ATI PEDIATRICS
2024 QUESTIONS & ANSWERS WITH RATIONALES
TERMS 242
Teaching The Parents Of a School-Aged Child Who Has a New Diagnosis Of Osteomyelitis Of
The Tibia. The Nurse Should Identify That Which Of The Following Statements By The Parents
Indicates An Understanding Of The Teaching?
a. My Child Will Have a Cast Until Healing Is Complete.
b. My Child Will Receive Antibiotics For Several Weeks.
c. My Child Can Return To Playing Sports Once He Is Discharged.
d. My Child Needs To Be In Contact Isolation.
Correct Answer : B
A Nurse Is Auscultating The Lungs Of An Adolescent Who Has Asthma. The Nurse Should
Identify The Sound As Which Of The Following? Click The Audio Button To Listen.
A- Biots Respiration
B- Chaney Stokes Respiration
C- Tackypnea
D - Bradypnea
Correct Answer : C
A Nurse In An Emergency Department Is Caring For a School-Age Child Who Is Experiencing
An Anaphylactic Reaction. Which Of The Following Is The Priority Action By The Nurse?
A- Elevate The Head Of The Child's Bed
B- Insert a Large-Bore Iv Catheter For The Child
C- Determine The Allergen That Caused The Child's Reaction
D- Administer Im Epinephrine To The Child
Correct Answer : D
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
Correct Answer : C
,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
Correct Answer : B
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
Correct Answer : D
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.
Correct Answer : D
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
Correct Answer : A
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
Correct Answer : C
,A Nurse Is Preparing To Administer Ibuprofen 5 Mg Per Kg Every 6 Hours Prn For
Temperatures Above 38.0 Degrees Celsius Or 100.5 Degrees Fahrenheit To An Infant Who
Weighs 17.6 Lb. The Infant Has a Temperature Of 38.4 Degrees Celsius Or 100 + 1.2 Degrees
Fahrenheit. Available Is Ibuprofen Liquid 100mg/ 5 Ml. How Many Milliliters Should The
Nurse Administer To The Infant Per Dose? Round The Answer To The Nearest Whole Number.
Use a Leading Zero If It Applies.
Correct Answer : 2 Ml
A Nurse Is Receiving Change-Of-Shift Report On For Children. Which Of The Following
Children Should The Nurse Assess 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
Correct Answer : A
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?
Correct Answer : A
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.
D- Schedule a 2-Hour Daily Nap For The Child In The Afternoon.
Correct Answer : B
, Pediatric Creatinine
0.3-0.7
Pediatric Bun
5-18
Pediatric Uric Acid
2-5.5
Pediatric Urine Specific Gravity
1.001-1.030
Pediatric Potassium
4.1-5.3
Pediatric Sodium
134-150
Pediatric Magnesium
1.4-1.7
Pediatric Hemoglobin
10-17
Pediatric Platelets
150,000-400,000
Pediatric Hematocrit
32-44%
Pediatric Wbc
5,000-10,000
A Nurse Is Caring For a Toddler And Is Preparing To Administer 0.9% Sodium Chloride 100 Ml
Iv To Infuse Over 4 Hr. The Drop Factor Of The Manual Iv Tubing Is 60 Gtt/Ml. The Nurse
Should Set The Manual Iv Infusion To Deliver How Many Gtt/Min? (Round The Answer To
The Nearest Whole Number. Use a Leading Zero If It Applies. Do Not Use a Trailing Zero.)
Correct Answer : 25 Gtt
2024 QUESTIONS & ANSWERS WITH RATIONALES
TERMS 242
Teaching The Parents Of a School-Aged Child Who Has a New Diagnosis Of Osteomyelitis Of
The Tibia. The Nurse Should Identify That Which Of The Following Statements By The Parents
Indicates An Understanding Of The Teaching?
a. My Child Will Have a Cast Until Healing Is Complete.
b. My Child Will Receive Antibiotics For Several Weeks.
c. My Child Can Return To Playing Sports Once He Is Discharged.
d. My Child Needs To Be In Contact Isolation.
Correct Answer : B
A Nurse Is Auscultating The Lungs Of An Adolescent Who Has Asthma. The Nurse Should
Identify The Sound As Which Of The Following? Click The Audio Button To Listen.
A- Biots Respiration
B- Chaney Stokes Respiration
C- Tackypnea
D - Bradypnea
Correct Answer : C
A Nurse In An Emergency Department Is Caring For a School-Age Child Who Is Experiencing
An Anaphylactic Reaction. Which Of The Following Is The Priority Action By The Nurse?
A- Elevate The Head Of The Child's Bed
B- Insert a Large-Bore Iv Catheter For The Child
C- Determine The Allergen That Caused The Child's Reaction
D- Administer Im Epinephrine To The Child
Correct Answer : D
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
Correct Answer : C
,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
Correct Answer : B
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
Correct Answer : D
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.
Correct Answer : D
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
Correct Answer : A
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
Correct Answer : C
,A Nurse Is Preparing To Administer Ibuprofen 5 Mg Per Kg Every 6 Hours Prn For
Temperatures Above 38.0 Degrees Celsius Or 100.5 Degrees Fahrenheit To An Infant Who
Weighs 17.6 Lb. The Infant Has a Temperature Of 38.4 Degrees Celsius Or 100 + 1.2 Degrees
Fahrenheit. Available Is Ibuprofen Liquid 100mg/ 5 Ml. How Many Milliliters Should The
Nurse Administer To The Infant Per Dose? Round The Answer To The Nearest Whole Number.
Use a Leading Zero If It Applies.
Correct Answer : 2 Ml
A Nurse Is Receiving Change-Of-Shift Report On For Children. Which Of The Following
Children Should The Nurse Assess 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
Correct Answer : A
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?
Correct Answer : A
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.
D- Schedule a 2-Hour Daily Nap For The Child In The Afternoon.
Correct Answer : B
, Pediatric Creatinine
0.3-0.7
Pediatric Bun
5-18
Pediatric Uric Acid
2-5.5
Pediatric Urine Specific Gravity
1.001-1.030
Pediatric Potassium
4.1-5.3
Pediatric Sodium
134-150
Pediatric Magnesium
1.4-1.7
Pediatric Hemoglobin
10-17
Pediatric Platelets
150,000-400,000
Pediatric Hematocrit
32-44%
Pediatric Wbc
5,000-10,000
A Nurse Is Caring For a Toddler And Is Preparing To Administer 0.9% Sodium Chloride 100 Ml
Iv To Infuse Over 4 Hr. The Drop Factor Of The Manual Iv Tubing Is 60 Gtt/Ml. The Nurse
Should Set The Manual Iv Infusion To Deliver How Many Gtt/Min? (Round The Answer To
The Nearest Whole Number. Use a Leading Zero If It Applies. Do Not Use a Trailing Zero.)
Correct Answer : 25 Gtt
