ATI RN PEDIATRICS PROCTORED EXAM NEWEST
VERSION 2025 WITH COMPLETE 200 QUESTIONS
AND SOLUTION 100% VERIFIED ANSWERS A+
GRADED FREE
A nurse is reviewing the medical record of a school-age child
who is 2 days postoperative following an open repair and casting
of a fracture in the right arm. Which of the following findings
should the nurse identify as an indication of a potential
postoperative complication?
a. increased erythrocyte sedimentation rate
b. apical pulse 92/min
c. respiratory rate 24/min
d. taking an oral analgesic twice daily - ANSWER-a. increased
erythrocyte sedimentation rate
The nurse should identify that an increased erythrocyte
sedimentation rate is an indication of osteomyelitis, a potential
complication following surgical repair of a fracture.
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A nurse is caring for a 15-year-old adolescent following a head
injury. Which of the following findings should the nurse identify
as an indication that the adolescent is developing syndrome of
inappropriate antidiuretic hormone secretion (SIADH)?
a. increased sodium level
b. decreased urine specific gravity
c. mental confusion
d. weak peripheral pulses - ANSWER-c. mental confusion
A child who has a head injury can develop SIADH as a result of
altered pituitary function, leading to an oversecretion of
antidiuretic hormone. Oversecretion of antidiuretic hormone
leads to a decrease in urine output, hyponatremia, and
hyperosmolality due to overhydration. As the hyponatremia
becomes more severe, mental confusion and other neurologic
manifestations such as seizures can occur.
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?
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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 - ANSWER-d. explore the parents' feelings and wishes
regarding organ donation
The first action the nurse should take when using the nursing
process is assessment. The nurse should first explore the parents'
feelings and wishes regarding organ donation to assist in
determining if organ donation is the right choice for the family.
A nurse is caring for a preschooler who is scheduled for
hydrotherapy treatment for wound debridement following a burn
injury. Which of the following actions should the nurse take
prior to the procedure?
a. apply topical antimicrobial ointment to the child's wound
b. place a mesh gauze dressing over the child's wound
c. initiate prophylactic antibiotic therapy for the child
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d. administer an analgesic to the child - ANSWER-d. administer
an analgesic to the child
Hydrotherapy for debridement of a wound is an extremely
painful procedure that requires analgesia and/or sedation.
Controlling pain leads to reduced physiological demands on the
body caused by stress and decreases the likelihood of children
developing depression and post-traumatic stress disorder.
A nurse is assessing an 8-year-old child who has early
indications of shock. After establishing an airway and stabilizing
the child's respirations, which of the following actions should
the nurse take next?
a. insert an indwelling urinary catheter
b. measure weight and height
c. initiate IV access
d. maintain ECG monitoring - ANSWER-c. initiate IV access
A nurse is assessing an 8-year-old child who has early
indications of shock. After establishing an airway and stabilizing
the child's respirations, which of the following actions should
the nurse take next?