ATI PEDIATRIC PROCTORED EXAM:
BOOK & ASSESSMENTS A & B
QUESTIONS WITH COMPLETE
SOLUTIONS LATEST UPDATE
A nurse is reviewing the laboratory report of a preschooler who has Wilms' tumor and is
scheduled to begin treatment with an antineoplastic medication regimen. Which of the
following laboratory results should the nurse report to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C. serum glucose 98 mg/dL
D. Platelet count 70,000 - Answer-Platelet count 70,000
A nurse is collecting data from an infant who is receiving IV therapy for fluid
replacement. Which of the following findings indicates the infant's status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C. Capillary refill greater than 3 seconds
D. Dry mucous membranes - Answer-Sodium level 145 mEq/L
A nurse is collecting data from a 12 month old infant during a well-child visit. The nurse
should identify which of the following findings as a deviation from expected growth and
development?
A. vocabulary of three words
B. negative Babinski reflex
C. birth weight doubled
D. unable to build a two-block tower - Answer-birth weight doubled
A nurse is assisting the provider with a developmental assessment of a toddler. Which
of the following behaviors should the nurse recognize as an expected finding?
A. Walks backwards with heel to toe
B. Stands on one foot for several seconds
C. Uses scissors to cut out shapes
D. Prints letters with a pencil - Answer-Stands on one foot for several seconds
A nurse is caring for a school-age child who has been admitted to the facility in sickle
cell crisis. The nurse is measuring the child's oral intake for the shift. The child
,consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 z of
gelatin, and drank 7 oz of water. What is the child's oral intake for this shift in milliliters?
(round to the nearest whole number) - Answer-690 ml
# of oz x 30=mL
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a
child who is recovering from acute glomerulonephritis. Which of the following food
choices by the parents indicates an understanding of the teaching?
A. pretzels
B. apples
C. canned corn
D. peanut butter - Answer-apples
A nurse is collecting data from an infant who has severe dehydration. Which of the
following findings should the nurse expect?
A. capillary refill of 2 seconds
B. flushed skin
C. weight loss of 10%
D. bulging anterior fonanel - Answer-weight loss of 10%
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile
idiopathic arthritis (JIA). Which of the following statements by the guardian indicates an
understanding of the teaching?
A. "I will have my child sleep in knee, wrist, and hand splints."
B. "I will encourage my child to take an afternoon nap."
C. "I will apply topical hydrocortisone to my child's joints as needed."
D. "I will administer opioids to my child for the next several months to control the pain." -
Answer-"I will have my child sleep in knee, wrist, and hand splints."
A nurse is caring for a preschooler who has a new diagnosis of asthma. Which of the
following medications should the nurse instruct the parent to administer for an acute
asthma attack?
A. Levalbuterol
B. Fluticasone
C. Omalizumab
D. Montelukast - Answer-Levalbuterol
A nurse is reinforcing teaching with an adolescent female client who has acne vulgaris
and a new prescription for isotretinoin. Which of the following information should the
nurse include?
,A. "You should apply this medication to the affected skin twice daily."
B. "You will need to have two negative pregnancy tests prior to starting this medication."
C. "Your provider will monitor your kidney function while you are taking this medication."
D. "Your provider will prescribe a vitamin A supplement to take with each dose of this
medication." - Answer-"You will need to have two negative pregnancy tests prior to
starting this medication."
A nurse is assisting with the administration of a nasogastric enteral feeding for an infant.
Which of the following actions should the nurse take?
A. Place the infant in semi-Fowler's position for 1 hr after the feeding
B. Flush the tube with 30 mL of normal saline before the feeding
C. Warm the feeding in the microwave immediately prior to administration
D. Auscultate over the infant's epigastric area to ensure proper tube placement -
Answer-Place the infant in semi-Fowler's position for 1 hr after the feeding
A nurse is collecting data about a 4 year old preschooler's gross motor skills. The nurse
should expect the preschooler to be able to perform which of the following activities?
A. Hopping on one foot
B. Skipping on alternate feet
C. Jumping rope
D. Roller skating - Answer-hopping on one foot
A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and is
taking pancrelipase as a pancreatic enzyme replacement. The nurse should plan to
inform the child's parents that the therapeutic effects of this medication can be
evaluated by which of the following?
A. Blood glucose levels
B. amount and consistency of stools
C. chloride sweat tests
D. BUN and creatinine clearance tests - Answer-amount and consistency of stools
A nurse is auscultating heart sounds on an infant. The nurse should identify this sounds
as which of the following?
A. Sinus rhythm
B. ventricular septal defect
C. pulmonic stenosis
D. atrial septal defect - Answer-sinus rhythm
A nurse is caring for an adolescent client who is experiencing sickle cell crisis. Which of
the following laboratory values should the nurse report to the provider?
A. total bilirubin 0.5 mg/dL
, B. reticulocyte count 1%
C. WBC count 8,000/mm3
D. Hgb 6 g/dL - Answer-Hgb 6 g/dL
A nurse is preparing to administer ophthalmic drops to a child. Which of the following
action should the nurse take?
A. Position the child with hs head flexed while administering the medication
B. Apply pressure to the lacrimal punctum for 1 min following administration
C. Hold the dropper 5 cm (2 in) above the eye to administer the medication
D. Wipe the excess medication toward the inner canthus with a cotton swab - Answer-
Apply pressure to the lacrimal punctum for 1 min following administration
A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the
following actions should the nurse take?
A. Ensure the availability of soft extremity restraints
B. Place a padded tongue blade at the bedside
C. Have a suction canister and tubing available in the room
D. Keep the child's bed in the highest position - Answer-Have a suction canister and
tubing available in the room
A nurse is assisting with a sterile dressing change for an adolescent who has a partial
thickness burn on the right hip. Which of the following actions should the nurse take
first?
A. Open the sterile dressing tray
B. Administer pain medication to the client
C. Assist the client into the lateral position
D. Remove the previous dressing to inspect the wound - Answer-Administer pain
medication to the client
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manifestations should the
nurse expect to observe first?
A. wheezing
B. angioedema
C. hives
D. hypotension - Answer-hives
A nurse is collecting data from a toddler who has gastroesophageal reflux disease
(GERD). Which of the following findings should hte nurse expect?
A. abdominal distension
B. constipation
BOOK & ASSESSMENTS A & B
QUESTIONS WITH COMPLETE
SOLUTIONS LATEST UPDATE
A nurse is reviewing the laboratory report of a preschooler who has Wilms' tumor and is
scheduled to begin treatment with an antineoplastic medication regimen. Which of the
following laboratory results should the nurse report to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C. serum glucose 98 mg/dL
D. Platelet count 70,000 - Answer-Platelet count 70,000
A nurse is collecting data from an infant who is receiving IV therapy for fluid
replacement. Which of the following findings indicates the infant's status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C. Capillary refill greater than 3 seconds
D. Dry mucous membranes - Answer-Sodium level 145 mEq/L
A nurse is collecting data from a 12 month old infant during a well-child visit. The nurse
should identify which of the following findings as a deviation from expected growth and
development?
A. vocabulary of three words
B. negative Babinski reflex
C. birth weight doubled
D. unable to build a two-block tower - Answer-birth weight doubled
A nurse is assisting the provider with a developmental assessment of a toddler. Which
of the following behaviors should the nurse recognize as an expected finding?
A. Walks backwards with heel to toe
B. Stands on one foot for several seconds
C. Uses scissors to cut out shapes
D. Prints letters with a pencil - Answer-Stands on one foot for several seconds
A nurse is caring for a school-age child who has been admitted to the facility in sickle
cell crisis. The nurse is measuring the child's oral intake for the shift. The child
,consumed 4 oz of juice at breakfast. For lunch, the child consumed 6 oz of milk, 6 z of
gelatin, and drank 7 oz of water. What is the child's oral intake for this shift in milliliters?
(round to the nearest whole number) - Answer-690 ml
# of oz x 30=mL
A nurse is reinforcing dietary teaching about a low-sodium diet with the parents of a
child who is recovering from acute glomerulonephritis. Which of the following food
choices by the parents indicates an understanding of the teaching?
A. pretzels
B. apples
C. canned corn
D. peanut butter - Answer-apples
A nurse is collecting data from an infant who has severe dehydration. Which of the
following findings should the nurse expect?
A. capillary refill of 2 seconds
B. flushed skin
C. weight loss of 10%
D. bulging anterior fonanel - Answer-weight loss of 10%
A nurse is reinforcing discharge teaching with the guardian of a child who has juvenile
idiopathic arthritis (JIA). Which of the following statements by the guardian indicates an
understanding of the teaching?
A. "I will have my child sleep in knee, wrist, and hand splints."
B. "I will encourage my child to take an afternoon nap."
C. "I will apply topical hydrocortisone to my child's joints as needed."
D. "I will administer opioids to my child for the next several months to control the pain." -
Answer-"I will have my child sleep in knee, wrist, and hand splints."
A nurse is caring for a preschooler who has a new diagnosis of asthma. Which of the
following medications should the nurse instruct the parent to administer for an acute
asthma attack?
A. Levalbuterol
B. Fluticasone
C. Omalizumab
D. Montelukast - Answer-Levalbuterol
A nurse is reinforcing teaching with an adolescent female client who has acne vulgaris
and a new prescription for isotretinoin. Which of the following information should the
nurse include?
,A. "You should apply this medication to the affected skin twice daily."
B. "You will need to have two negative pregnancy tests prior to starting this medication."
C. "Your provider will monitor your kidney function while you are taking this medication."
D. "Your provider will prescribe a vitamin A supplement to take with each dose of this
medication." - Answer-"You will need to have two negative pregnancy tests prior to
starting this medication."
A nurse is assisting with the administration of a nasogastric enteral feeding for an infant.
Which of the following actions should the nurse take?
A. Place the infant in semi-Fowler's position for 1 hr after the feeding
B. Flush the tube with 30 mL of normal saline before the feeding
C. Warm the feeding in the microwave immediately prior to administration
D. Auscultate over the infant's epigastric area to ensure proper tube placement -
Answer-Place the infant in semi-Fowler's position for 1 hr after the feeding
A nurse is collecting data about a 4 year old preschooler's gross motor skills. The nurse
should expect the preschooler to be able to perform which of the following activities?
A. Hopping on one foot
B. Skipping on alternate feet
C. Jumping rope
D. Roller skating - Answer-hopping on one foot
A nurse is reinforcing teaching with the parents of a child who has cystic fibrosis and is
taking pancrelipase as a pancreatic enzyme replacement. The nurse should plan to
inform the child's parents that the therapeutic effects of this medication can be
evaluated by which of the following?
A. Blood glucose levels
B. amount and consistency of stools
C. chloride sweat tests
D. BUN and creatinine clearance tests - Answer-amount and consistency of stools
A nurse is auscultating heart sounds on an infant. The nurse should identify this sounds
as which of the following?
A. Sinus rhythm
B. ventricular septal defect
C. pulmonic stenosis
D. atrial septal defect - Answer-sinus rhythm
A nurse is caring for an adolescent client who is experiencing sickle cell crisis. Which of
the following laboratory values should the nurse report to the provider?
A. total bilirubin 0.5 mg/dL
, B. reticulocyte count 1%
C. WBC count 8,000/mm3
D. Hgb 6 g/dL - Answer-Hgb 6 g/dL
A nurse is preparing to administer ophthalmic drops to a child. Which of the following
action should the nurse take?
A. Position the child with hs head flexed while administering the medication
B. Apply pressure to the lacrimal punctum for 1 min following administration
C. Hold the dropper 5 cm (2 in) above the eye to administer the medication
D. Wipe the excess medication toward the inner canthus with a cotton swab - Answer-
Apply pressure to the lacrimal punctum for 1 min following administration
A nurse is assisting with the care of a child who has tonic-clonic seizures. Which of the
following actions should the nurse take?
A. Ensure the availability of soft extremity restraints
B. Place a padded tongue blade at the bedside
C. Have a suction canister and tubing available in the room
D. Keep the child's bed in the highest position - Answer-Have a suction canister and
tubing available in the room
A nurse is assisting with a sterile dressing change for an adolescent who has a partial
thickness burn on the right hip. Which of the following actions should the nurse take
first?
A. Open the sterile dressing tray
B. Administer pain medication to the client
C. Assist the client into the lateral position
D. Remove the previous dressing to inspect the wound - Answer-Administer pain
medication to the client
A nurse in a pediatric clinic is observing for an anaphylactic reaction after administering
an IM antibiotic to a child 5 min ago. Which of the following manifestations should the
nurse expect to observe first?
A. wheezing
B. angioedema
C. hives
D. hypotension - Answer-hives
A nurse is collecting data from a toddler who has gastroesophageal reflux disease
(GERD). Which of the following findings should hte nurse expect?
A. abdominal distension
B. constipation
