2023 PEDS ATI Proctored Exam
A nurse is creating a plan of care for a toddler who has minimal change
nephrotic syndrome mcns and 3 + pitting edema. Which of the following
interventions should the nurse include in the plan? - ANS D- administer corticosteroids to the
toddler; The nurse should recognize that corticosteroids are the treatment of choice for
providers caring for children who have MCNS. Therefore, the nurse shouldD- administer
corticosteroids to the toddler- place
include administration of prescribed corticosteroids in the plan of care for this toddler.
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? - ANS C- pulmonary function test will be performed every 12 to 24 months
toC- pulmonary function test will be performed every 12 to 24 months to
evaluate how your child is responding to therapy
evaluate how your child is responding to therapy; The nurse should inform the parent that her
child will need pulmonary function
tests every 12to 24 months tC- pulmonary function test will be performed every 12 to 24
months to
evaluate how your child is responding to therapy evaluate the presence of lung disease and
how the
child is responding to the current treatment regimen. As children grow,
sometimes their symptoms can improve or decline and treatment needs to change
accordingly.
The nurse is caring for a 15 year old client following a head injury. Which of
,the following findings should the nurse identify as an indication that the child is
developing syndrome of inappropriate antidiuretic hormone secretion SIADH? - ANS C- mental
confusion; A child who has a head injury can develop SIADH as a result of altered pituitary
function, leadingto an oversecretion of antidiuretic hormone. Oversecretion of
antidiuretic hormone leads to a decrease in urine output, hyponatremia, and
hypoosmolality due to overhydration.
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and
the nurse notes that the child is allergic to insect stings. Which of the following findings should
the nurse expect if the child develops anaphylaxis? (SATA) - ANS B) Nausea
D) Urticaria
E) Stridor
A nurse is caring for a client who is unconscious. Which of the following actions should the
nurse take when providing oral care for the client? - ANS A) Test for the presence of the clients
gag reflex
A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count
of 48,000/mm^3. Which of the follow interventions should the nurse include? - ANS A) Avoid IM
injection
A nurse is preparing to assess the function of the clients trigeminal nerve (cranial nerve V).
Which of the following items should the nurse gather for the test? - ANS C) Cotton wisps
A nurse is caring for a client with alcohol use disorder who has undergone detoxification. Which
of the following medications should the nurse expect the provider to prescribe to assist the
client with maintaining sobriety - ANS D) Disulfiram
,A newly admitted client who has major depressive disorder states to the nurse, "I'm a failure, I
can't even cope with the little things anymore." Which of the following responses should the
nurse provide? - ANS C) "Do you feel like you don't deserve to feel good about yourself?"
A nurse is caring for a middle-aged adult client. The nurse should identify which of the following
statements as an indication that the client has completed Eriksons developmental task for her
age group? - ANS B) "I think I have done a good job with my children since they are all
independent now."
A nurse is conducting an admission interview with a client. Which of the following pieces of
assessment information should the nurse collect during the introductory phase of the
interview?" - ANS A) Clients level of comfort and ability to participate in the interview
A nurse is planning to assess the abdomen of a client who reports feeling bloated for several
weeks. Which of the following methods of assessment should the nurse use first? - ANS A)
Inspection
A nurse is performing a comprehensive physical assessment of a client. The nurse should use
inspection to assess which of the following? - ANS D) Gait
A nurse is caring for a client who is immobile. The nurse should recognize that immobility places
the client at risk of which of the following health alterations? - ANS C) Decreased cardiac output
A nurse is preparing to perform mouth care for an unresponsive client. Which of the following
actions should the nurse plan to take? - ANS C)Raise the level of the bed
A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client appears
upset and refuses to take the medication before throwing the pill on the floor. Which of the
following entries should the nurse enter into the clients medical record? - ANS D) The client
threw the medication on the floor
, A nurse is a rehabilitation facility is observing an assistive personal (AP) help a client transfer
from a bed to a wheelchair. Which of the following actions indicates to the nurse that the AP
understands how to perform this task - ANS A) Locking the brakes on the bed and the
wheelchair before moving the client
A nurse is caring for a client who has cancer and refuses visitors because of his debilitated
physical appearance. Which of the following comments should the nurse make? - ANS D)
"Would you like to talk about how you feel?"
A nurse is assessing the pH of a clients gastric fluid to confirm the placement of an NG tube in
the stomach. Which of the following pH values should the nurse expect? - ANS B) 2
A nurse is caring for a client who is scheduled to receive transcutaneous electrical nerve (TENS)
for pain management. The client asks the nurse how a TENS unit helps to relieve pain. Which of
the following responses should the nurse make? - ANS B) "It modulates the transmission of the
pain impulse"
A nurse is performing a physical assessment of a client. The nurse should recognize that which
of the following places the client at risk of impaired skin integrity? - ANS B) Faint pedal pulse
A nurse is assessing a client. Which of the following findings should the nurse identify as an
indication of protein-calorie malnourishment (SATA) - ANS B) Dry, brittle hair
D) Spoon-shaped nails
E) Poor wound healing
A nurse is caring for a client who has bilateral casts on her hands. Which of the following
actions should the nurse take when assisting the client with feeding? - ANS A) Sit at the bedside
while feeding the client
A nurse is creating a plan of care for a toddler who has minimal change
nephrotic syndrome mcns and 3 + pitting edema. Which of the following
interventions should the nurse include in the plan? - ANS D- administer corticosteroids to the
toddler; The nurse should recognize that corticosteroids are the treatment of choice for
providers caring for children who have MCNS. Therefore, the nurse shouldD- administer
corticosteroids to the toddler- place
include administration of prescribed corticosteroids in the plan of care for this toddler.
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? - ANS C- pulmonary function test will be performed every 12 to 24 months
toC- pulmonary function test will be performed every 12 to 24 months to
evaluate how your child is responding to therapy
evaluate how your child is responding to therapy; The nurse should inform the parent that her
child will need pulmonary function
tests every 12to 24 months tC- pulmonary function test will be performed every 12 to 24
months to
evaluate how your child is responding to therapy evaluate the presence of lung disease and
how the
child is responding to the current treatment regimen. As children grow,
sometimes their symptoms can improve or decline and treatment needs to change
accordingly.
The nurse is caring for a 15 year old client following a head injury. Which of
,the following findings should the nurse identify as an indication that the child is
developing syndrome of inappropriate antidiuretic hormone secretion SIADH? - ANS C- mental
confusion; A child who has a head injury can develop SIADH as a result of altered pituitary
function, leadingto an oversecretion of antidiuretic hormone. Oversecretion of
antidiuretic hormone leads to a decrease in urine output, hyponatremia, and
hypoosmolality due to overhydration.
A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and
the nurse notes that the child is allergic to insect stings. Which of the following findings should
the nurse expect if the child develops anaphylaxis? (SATA) - ANS B) Nausea
D) Urticaria
E) Stridor
A nurse is caring for a client who is unconscious. Which of the following actions should the
nurse take when providing oral care for the client? - ANS A) Test for the presence of the clients
gag reflex
A nurse is planning care for a client who has acute myelogenous leukemia and a platelet count
of 48,000/mm^3. Which of the follow interventions should the nurse include? - ANS A) Avoid IM
injection
A nurse is preparing to assess the function of the clients trigeminal nerve (cranial nerve V).
Which of the following items should the nurse gather for the test? - ANS C) Cotton wisps
A nurse is caring for a client with alcohol use disorder who has undergone detoxification. Which
of the following medications should the nurse expect the provider to prescribe to assist the
client with maintaining sobriety - ANS D) Disulfiram
,A newly admitted client who has major depressive disorder states to the nurse, "I'm a failure, I
can't even cope with the little things anymore." Which of the following responses should the
nurse provide? - ANS C) "Do you feel like you don't deserve to feel good about yourself?"
A nurse is caring for a middle-aged adult client. The nurse should identify which of the following
statements as an indication that the client has completed Eriksons developmental task for her
age group? - ANS B) "I think I have done a good job with my children since they are all
independent now."
A nurse is conducting an admission interview with a client. Which of the following pieces of
assessment information should the nurse collect during the introductory phase of the
interview?" - ANS A) Clients level of comfort and ability to participate in the interview
A nurse is planning to assess the abdomen of a client who reports feeling bloated for several
weeks. Which of the following methods of assessment should the nurse use first? - ANS A)
Inspection
A nurse is performing a comprehensive physical assessment of a client. The nurse should use
inspection to assess which of the following? - ANS D) Gait
A nurse is caring for a client who is immobile. The nurse should recognize that immobility places
the client at risk of which of the following health alterations? - ANS C) Decreased cardiac output
A nurse is preparing to perform mouth care for an unresponsive client. Which of the following
actions should the nurse plan to take? - ANS C)Raise the level of the bed
A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client appears
upset and refuses to take the medication before throwing the pill on the floor. Which of the
following entries should the nurse enter into the clients medical record? - ANS D) The client
threw the medication on the floor
, A nurse is a rehabilitation facility is observing an assistive personal (AP) help a client transfer
from a bed to a wheelchair. Which of the following actions indicates to the nurse that the AP
understands how to perform this task - ANS A) Locking the brakes on the bed and the
wheelchair before moving the client
A nurse is caring for a client who has cancer and refuses visitors because of his debilitated
physical appearance. Which of the following comments should the nurse make? - ANS D)
"Would you like to talk about how you feel?"
A nurse is assessing the pH of a clients gastric fluid to confirm the placement of an NG tube in
the stomach. Which of the following pH values should the nurse expect? - ANS B) 2
A nurse is caring for a client who is scheduled to receive transcutaneous electrical nerve (TENS)
for pain management. The client asks the nurse how a TENS unit helps to relieve pain. Which of
the following responses should the nurse make? - ANS B) "It modulates the transmission of the
pain impulse"
A nurse is performing a physical assessment of a client. The nurse should recognize that which
of the following places the client at risk of impaired skin integrity? - ANS B) Faint pedal pulse
A nurse is assessing a client. Which of the following findings should the nurse identify as an
indication of protein-calorie malnourishment (SATA) - ANS B) Dry, brittle hair
D) Spoon-shaped nails
E) Poor wound healing
A nurse is caring for a client who has bilateral casts on her hands. Which of the following
actions should the nurse take when assisting the client with feeding? - ANS A) Sit at the bedside
while feeding the client
