse plan to include?
A. "allow your child to play outside during the hours between 10:00am and 2:00pm."
B. "choose a waterproof sunscreen with a minimum SPF of 15."
C. "dress you child in loose weave polyester fabric prior to sun exposure."
D. "reapply sunscreen every 4 hours." - B. "choose a waterproof sunscreen with a minimum SPF of 15."
The nurse should instruct parents to apply a waterproof sunscreen with a minimum SPF of 15 for
children. the parents should apply the sunscreen prior to sun exposure to reduce the risk of sunburn.
A nurse is performing hearing screenings for children at a community health fair. Which of the following
children should the nurse refer to a provider for a more extensive hearing evaluation?
A. an 18 month old toddler who has unintelligible speech
B. a 3 month old infant who has exaggerated startle response
C. a 4 year old preschooler who prefers playing with others rather than alone
D. an 8 month old infant who is not yet making babbling sounds - D. An 8-month-old who is not yet
making babbling sounds.
,The nurse should refer an infant who is not making babbling sounds by the age of 7 mo to a provider for
amore extensive eval of hearing
A nurse in an emergency department is assessing a 3 month old infant who has rotavirus and is
experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse
identify as an indication that the infant has moderate to severe dehydration?
A. HR 124
B. increased tear production
C. sunken anterior fontanel
D. capillary refill 2 seconds - C. sunken anterior fontanel
The nurse should recognize that a sunken anterior fontanel is an indication of moderate to severe
dehydration due to the acute loss of fluid.
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthrisis.
Which of the following instructions should the nurse include in the teaching?
A. "limit movement of the child's large joints"
B. "encourage the child to perform independent self-care."
C. "provide the child with a soft mattress for sleeping."
D. "schedule a 2 hour daily nap for the child in the afternoon." - B. "encourage the child to perform
independent self-care."
The nurse should teach the family the importance of encouraging the child to perform independent self-
care. This will minimize the child's pain while maximizing mobility. encouraging an praising the child's
effort for independence will also increase their self-esteem.
A nurse is planning care for a school age child who has a tunneled central venous access device. Which
of the following interventions should the nurse include in the 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 suing a noncoring angle needle
D. use a semipermeable transparent depressing to cover the site - D. use a semipermeable transparent
depressing to cover the site
The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of
infection.
,A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected
behavior characteristics of toddlers should the nurse include?
A. controls impulsive feelings
B. understands right from wrong
C. veasily vseparates vfrom vparents vfor vlong vperiods vof vtime
D. vexpresses vlikes vand vdislikes v- vD. vexpresses vlikes vand vdislikes
This vis vthe vtime vin vlife vwhen va vtoddler vis vdeveloping vautonomy vand vself-concept. vthey vwill vtry vto
vassert vthemselves vand vfrequently vrefuse vto vcomply. vthe vparent vshould vallow vthe vchild vto vhave
vsome vcontrol, vbut valso vset vlimits vfor vthem vso vthey vlearn vfrom vtheir vbehavior vand vlearn vto vcontrol
vtheir vactions.
A vnurse vis vproviding vdischarge vteaching vto vthe vparent vof va vschool vage vchild vwho vhas vmoderate
vpersistent vasthma. vWhich vof vthe vfollowing vinstructions vshould vthe vnurse vinclude?
A. v"you vshould vgive vyour vchild vtheir vsalmeterol vinhaler vevery v4 vhours vwhen vthey vare vhaving van
vacute vepisode vof vwheezing."
B. v"you vshould vmonitor vyour vchild's vweight vweekly vwhile vthey vare vreceiving vinhaled vcorticosteroids
vtherapy."
C. v"pulmonary vfunction vtests vwill vbe vperformed vevery v12-24 vmonths vto vevaluate vhow vyour vchild vis
vresponding vto vtherapy."
D. v"when vusing vthe vpeak vexpiratory vflow vmeter, vrecord vyour vchild's vaverage vof vthree vreadings." v- vC.
v"pulmonary vfunction vtests vwill vbe vperformed vevery v12-24 vmonths vto vevaluate vhow vyour vchild vis
vresponding vto vtherapy."
AThe vnurse vshould vinclude vthis vto vevaluate vthe vpresence vof vlung vdisease vand vhow vthe vchild vis
vresponding vto vthe vcurrent vtreatment vregimen. vas vchildren vgrow, vsometimes vtheir vmanifestations
vcan vimprove vor vdecline, vand vtreatment vneeds vto vchange vaccordingly.
A vnurse vis vassessing van vadolescent vwho vreceived va vsodium vpolystyrene vsulfonate venema. vWhich vof
vthe vfollowing vfindings vindicates veffectiveness vof vthe vmedication?
A. vreports van vabsence vof vnausea vand vvomiting
B. vreports vexperiencing van vonset vof vloose vstools vwithin v15 vminutes vof vadministration
C. vserum vpotassium vlevel v4.1 vmEq/L
D. vblood vpressure v86/52 vmm vHg v- vC. vserum vpotassium vlevel v4.1 vmEq/L
, The vnurse vshould vmonitor vthe vserum vpotassium v(K) vlevel vfollowing vthe vadministration vof vsodium
vpolystyrene vsulfonate. vthis vmed vis vused vto vtreat vhyperkalemia vby vexchanging vsodium vions vfor vK
vions vin vthe vintestine. vtherefore, va vK vlevel vw/in vthe vexpected vreference vrange vof v3.4-4.7 vindicates
vthe veffectiveness vof vthe vmed
A vnurse vis vassessing van vinfant vwho vhas vpneumonia. vWhich vof vthe vfollowing vfindings vis vthe vpriority
vfor vthe vnurse vto vreport vthe vprovider?
A. vnasal vflaring
B. vWBC vcount v11,300/mm^3
C. vdiarrhea
D. vabdominal vdistension v- vA. vnasal vflaring
The vnurse vshould vdetermine vthat vthe vpriority vfinding vto vreport vto vthe vprovider vis vnasal vflaring,
vnasal vflaring vindicates vthe vinfant vis vexperiencing vacute vrespiratory vdistress.
A vnurse vis vproviding vdischarge vteaching vto vthe vguardian vof va vschool vage vchild vwho vhas vundergone
va vtonsillectomy. vWhich vof vthe vfollowing vstatements vby vthe vguardian vindicates van vunderstanding vthe
vteaching?
A. v"my vchild vcan vresume vusual vactivities vsince vthis vyear vjust van voutpatient vsurgery."
B. v"my vchild vwill vbe vable vto vdrink vthe vchocolate vmilkshake vI vpromised vto vget vfor vthem vtonight."
C. v"I vwill vnotify vthe vdoctor vif vI vnotice vthat vmy vchild vis vswallowing vfrequently."
D. v"I vwill vhave vmy vchild vgargle vwith vwarm vsalt vwater vto vrelieve vtheir vsore vthroat." v- vC. v"I vwill
vnotify vthe vdoctor vif vI vnotice vthat vmy vchild vis vswallowing vfrequently."
The vnurse vshould vinstruct vthe vparent vthat vfrequent vswallowing vis van vindication vof vbleeding vand, vif
vit vis vobserved vto vnotify vthe vMD vimmediately.
A vnurse vis vdiscussing vorgan vdonation vwith vthe vparents vof va vschool vage vchild vwho vhas vsustained
vbrain vdeath vdue vto va vbicycle vcrash. vWhich vof vthe vfollowing vactions vshould vthe vnurse vtake vfirst?
A. vinform vthe vparents vthat vwritten vconsent vis vrequired vprior vto vorgan vdonation
B. vprovide vwritten vinformation vto vthe vparents vabout vorgan vdonation
C. vask vthe vprovider vto vexplain vmisconceptions vof vorgan vdonation vto vthe vparents.
D. vexplore vthe vparents vfeelings vand vwishes vregarding vorgan vdonation v- vD. vexplore vthe vparents
vfeelings vand vwishes vregarding vorgan vdonation
WITH COMPLETE SOLUTION
A nurse is assessing the pain level of a 3 year old toddler. Which of the following assessment scales
should the nurse use?
A. FACES
B. Numeric
C. CRIES
D. Visual analog - A. FACES
The nurse should use the FACES pain rating scale for pediatric clients who are 3 years old and older. this
scale allows the toddler to point to the face that depicts their current level of pain. the nurse can then
determine the need for pain management.
A nurse is planning an educational program to teach parents about protecting their children from
sunburns. Which of the following instructions should the nurse plan to include?
A. "allow your child to play outside during the hours between 10:00am and 2:00pm."
B. "choose a waterproof sunscreen with a minimum SPF of 15."
C. "dress you child in loose weave polyester fabric prior to sun exposure."
D. "reapply sunscreen every 4 hours." - B. "choose a waterproof sunscreen with a minimum SPF of 15."
The nurse should instruct parents to apply a waterproof sunscreen with a minimum SPF of 15 for
children. the parents should apply the sunscreen prior to sun exposure to reduce the risk of sunburn.
A nurse is performing hearing screenings for children at a community health fair. Which of the following
children should the nurse refer to a provider for a more extensive hearing evaluation?
A. an 18 month old toddler who has unintelligible speech
B. a 3 month old infant who has exaggerated startle response
C. a 4 year old preschooler who prefers playing with others rather than alone
D. an 8 month old infant who is not yet making babbling sounds - D. An 8-month-old who is not yet
making babbling sounds.
,The nurse should refer an infant who is not making babbling sounds by the age of 7 mo to a provider for
amore extensive eval of hearing
A nurse in an emergency department is assessing a 3 month old infant who has rotavirus and is
experiencing acute vomiting and diarrhea. Which of the following manifestations should the nurse
identify as an indication that the infant has moderate to severe dehydration?
A. HR 124
B. increased tear production
C. sunken anterior fontanel
D. capillary refill 2 seconds - C. sunken anterior fontanel
The nurse should recognize that a sunken anterior fontanel is an indication of moderate to severe
dehydration due to the acute loss of fluid.
A nurse is providing teaching to the family of a school-age child who has juvenile idiopathic arthrisis.
Which of the following instructions should the nurse include in the teaching?
A. "limit movement of the child's large joints"
B. "encourage the child to perform independent self-care."
C. "provide the child with a soft mattress for sleeping."
D. "schedule a 2 hour daily nap for the child in the afternoon." - B. "encourage the child to perform
independent self-care."
The nurse should teach the family the importance of encouraging the child to perform independent self-
care. This will minimize the child's pain while maximizing mobility. encouraging an praising the child's
effort for independence will also increase their self-esteem.
A nurse is planning care for a school age child who has a tunneled central venous access device. Which
of the following interventions should the nurse include in the 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 suing a noncoring angle needle
D. use a semipermeable transparent depressing to cover the site - D. use a semipermeable transparent
depressing to cover the site
The nurse should cover the site with a semipermeable transparent dressing to reduce the risk of
infection.
,A nurse is providing anticipatory guidance to the parent of a toddler. Which of the following expected
behavior characteristics of toddlers should the nurse include?
A. controls impulsive feelings
B. understands right from wrong
C. veasily vseparates vfrom vparents vfor vlong vperiods vof vtime
D. vexpresses vlikes vand vdislikes v- vD. vexpresses vlikes vand vdislikes
This vis vthe vtime vin vlife vwhen va vtoddler vis vdeveloping vautonomy vand vself-concept. vthey vwill vtry vto
vassert vthemselves vand vfrequently vrefuse vto vcomply. vthe vparent vshould vallow vthe vchild vto vhave
vsome vcontrol, vbut valso vset vlimits vfor vthem vso vthey vlearn vfrom vtheir vbehavior vand vlearn vto vcontrol
vtheir vactions.
A vnurse vis vproviding vdischarge vteaching vto vthe vparent vof va vschool vage vchild vwho vhas vmoderate
vpersistent vasthma. vWhich vof vthe vfollowing vinstructions vshould vthe vnurse vinclude?
A. v"you vshould vgive vyour vchild vtheir vsalmeterol vinhaler vevery v4 vhours vwhen vthey vare vhaving van
vacute vepisode vof vwheezing."
B. v"you vshould vmonitor vyour vchild's vweight vweekly vwhile vthey vare vreceiving vinhaled vcorticosteroids
vtherapy."
C. v"pulmonary vfunction vtests vwill vbe vperformed vevery v12-24 vmonths vto vevaluate vhow vyour vchild vis
vresponding vto vtherapy."
D. v"when vusing vthe vpeak vexpiratory vflow vmeter, vrecord vyour vchild's vaverage vof vthree vreadings." v- vC.
v"pulmonary vfunction vtests vwill vbe vperformed vevery v12-24 vmonths vto vevaluate vhow vyour vchild vis
vresponding vto vtherapy."
AThe vnurse vshould vinclude vthis vto vevaluate vthe vpresence vof vlung vdisease vand vhow vthe vchild vis
vresponding vto vthe vcurrent vtreatment vregimen. vas vchildren vgrow, vsometimes vtheir vmanifestations
vcan vimprove vor vdecline, vand vtreatment vneeds vto vchange vaccordingly.
A vnurse vis vassessing van vadolescent vwho vreceived va vsodium vpolystyrene vsulfonate venema. vWhich vof
vthe vfollowing vfindings vindicates veffectiveness vof vthe vmedication?
A. vreports van vabsence vof vnausea vand vvomiting
B. vreports vexperiencing van vonset vof vloose vstools vwithin v15 vminutes vof vadministration
C. vserum vpotassium vlevel v4.1 vmEq/L
D. vblood vpressure v86/52 vmm vHg v- vC. vserum vpotassium vlevel v4.1 vmEq/L
, The vnurse vshould vmonitor vthe vserum vpotassium v(K) vlevel vfollowing vthe vadministration vof vsodium
vpolystyrene vsulfonate. vthis vmed vis vused vto vtreat vhyperkalemia vby vexchanging vsodium vions vfor vK
vions vin vthe vintestine. vtherefore, va vK vlevel vw/in vthe vexpected vreference vrange vof v3.4-4.7 vindicates
vthe veffectiveness vof vthe vmed
A vnurse vis vassessing van vinfant vwho vhas vpneumonia. vWhich vof vthe vfollowing vfindings vis vthe vpriority
vfor vthe vnurse vto vreport vthe vprovider?
A. vnasal vflaring
B. vWBC vcount v11,300/mm^3
C. vdiarrhea
D. vabdominal vdistension v- vA. vnasal vflaring
The vnurse vshould vdetermine vthat vthe vpriority vfinding vto vreport vto vthe vprovider vis vnasal vflaring,
vnasal vflaring vindicates vthe vinfant vis vexperiencing vacute vrespiratory vdistress.
A vnurse vis vproviding vdischarge vteaching vto vthe vguardian vof va vschool vage vchild vwho vhas vundergone
va vtonsillectomy. vWhich vof vthe vfollowing vstatements vby vthe vguardian vindicates van vunderstanding vthe
vteaching?
A. v"my vchild vcan vresume vusual vactivities vsince vthis vyear vjust van voutpatient vsurgery."
B. v"my vchild vwill vbe vable vto vdrink vthe vchocolate vmilkshake vI vpromised vto vget vfor vthem vtonight."
C. v"I vwill vnotify vthe vdoctor vif vI vnotice vthat vmy vchild vis vswallowing vfrequently."
D. v"I vwill vhave vmy vchild vgargle vwith vwarm vsalt vwater vto vrelieve vtheir vsore vthroat." v- vC. v"I vwill
vnotify vthe vdoctor vif vI vnotice vthat vmy vchild vis vswallowing vfrequently."
The vnurse vshould vinstruct vthe vparent vthat vfrequent vswallowing vis van vindication vof vbleeding vand, vif
vit vis vobserved vto vnotify vthe vMD vimmediately.
A vnurse vis vdiscussing vorgan vdonation vwith vthe vparents vof va vschool vage vchild vwho vhas vsustained
vbrain vdeath vdue vto va vbicycle vcrash. vWhich vof vthe vfollowing vactions vshould vthe vnurse vtake vfirst?
A. vinform vthe vparents vthat vwritten vconsent vis vrequired vprior vto vorgan vdonation
B. vprovide vwritten vinformation vto vthe vparents vabout vorgan vdonation
C. vask vthe vprovider vto vexplain vmisconceptions vof vorgan vdonation vto vthe vparents.
D. vexplore vthe vparents vfeelings vand vwishes vregarding vorgan vdonation v- vD. vexplore vthe vparents
vfeelings vand vwishes vregarding vorgan vdonation
