PEDS ATI EXAM 1,2,2 & 4 (OVER 1400 QUESTIONS WITH ALL VERIFIED ANSWERS) GRADED A+
ATI Peds 1
Which of the following statements made by a school-age girl indicates the need for further
teaching about the prevention of urinary tract infections? - correct answer "I really like
taking bubble baths every night"
An 8-month-old being evaluated for a UTI. A urinalysis and urine culture are ordered. Which of
the following is the best way to obtain the urine samples? - correct answer Suprapubic
aspiration with bladder catheterization after excluding first few milliliter from collection
A 5-year-old is being evaluated for a lower UTI. Which symptoms is she likely to be displaying to
warrant evaluation? (Select all that apply) - correct answer 1. Frequency or urgency
2. Strong smelling urine
3. Incontinence in a toilet-trained child
The nurse is caring for a 4-year-old who weighs 15 kg. At the end of a 10 hour period, the nurse
notes the urine output is 150 ml. What action should the nurse take? - correct answer The
nurse records the patient's urine output in the chart
The nurse is teaching the parents of a child with vesicoureteral reflux. What is the most
important instruction to include? - correct answer The importance of taking prophylactic
antibiotics
It is important to surgically correct hypospadias prior to which procedure? - correct answer
Circumcision
Which of the following factors predisposes a child to urinary tract infections? - correct answer
Short urethra in young girls
The nurse is caring for a child with Wilms tumor. The child is scheduled for a MRI of the lungs.
The parents ask the reason because Wilms involves the kidneys. What is the best response? -
correct answer "The test is dont to check to see if the disease has spread to the lungs"
A child is admitted after being diagnosed with Wilms tumor. The admitting nurse knows to
place a sign that says: - correct answer "Do not palpate abdomen"
What is the best response to a parent who asks the nurse whether her 5-month-old infant can
have cow's milk? - correct answer "Infants younger than 12 months need iron-rich formula
to get the iron they need"
,PEDS ATI EXAM 1,2,2 & 4 (OVER 1400 QUESTIONS WITH ALL VERIFIED ANSWERS) GRADED A+
An assessment of a 7-month-old with hemoglobin level of 6.5 is likely to reveal which of the
following symptoms? - correct answer Lethargic, pale and irritable
Which of the following suggestions are important to include when teaching parents of an 18-
month-old with iron-deficiency anemia? (select all that apply) - correct answer 1. Decrease
the toddler's daily milk intake to 24 ounces or less
2. Give oral iron supplement between meals with orange juice
3. Include apricots, dark-green leafy veggies and Cream of Wheat in diet
Which of the following is the best nursing diagnosis for a child with anemia? - correct answer
Activity intolerence r/t generalized weakness
Which of the following explains why iron deficiency anemia is common during toddlerhood? -
correct answer Milk is a poor source of iron
Which of the following should the nurse include when teaching the mother of a 9-month-old
about administering liquid iron preparations? - correct answer Adequate dosage will turn
the stools a tarry green color
Which of the following is true about the genetic transmission of sickle cell disease? - correct
answer Both parents must carry the sickle cell trait
What are the nursing priorities for a child with sickle cell disease in vaso-occulusive crisis? -
correct answer Hydration and pain management
A child with sickle cell disease is seen in the ED with paleness, fatigue, decreased BP and
increased pulse. What is this child potentially experiencing? - correct answer Acute
sequestration crisis
What will be included in the discharge plan for a three-year old with sickle cell disease? -
correct answer Administration of penicillin daily as ordered
Which of the following clinical manifestations should the nurse expect when a child with sickle
cell anemia experience an acute vaso-occlusive crisis? - correct answer Painful swelling of
hands and feet; painful joints
What is the priority nursing intervention for a child hospitalized with hemarthrosis resulting
from hemophilia? - correct answer Immobilization and elevation of the affected joint
Which of the following analgesics is most effective for a child with sickle cell pain crisis? -
correct answer Morphine
,PEDS ATI EXAM 1,2,2 & 4 (OVER 1400 QUESTIONS WITH ALL VERIFIED ANSWERS) GRADED A+
The mother of a child with hemophilia asks the nurse how long her child will need to be treated
for hemophilia. What is the best response to this question? - correct answer "Hemophilia is
a life-long blood disorder"
A 10-year-old with severe hemophilia falls, injures his elbow and is brought to the ER. The nurse
should prepare which of the following? - correct answer An intravenous infusion of factor
VIII
The nurse understands that the most important precautions needed for children receiving
chemotherapy is based on which of the following actions of chemotherapeutic agent? - correct
answer Bone marrow suppression
A child with a history of fever of unknown origin, excessive bruising, lymphadenopathy, and
fatigue is exhibiting symptoms most suggestive of which condition? - correct answer
Leukemia
Which of the following statements made by parents of a child with leukemia, indicates an
understanding of teaching related to home care associated with the disease? - correct answer
"We will take our son's temperature daily and report any fevers"
The nurse notes skin breakdown on a neutopenic child with leukemia. What is the nurse's
priority action? - correct answer Assess the child's vital signs for symptoms of infection
What is the nurse's best response to a mother whose child has a diagnosis of acute
lymphoblastic leukemia and is expressing guilt about not having responded sooner to her child's
symptoms? - correct answer "It is not uncommon for parents not to notice the subtle
changes in their children's health"
The nurse is caring for a child with a diagnosis of ALL who is receiving chemotherapy. The
patient's platelet count is 20,000. Based on this laboratory finding, what information should the
nurse provide to the child and parents? - correct answer A soft toothbrush should be used
for mouth care
What is the priority outcome of mandatory newborn screening for hypothyroidism? - correct
answer Early identification of the disorder
A 6 year old comes to the clinic and is diagnosed with precocious puberty. Which intervention is
important when considering risks associated with this disorder? - correct answer Explain the
importance of having the child foster relationships with same-age peers
A neonate is displaying tremors, twitching, weak-high pitched cry and diaphoresis. The nurse
knows which of the following labs levels, if low, will indicate the cause? - correct answer
Glucose
, PEDS ATI EXAM 1,2,2 & 4 (OVER 1400 QUESTIONS WITH ALL VERIFIED ANSWERS) GRADED A+
Congenital hypothyroidism is treated only during childhood with thyroid replacement therapy?
- correct answer False
Which breakfast selection indicates that parents understand the nurse's instructions about the
dietary management for a child diagnosed with Phenylketonuria (PKA)? - correct answer
White bread toast and orange juice
A newborn develops tetany and a seizure just prior to discharge for the nursery. The newborn is
diagnosed with hypocalcemia secondary to hypoparathyroidism and is started on calcium and
vitamin D. What would be important to teach the parents? - correct answer They should
observe for signs of vitamin D toxicity: weakness, nausea, vomiting, and diarrhea
A clinical manifestation of growth hormone deficiency is: - correct answer Height less than
5th percentile for age and sex
An active 13 year old boy is complaining of swelling and pain at the tibial tubercle. He is
prohibited from playing outside with his friends. Which nursing problems would be most
appropriate? - correct answer Social isolation
A young girl has just injured her ankle at school. In addition to assessing the ankle and calling
the child's parents, what intervention has the highest priority? - correct answer Apply ice
and elevate extremity
A 10 year old girl sustained a fracture in the epiphyseal plate of her right fibula when she fell
out a tree. When discussing this injury with her parents, the nurse considers which of the
following? - correct answer Bone growth can be affected by this type of fracture
Which of the following would cause to suspect that a child's cast is too tight? - correct answer
Complaint of numbness and tingling
Considering both safety and development, which of the following is the best play activity for a 3
year old child with a spica cast? - correct answer Playing with a toy telephone
The nurse is teaching a family how to care for their infant in a Pavlik harness to treat
developmental dysplasia of the hip. Which of the following should be included? - correct
answer Place diaper under harness, preferably using a superabsorbent disposable diaper
that is relatively thin
An important nursing consideration when caring for a child with juvenile rheumatoid arthritis
would be which of the following? - correct answer Teach the child and family about correct
administration of medications
Which of the following clinical manifestations of developmental dysplasia of the hip are seen in
the newborn? - correct answer Positive Ortolani click
ATI Peds 1
Which of the following statements made by a school-age girl indicates the need for further
teaching about the prevention of urinary tract infections? - correct answer "I really like
taking bubble baths every night"
An 8-month-old being evaluated for a UTI. A urinalysis and urine culture are ordered. Which of
the following is the best way to obtain the urine samples? - correct answer Suprapubic
aspiration with bladder catheterization after excluding first few milliliter from collection
A 5-year-old is being evaluated for a lower UTI. Which symptoms is she likely to be displaying to
warrant evaluation? (Select all that apply) - correct answer 1. Frequency or urgency
2. Strong smelling urine
3. Incontinence in a toilet-trained child
The nurse is caring for a 4-year-old who weighs 15 kg. At the end of a 10 hour period, the nurse
notes the urine output is 150 ml. What action should the nurse take? - correct answer The
nurse records the patient's urine output in the chart
The nurse is teaching the parents of a child with vesicoureteral reflux. What is the most
important instruction to include? - correct answer The importance of taking prophylactic
antibiotics
It is important to surgically correct hypospadias prior to which procedure? - correct answer
Circumcision
Which of the following factors predisposes a child to urinary tract infections? - correct answer
Short urethra in young girls
The nurse is caring for a child with Wilms tumor. The child is scheduled for a MRI of the lungs.
The parents ask the reason because Wilms involves the kidneys. What is the best response? -
correct answer "The test is dont to check to see if the disease has spread to the lungs"
A child is admitted after being diagnosed with Wilms tumor. The admitting nurse knows to
place a sign that says: - correct answer "Do not palpate abdomen"
What is the best response to a parent who asks the nurse whether her 5-month-old infant can
have cow's milk? - correct answer "Infants younger than 12 months need iron-rich formula
to get the iron they need"
,PEDS ATI EXAM 1,2,2 & 4 (OVER 1400 QUESTIONS WITH ALL VERIFIED ANSWERS) GRADED A+
An assessment of a 7-month-old with hemoglobin level of 6.5 is likely to reveal which of the
following symptoms? - correct answer Lethargic, pale and irritable
Which of the following suggestions are important to include when teaching parents of an 18-
month-old with iron-deficiency anemia? (select all that apply) - correct answer 1. Decrease
the toddler's daily milk intake to 24 ounces or less
2. Give oral iron supplement between meals with orange juice
3. Include apricots, dark-green leafy veggies and Cream of Wheat in diet
Which of the following is the best nursing diagnosis for a child with anemia? - correct answer
Activity intolerence r/t generalized weakness
Which of the following explains why iron deficiency anemia is common during toddlerhood? -
correct answer Milk is a poor source of iron
Which of the following should the nurse include when teaching the mother of a 9-month-old
about administering liquid iron preparations? - correct answer Adequate dosage will turn
the stools a tarry green color
Which of the following is true about the genetic transmission of sickle cell disease? - correct
answer Both parents must carry the sickle cell trait
What are the nursing priorities for a child with sickle cell disease in vaso-occulusive crisis? -
correct answer Hydration and pain management
A child with sickle cell disease is seen in the ED with paleness, fatigue, decreased BP and
increased pulse. What is this child potentially experiencing? - correct answer Acute
sequestration crisis
What will be included in the discharge plan for a three-year old with sickle cell disease? -
correct answer Administration of penicillin daily as ordered
Which of the following clinical manifestations should the nurse expect when a child with sickle
cell anemia experience an acute vaso-occlusive crisis? - correct answer Painful swelling of
hands and feet; painful joints
What is the priority nursing intervention for a child hospitalized with hemarthrosis resulting
from hemophilia? - correct answer Immobilization and elevation of the affected joint
Which of the following analgesics is most effective for a child with sickle cell pain crisis? -
correct answer Morphine
,PEDS ATI EXAM 1,2,2 & 4 (OVER 1400 QUESTIONS WITH ALL VERIFIED ANSWERS) GRADED A+
The mother of a child with hemophilia asks the nurse how long her child will need to be treated
for hemophilia. What is the best response to this question? - correct answer "Hemophilia is
a life-long blood disorder"
A 10-year-old with severe hemophilia falls, injures his elbow and is brought to the ER. The nurse
should prepare which of the following? - correct answer An intravenous infusion of factor
VIII
The nurse understands that the most important precautions needed for children receiving
chemotherapy is based on which of the following actions of chemotherapeutic agent? - correct
answer Bone marrow suppression
A child with a history of fever of unknown origin, excessive bruising, lymphadenopathy, and
fatigue is exhibiting symptoms most suggestive of which condition? - correct answer
Leukemia
Which of the following statements made by parents of a child with leukemia, indicates an
understanding of teaching related to home care associated with the disease? - correct answer
"We will take our son's temperature daily and report any fevers"
The nurse notes skin breakdown on a neutopenic child with leukemia. What is the nurse's
priority action? - correct answer Assess the child's vital signs for symptoms of infection
What is the nurse's best response to a mother whose child has a diagnosis of acute
lymphoblastic leukemia and is expressing guilt about not having responded sooner to her child's
symptoms? - correct answer "It is not uncommon for parents not to notice the subtle
changes in their children's health"
The nurse is caring for a child with a diagnosis of ALL who is receiving chemotherapy. The
patient's platelet count is 20,000. Based on this laboratory finding, what information should the
nurse provide to the child and parents? - correct answer A soft toothbrush should be used
for mouth care
What is the priority outcome of mandatory newborn screening for hypothyroidism? - correct
answer Early identification of the disorder
A 6 year old comes to the clinic and is diagnosed with precocious puberty. Which intervention is
important when considering risks associated with this disorder? - correct answer Explain the
importance of having the child foster relationships with same-age peers
A neonate is displaying tremors, twitching, weak-high pitched cry and diaphoresis. The nurse
knows which of the following labs levels, if low, will indicate the cause? - correct answer
Glucose
, PEDS ATI EXAM 1,2,2 & 4 (OVER 1400 QUESTIONS WITH ALL VERIFIED ANSWERS) GRADED A+
Congenital hypothyroidism is treated only during childhood with thyroid replacement therapy?
- correct answer False
Which breakfast selection indicates that parents understand the nurse's instructions about the
dietary management for a child diagnosed with Phenylketonuria (PKA)? - correct answer
White bread toast and orange juice
A newborn develops tetany and a seizure just prior to discharge for the nursery. The newborn is
diagnosed with hypocalcemia secondary to hypoparathyroidism and is started on calcium and
vitamin D. What would be important to teach the parents? - correct answer They should
observe for signs of vitamin D toxicity: weakness, nausea, vomiting, and diarrhea
A clinical manifestation of growth hormone deficiency is: - correct answer Height less than
5th percentile for age and sex
An active 13 year old boy is complaining of swelling and pain at the tibial tubercle. He is
prohibited from playing outside with his friends. Which nursing problems would be most
appropriate? - correct answer Social isolation
A young girl has just injured her ankle at school. In addition to assessing the ankle and calling
the child's parents, what intervention has the highest priority? - correct answer Apply ice
and elevate extremity
A 10 year old girl sustained a fracture in the epiphyseal plate of her right fibula when she fell
out a tree. When discussing this injury with her parents, the nurse considers which of the
following? - correct answer Bone growth can be affected by this type of fracture
Which of the following would cause to suspect that a child's cast is too tight? - correct answer
Complaint of numbness and tingling
Considering both safety and development, which of the following is the best play activity for a 3
year old child with a spica cast? - correct answer Playing with a toy telephone
The nurse is teaching a family how to care for their infant in a Pavlik harness to treat
developmental dysplasia of the hip. Which of the following should be included? - correct
answer Place diaper under harness, preferably using a superabsorbent disposable diaper
that is relatively thin
An important nursing consideration when caring for a child with juvenile rheumatoid arthritis
would be which of the following? - correct answer Teach the child and family about correct
administration of medications
Which of the following clinical manifestations of developmental dysplasia of the hip are seen in
the newborn? - correct answer Positive Ortolani click
