RN ATI PEDS CMS 2019 /2024 EXAM GUIDE
QUESTIONS WITH CORRECT ANSWERS .
A charge nurse is preparing to make a room assignment for a newly admitted school age child. Which of
the following considerations is the nurse's priority?A. length of stay
B. treatment schedule
C. disease process
D. self-care ability - CORRECT ANSWERS C. disease process
The transmission of infectious diseases is the greatest risk to this child and other children on the unit.
therefore, the child's disease process is the nurses priority consideration
A community health nurse is assessing an 18 month old toddler in a community day care. Which of the
following findings should a nurse identify as a potential indication of physical neglect?
A. resists having an axillary temperature taken
B. exhibits withdrawal behaviors when their parent leaves
C. has multiple bruises on their knees
D. poor personal hygiene - CORRECT ANSWERS D. poor personal hygiene
A toddler who has poor personal hygiene can be a potential indication of physical neglect. b/c toddlers are
still dependent on their parents or guardians for help with hygiene needs, poor personal hygiene can
indicate a lack of supervision
A nurse in a health department is caring for an emancipated adolescent who has an STI and is
unaccompanied by a guardian. Which of the following actions should the nurse take?
A. have the adolescent sign a consent form for treatment
B. instruct the adolescent to return with a guardian
C. obtain consent from the adolescent's guardian over the phone
D. treat the adolescent without a consent form - CORRECT ANSWERS A. have the adolescent
sign a consent form for treatment
,The nurse should identify that an emancipated minor can sign the consent form for treatment of an STI or
any other form of medical tx requiring consent.
A nurse in a provider's office is caring for a school age child who has varicella. The parent asks the nurse
when their child will no longer be contagious. Which of the following responses should the nurse make?
A. "When your child no longer has an increased temperature."
B. "Three days after you first noticed the rash appear on your child."
C. "When you child's lesions are crusted, usually 6 days after they appear."
D. "Two to three weeks, when your child's lesions completely disappear." - CORRECT
ANSWERS C. "When you child's lesions are crusted, usually 6 days after they appear."
The nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and until the
vesicles have crusted over, which usually takes about 6 days.
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 - CORRECT ANSWERS C. sunken anterior fontanel
The nurse should recognize that a sunken anterior fontanel is an indication of moderate to severe
dehydration due to the acute loss of fluid.
A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing
dyspnea. The nurse should identify the sound as which of the following? - CORRECT
ANSWERS Wheezeswheezes are high-pitched, musical or whistling-like sounds heard primarily on
expiration as air passes through and vibrate narrowed airways
A nurse in an emergency department is caring for a school age child who has epiglottitis. Which of the
following actions should the nurse take?
A. obtain a throat culture form the child
B. monitor the child's oxygen saturation
, C. put a warm mist humidifier in the child's room
D. place the child in the supine position - CORRECT ANSWERS B. monitor the child's oxygen
saturation
The child is experiencing acute resp distress and it is necessary to determine if the child is responding to
treatment.
A nurse in an emergency department is caring for a school age child who has sustained a minor superficial
burn from fireworks on their forearm. Which of the following actions should the nurse take?
A. administer the tetanus toxoid vaccine if more than 1 year since the prior dose
B. apply an antimicrobial ointment to the affected area
C. leave the burn area open to air
D. place an ice pack on the affected area - CORRECT ANSWERS B. apply an antimicrobial
ointment to the affected area
To prevent infection.
A nurse is admitting an infant who has intussesception. Which of the following findings should the nurse
expect? (select all that apply)
A. steatorrhea
B. vomiting
C. lethargy
D. constipation
E. weight gain - CORRECT ANSWERS B. vomiting
C. lethargy
The nurse should expect an infant who has intussusception to exhibit vomiting d/t the obstruction that
occurs when a segment of the bowel telescopes within another segment of the bowel
The nurse should expect lethargy d/t episode of severe pain during which the infant cries inconsolably,
leading to exhaustion and decrease nutritional intake
A nurse is an emergency department is assessing a toddler who has Kawasaki disease. Which of the
following findings should the nurse expect? (select all that apply.)
QUESTIONS WITH CORRECT ANSWERS .
A charge nurse is preparing to make a room assignment for a newly admitted school age child. Which of
the following considerations is the nurse's priority?A. length of stay
B. treatment schedule
C. disease process
D. self-care ability - CORRECT ANSWERS C. disease process
The transmission of infectious diseases is the greatest risk to this child and other children on the unit.
therefore, the child's disease process is the nurses priority consideration
A community health nurse is assessing an 18 month old toddler in a community day care. Which of the
following findings should a nurse identify as a potential indication of physical neglect?
A. resists having an axillary temperature taken
B. exhibits withdrawal behaviors when their parent leaves
C. has multiple bruises on their knees
D. poor personal hygiene - CORRECT ANSWERS D. poor personal hygiene
A toddler who has poor personal hygiene can be a potential indication of physical neglect. b/c toddlers are
still dependent on their parents or guardians for help with hygiene needs, poor personal hygiene can
indicate a lack of supervision
A nurse in a health department is caring for an emancipated adolescent who has an STI and is
unaccompanied by a guardian. Which of the following actions should the nurse take?
A. have the adolescent sign a consent form for treatment
B. instruct the adolescent to return with a guardian
C. obtain consent from the adolescent's guardian over the phone
D. treat the adolescent without a consent form - CORRECT ANSWERS A. have the adolescent
sign a consent form for treatment
,The nurse should identify that an emancipated minor can sign the consent form for treatment of an STI or
any other form of medical tx requiring consent.
A nurse in a provider's office is caring for a school age child who has varicella. The parent asks the nurse
when their child will no longer be contagious. Which of the following responses should the nurse make?
A. "When your child no longer has an increased temperature."
B. "Three days after you first noticed the rash appear on your child."
C. "When you child's lesions are crusted, usually 6 days after they appear."
D. "Two to three weeks, when your child's lesions completely disappear." - CORRECT
ANSWERS C. "When you child's lesions are crusted, usually 6 days after they appear."
The nurse should inform the parent that the child is contagious 1 day prior to lesion eruption and until the
vesicles have crusted over, which usually takes about 6 days.
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 - CORRECT ANSWERS C. sunken anterior fontanel
The nurse should recognize that a sunken anterior fontanel is an indication of moderate to severe
dehydration due to the acute loss of fluid.
A nurse in an emergency department is auscultating the lungs of an adolescent who is experiencing
dyspnea. The nurse should identify the sound as which of the following? - CORRECT
ANSWERS Wheezeswheezes are high-pitched, musical or whistling-like sounds heard primarily on
expiration as air passes through and vibrate narrowed airways
A nurse in an emergency department is caring for a school age child who has epiglottitis. Which of the
following actions should the nurse take?
A. obtain a throat culture form the child
B. monitor the child's oxygen saturation
, C. put a warm mist humidifier in the child's room
D. place the child in the supine position - CORRECT ANSWERS B. monitor the child's oxygen
saturation
The child is experiencing acute resp distress and it is necessary to determine if the child is responding to
treatment.
A nurse in an emergency department is caring for a school age child who has sustained a minor superficial
burn from fireworks on their forearm. Which of the following actions should the nurse take?
A. administer the tetanus toxoid vaccine if more than 1 year since the prior dose
B. apply an antimicrobial ointment to the affected area
C. leave the burn area open to air
D. place an ice pack on the affected area - CORRECT ANSWERS B. apply an antimicrobial
ointment to the affected area
To prevent infection.
A nurse is admitting an infant who has intussesception. Which of the following findings should the nurse
expect? (select all that apply)
A. steatorrhea
B. vomiting
C. lethargy
D. constipation
E. weight gain - CORRECT ANSWERS B. vomiting
C. lethargy
The nurse should expect an infant who has intussusception to exhibit vomiting d/t the obstruction that
occurs when a segment of the bowel telescopes within another segment of the bowel
The nurse should expect lethargy d/t episode of severe pain during which the infant cries inconsolably,
leading to exhaustion and decrease nutritional intake
A nurse is an emergency department is assessing a toddler who has Kawasaki disease. Which of the
following findings should the nurse expect? (select all that apply.)
