Pediatric Ati EXAM VERIFIED SOLUTIONS,
SCORED A+
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 .- .CORRECT .ANSWER-0.3-0.7
Pediatric .BUN .- .CORRECT .ANSWER-5-18
Pediatric .Uric .acid .- .CORRECT .ANSWER-2-5.5
Pediatric .urine .specific .gravity .- .CORRECT .ANSWER-1.001-1.030
Pediatric .potassium .- .CORRECT .ANSWER-4.1-5.3
Pediatric .sodium .- .CORRECT .ANSWER-134-150
Pediatric .magnesium .- .CORRECT .ANSWER-1.4-1.7
Pediatric .hemoglobin .- .CORRECT .ANSWER-10-17
Pediatric .platelets .- .CORRECT .ANSWER-150,000-400,000
Pediatric .hematocrit .- .CORRECT .ANSWER-32-44%
Pediatric .WBC .- .CORRECT .ANSWER-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
a .nurse .in .the .ED .is .caring .for .a .2-year-old .child .who .was .found .by .his .parents
.crying .and .holding .a .container .of .toilet .bowl .cleaner. .the .Childs .lips .are
.edematous .and .inflamed, .and .he .is .drooling. .which .of .the .following .is .the
.priority .action .by .the .nurse? .
a- .remove .the .Childs .contaminated .clothing .
b- .check .the .Childs .respiratory .status .
c- .administer .an .antidote .to .the .child .
d- .establish .IV .access .for .the .child .- .CORRECT .ANSWER-b
, a .nurse .is .teaching .a .parent .of .a .12-month .old .child .about .the .development
.during .the .toddler .years. .which .of .the .following .statements .should .the .nurse
.include? .
a- .your .child .should .be .referring .to .himself .using .the .appropriate .pronoun .by
.18 .months .of .age
b- .a .toddlers .interest .in .looking .at .pictures .occurs .at .20 .months .of .age .
c- .a .toddler .should .have .daytime .control .of .his .bowel .and .bladder .by .24
.months .of .age
d- .your .child .should .be .able .to .scribble .spontaneously .using .a .crayon .at .the
.age .of .15 .months .- .CORRECT .ANSWER-d
A .nurse .in .a .pediatric .clinic .is .assessing .a .toddler .at .a .well-child .visit. .Which
.of .the .following .actions .should .the .nurse .take?
a. .Perform .the .assessment .in .a .head .to .toe .sequence.
b. .Minimize .physical .contact .with .the .child .initially.
c. .Explain .procedures .using .medical .terminology.
d. .Stop .the .assessment .if .the .child .becomes .uncooperative. .- .CORRECT
.ANSWER-b
A .nurse .is .caring .for .an .18-year-old .adolescent .who .is .up-to-date .on
.immunizations .and .is .planning .to .attend .college. .The .nurse .should .inform .the
.client .that .he .should .receive .which .of .the .following .immunizations .prior .to
.moving .into .a .campus .dormitory?
a. .Pneumococcal .polysaccharide
b. .Meningococcal .polysaccharide
c. .Rotavirus
d. .Herpes .zoster .- .CORRECT .ANSWER-b
A .nurse .is .teaching .the .parent .of .an .infant .about .food .allergens. .Which .of .the
.following .foods .should .the .nurse .include .as .being .the .most .common .food
.allergy .in .children? .
a. .Cow's .milk
b. .Wheat .bread
c. .Corn .syrup
d. .Eggs .- .CORRECT .ANSWER-a
A .nurse .is .teaching .the .parent .of .a .toddler .about .home .safety. .Which .of .the
.following .statements .by .the .parent .indicates .an .understanding .of .the .teaching?
a. ."I .lock .my .medications .in .the .medicine .cabinet."
b. ."I .keep .my .child's .crib .mattress .at .the .highest .level."
c. ."I .turn .pot .handles .to .the .side .of .my .stove .while .cooking."
d. ."I .will .give .my .child .syrup .of .ipecac .if .she .swallows .something .poisonous." .-
.CORRECT .ANSWER-a
A .nurse .is .performing .a .physical .assessment .on .a .6-month-old .infant. .Which .of
.the .following .reflexes .should .the .nurse .expect .to .find?
a. .Stepping
b. .Babinski
SCORED A+
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 .- .CORRECT .ANSWER-0.3-0.7
Pediatric .BUN .- .CORRECT .ANSWER-5-18
Pediatric .Uric .acid .- .CORRECT .ANSWER-2-5.5
Pediatric .urine .specific .gravity .- .CORRECT .ANSWER-1.001-1.030
Pediatric .potassium .- .CORRECT .ANSWER-4.1-5.3
Pediatric .sodium .- .CORRECT .ANSWER-134-150
Pediatric .magnesium .- .CORRECT .ANSWER-1.4-1.7
Pediatric .hemoglobin .- .CORRECT .ANSWER-10-17
Pediatric .platelets .- .CORRECT .ANSWER-150,000-400,000
Pediatric .hematocrit .- .CORRECT .ANSWER-32-44%
Pediatric .WBC .- .CORRECT .ANSWER-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
a .nurse .in .the .ED .is .caring .for .a .2-year-old .child .who .was .found .by .his .parents
.crying .and .holding .a .container .of .toilet .bowl .cleaner. .the .Childs .lips .are
.edematous .and .inflamed, .and .he .is .drooling. .which .of .the .following .is .the
.priority .action .by .the .nurse? .
a- .remove .the .Childs .contaminated .clothing .
b- .check .the .Childs .respiratory .status .
c- .administer .an .antidote .to .the .child .
d- .establish .IV .access .for .the .child .- .CORRECT .ANSWER-b
, a .nurse .is .teaching .a .parent .of .a .12-month .old .child .about .the .development
.during .the .toddler .years. .which .of .the .following .statements .should .the .nurse
.include? .
a- .your .child .should .be .referring .to .himself .using .the .appropriate .pronoun .by
.18 .months .of .age
b- .a .toddlers .interest .in .looking .at .pictures .occurs .at .20 .months .of .age .
c- .a .toddler .should .have .daytime .control .of .his .bowel .and .bladder .by .24
.months .of .age
d- .your .child .should .be .able .to .scribble .spontaneously .using .a .crayon .at .the
.age .of .15 .months .- .CORRECT .ANSWER-d
A .nurse .in .a .pediatric .clinic .is .assessing .a .toddler .at .a .well-child .visit. .Which
.of .the .following .actions .should .the .nurse .take?
a. .Perform .the .assessment .in .a .head .to .toe .sequence.
b. .Minimize .physical .contact .with .the .child .initially.
c. .Explain .procedures .using .medical .terminology.
d. .Stop .the .assessment .if .the .child .becomes .uncooperative. .- .CORRECT
.ANSWER-b
A .nurse .is .caring .for .an .18-year-old .adolescent .who .is .up-to-date .on
.immunizations .and .is .planning .to .attend .college. .The .nurse .should .inform .the
.client .that .he .should .receive .which .of .the .following .immunizations .prior .to
.moving .into .a .campus .dormitory?
a. .Pneumococcal .polysaccharide
b. .Meningococcal .polysaccharide
c. .Rotavirus
d. .Herpes .zoster .- .CORRECT .ANSWER-b
A .nurse .is .teaching .the .parent .of .an .infant .about .food .allergens. .Which .of .the
.following .foods .should .the .nurse .include .as .being .the .most .common .food
.allergy .in .children? .
a. .Cow's .milk
b. .Wheat .bread
c. .Corn .syrup
d. .Eggs .- .CORRECT .ANSWER-a
A .nurse .is .teaching .the .parent .of .a .toddler .about .home .safety. .Which .of .the
.following .statements .by .the .parent .indicates .an .understanding .of .the .teaching?
a. ."I .lock .my .medications .in .the .medicine .cabinet."
b. ."I .keep .my .child's .crib .mattress .at .the .highest .level."
c. ."I .turn .pot .handles .to .the .side .of .my .stove .while .cooking."
d. ."I .will .give .my .child .syrup .of .ipecac .if .she .swallows .something .poisonous." .-
.CORRECT .ANSWER-a
A .nurse .is .performing .a .physical .assessment .on .a .6-month-old .infant. .Which .of
.the .following .reflexes .should .the .nurse .expect .to .find?
a. .Stepping
b. .Babinski
