ATI CMS Nursing Exam 2 2024
WITH 100% VERIFIED CORRECT
QUESTION AND ANSWER
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
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
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
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
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
,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
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. easily separates from parents for long periods of time
d. expresses likes and dislikes - D
A nurse is providing discharge teaching to the parent of a school age child who has
moderate persistent asthma. Which of the following instructions should the nurse
include?
a. "you should give your child their salmeterol inhaler every 4 hours when they are
having an acute episode of wheezing."
b. "you should monitor your child's weight weekly while they are receiving inhaled
corticosteroids therapy."
c. "pulmonary function tests will be performed every 12-24 months to evaluate how
your child is responding to therapy."
d. "when using the peak expiratory flow meter, record your child's average of three
readings." - C
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate
enema. Which of the following findings indicates effectiveness of the medication?
a. reports an absence of nausea and vomiting
b. reports experiencing an onset of loose stools within 15 minutes of administration
c. serum potassium level 4.1 mEq/L
d. blood pressure 86/52 mm Hg - C
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report the provider?
a. nasal flaring
b. WBC count 11,300/mm^3
c. diarrhea
d. abdominal distension - A
A nurse is providing discharge teaching to the guardian of a school age child who
has undergone a tonsillectomy. Which of the following statements by the guardian
indicates an understanding the teaching?
, a. "my child can resume usual activities since this year just an outpatient surgery."
b. "my child will be able to drink the chocolate milkshake I promised to get for them
tonight."
c. "I will notify the doctor if I notice that my child is swallowing frequently."
d. "I will have my child gargle with warm salt water to relieve their sore throat." - C
A nurse is discussing organ donation with the parents of a school age child who has
sustained brain death due to a bicycle crash. Which of the following actions should
the nurse take first?
a. inform the parents that written consent is required prior to organ donation
b. provide written information to the parents about organ donation
c. ask the provider to explain misconceptions of organ donation to the parents.
d. explore the parents feelings and wishes regarding organ donation - D
A nurse is caring for a newly admitted school age child who has hypopituitarism.
Which of the following medications should the nurse expect the provider to
prescribe?
a. Desmopressin
b. Luteinizing hormone-releasing hormone
c. Recombinant growth hormone
d. Levothyroxine - C
A nurse is providing discharge teaching to he parents of a 3 month old infant
following a cheiloplasty. Which of the following instructions should the nurse include?
a. "clean your baby's sutures daily with a mixture of chlorhexidine and water."
b. "expect your baby to swallow more than usual over the next few days."
c. "inspect your baby's tongue for white patches using a tongue depressor every 8
hours."
d. "apply a thin layer of antibiotic ointment on your baby's suture line daily for the
next 3 days." - D
A nurse is caring for a school age child who has peripheral edema. The nurse should
identify that which of the following assessments should be performed to confirm
peripheral edema?
a. palpate the dorsum of the child's feet
b. weigh the child daily using the same scale
c. assess the child's skin turgor
d. observe the child for periorbital swelling - A
A nurse is caring for a 10 year old child following a head injury. Which of the
following findings should the nurse identify as an indication that the child is
developing diabetes incipidus?
a. urine specific gravity 1.045
b. sodium 155 mEq/L
WITH 100% VERIFIED CORRECT
QUESTION AND ANSWER
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
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
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
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
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
,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
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. easily separates from parents for long periods of time
d. expresses likes and dislikes - D
A nurse is providing discharge teaching to the parent of a school age child who has
moderate persistent asthma. Which of the following instructions should the nurse
include?
a. "you should give your child their salmeterol inhaler every 4 hours when they are
having an acute episode of wheezing."
b. "you should monitor your child's weight weekly while they are receiving inhaled
corticosteroids therapy."
c. "pulmonary function tests will be performed every 12-24 months to evaluate how
your child is responding to therapy."
d. "when using the peak expiratory flow meter, record your child's average of three
readings." - C
A nurse is assessing an adolescent who received a sodium polystyrene sulfonate
enema. Which of the following findings indicates effectiveness of the medication?
a. reports an absence of nausea and vomiting
b. reports experiencing an onset of loose stools within 15 minutes of administration
c. serum potassium level 4.1 mEq/L
d. blood pressure 86/52 mm Hg - C
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report the provider?
a. nasal flaring
b. WBC count 11,300/mm^3
c. diarrhea
d. abdominal distension - A
A nurse is providing discharge teaching to the guardian of a school age child who
has undergone a tonsillectomy. Which of the following statements by the guardian
indicates an understanding the teaching?
, a. "my child can resume usual activities since this year just an outpatient surgery."
b. "my child will be able to drink the chocolate milkshake I promised to get for them
tonight."
c. "I will notify the doctor if I notice that my child is swallowing frequently."
d. "I will have my child gargle with warm salt water to relieve their sore throat." - C
A nurse is discussing organ donation with the parents of a school age child who has
sustained brain death due to a bicycle crash. Which of the following actions should
the nurse take first?
a. inform the parents that written consent is required prior to organ donation
b. provide written information to the parents about organ donation
c. ask the provider to explain misconceptions of organ donation to the parents.
d. explore the parents feelings and wishes regarding organ donation - D
A nurse is caring for a newly admitted school age child who has hypopituitarism.
Which of the following medications should the nurse expect the provider to
prescribe?
a. Desmopressin
b. Luteinizing hormone-releasing hormone
c. Recombinant growth hormone
d. Levothyroxine - C
A nurse is providing discharge teaching to he parents of a 3 month old infant
following a cheiloplasty. Which of the following instructions should the nurse include?
a. "clean your baby's sutures daily with a mixture of chlorhexidine and water."
b. "expect your baby to swallow more than usual over the next few days."
c. "inspect your baby's tongue for white patches using a tongue depressor every 8
hours."
d. "apply a thin layer of antibiotic ointment on your baby's suture line daily for the
next 3 days." - D
A nurse is caring for a school age child who has peripheral edema. The nurse should
identify that which of the following assessments should be performed to confirm
peripheral edema?
a. palpate the dorsum of the child's feet
b. weigh the child daily using the same scale
c. assess the child's skin turgor
d. observe the child for periorbital swelling - A
A nurse is caring for a 10 year old child following a head injury. Which of the
following findings should the nurse identify as an indication that the child is
developing diabetes incipidus?
a. urine specific gravity 1.045
b. sodium 155 mEq/L
