PEDS ATI Proctored Exam, ATI PN Pediatrics 2023 proctored Exam
Questions and Correct Answers with Detailed Rationales
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
C- administer the immunization using a 24-gauge needle; The nurse should
administer an immunization for a 4-year-old child using a 24-
gauge needle to minimize the amount of pain experienced by the toddler.
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
B- sodium 140; The nurse should identify that a sodium level of 140 mEq/L is
within the
expected reference range and indicates the current treatment regimen the infant
is receiving for dehydration is effective.
A nurse is providing discharge teaching to the parent of a school-age child who
has moderate persistent asthma. Which of the following instructions should
the nurse include?
A- You should give your child his salmeterol inhaler every 4 hours when he is
having an acute episode of wheezing.
B- You should monitor your child's weight weekly while he is receiving inhaled
corticosteroid therapy
C- pulmonary function test will be performed every 12 to 24 months to
evaluate how your child is responding to therapy
D- when using the peak expiratory flow meter, record your child average of three
readings
,C- pulmonary function test will be performed every 12 to 24 months to
evaluate how your child is responding to therapy; The nurse should inform the
parent that her child will need pulmonary function
tests every 12to 24 months to evaluate the presence of lung disease and how the
child is responding to the current treatment regimen. As children grow,
sometimes their symptoms can improve or decline and treatment needs to change
accordingly.
A nurse is assessing a three-year-old toddler at a well-child visit. Which of the
following manifestations should the nurse report to the provider?
A- Blood pressure 90/ 50
B- respiratory rate 45/min
C- weight 14.5 kg or 32 lb
D- heart rate 110/min
B- respiratory rate 45/min; A respiratory rate of 45/min is above the expected
reference range for a 3-year-old
toddler and can indicate respiratory dysfunction and acute respiratory distress.
Therefore, the nurse should report this finding to the provider immediately.
A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take?
A- Place a cardiac monitor on the Adolescent prior to the procedure
B- apply topical analgesic cream to the site one hour prior to the procedure
C- keep the Adolescent in a semi-Fowler’s position for 4 hours following the
procedure
D- restrict fluids for 2 hours following the procedure
B- apply topical analgesic cream to the site one hour prior to the procedure; The
nurse should apply a topical analgesic to the lumbar site 60 min prior to the
procedure to decrease the adolescent's pain while the lumbar needle is inserted.
A nurse is providing teaching to the parent of a school-age child who has oral
candidiasis and is to begin taking oral Nystatin. Which of the following
instructions should the nurse include?
A- Check the medication prior to
Administration
B- provide the medication through a straw
C- rinse the child mouth with water immediately after giving the medication
D- next the medication with applesauce If the child dislikes the taste
, A- Check the medication prior to
Administration; The nurse should instruct the parent to shake the medication prior
to administration
in order to disperse the medication evenly within the suspension.
The nurse is providing anticipatory guidance to the mother of a toddler.
Which of the following expected Behavior characteristics of toddlers should
the nurse includes in the teaching?
A- Controls impulsive feelings
B- understand right from wrong
C- usually separated from parents for a long period of time
D- expresses likes and dislikes
D- expresses likes and dislikes; The nurse should teach the mother that her toddler
will begin to express her likes
and dislikes. This is the time in life when a toddler is developing autonomy and
self-concept. She will try to assert herself and frequently refuse to comply. The
parent should allow the child to have some control but also set limits in order
for her to learn from her behavior and learn to control her actions.
The nurse is reviewing the laboratory report of a school-age child who is
experiencing fatigue. Which of the following findings should the nurse
recognize as an indication of anemia?
A- Hematocrit 28%
B- hemoglobin 13.5 g
C- WBC 8000
D- platelet 250,000
A- Hematocrit 28%; The nurse should recognize that this hematocrit level is below
the expected
reference range fora school-age child. The child can exhibit fatigue,
lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygen
carrying
capacity.
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
Questions and Correct Answers with Detailed Rationales
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
C- administer the immunization using a 24-gauge needle; The nurse should
administer an immunization for a 4-year-old child using a 24-
gauge needle to minimize the amount of pain experienced by the toddler.
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
B- sodium 140; The nurse should identify that a sodium level of 140 mEq/L is
within the
expected reference range and indicates the current treatment regimen the infant
is receiving for dehydration is effective.
A nurse is providing discharge teaching to the parent of a school-age child who
has moderate persistent asthma. Which of the following instructions should
the nurse include?
A- You should give your child his salmeterol inhaler every 4 hours when he is
having an acute episode of wheezing.
B- You should monitor your child's weight weekly while he is receiving inhaled
corticosteroid therapy
C- pulmonary function test will be performed every 12 to 24 months to
evaluate how your child is responding to therapy
D- when using the peak expiratory flow meter, record your child average of three
readings
,C- pulmonary function test will be performed every 12 to 24 months to
evaluate how your child is responding to therapy; The nurse should inform the
parent that her child will need pulmonary function
tests every 12to 24 months to evaluate the presence of lung disease and how the
child is responding to the current treatment regimen. As children grow,
sometimes their symptoms can improve or decline and treatment needs to change
accordingly.
A nurse is assessing a three-year-old toddler at a well-child visit. Which of the
following manifestations should the nurse report to the provider?
A- Blood pressure 90/ 50
B- respiratory rate 45/min
C- weight 14.5 kg or 32 lb
D- heart rate 110/min
B- respiratory rate 45/min; A respiratory rate of 45/min is above the expected
reference range for a 3-year-old
toddler and can indicate respiratory dysfunction and acute respiratory distress.
Therefore, the nurse should report this finding to the provider immediately.
A nurse is preparing an adolescent for a lumbar puncture. Which of the
following actions should the nurse take?
A- Place a cardiac monitor on the Adolescent prior to the procedure
B- apply topical analgesic cream to the site one hour prior to the procedure
C- keep the Adolescent in a semi-Fowler’s position for 4 hours following the
procedure
D- restrict fluids for 2 hours following the procedure
B- apply topical analgesic cream to the site one hour prior to the procedure; The
nurse should apply a topical analgesic to the lumbar site 60 min prior to the
procedure to decrease the adolescent's pain while the lumbar needle is inserted.
A nurse is providing teaching to the parent of a school-age child who has oral
candidiasis and is to begin taking oral Nystatin. Which of the following
instructions should the nurse include?
A- Check the medication prior to
Administration
B- provide the medication through a straw
C- rinse the child mouth with water immediately after giving the medication
D- next the medication with applesauce If the child dislikes the taste
, A- Check the medication prior to
Administration; The nurse should instruct the parent to shake the medication prior
to administration
in order to disperse the medication evenly within the suspension.
The nurse is providing anticipatory guidance to the mother of a toddler.
Which of the following expected Behavior characteristics of toddlers should
the nurse includes in the teaching?
A- Controls impulsive feelings
B- understand right from wrong
C- usually separated from parents for a long period of time
D- expresses likes and dislikes
D- expresses likes and dislikes; The nurse should teach the mother that her toddler
will begin to express her likes
and dislikes. This is the time in life when a toddler is developing autonomy and
self-concept. She will try to assert herself and frequently refuse to comply. The
parent should allow the child to have some control but also set limits in order
for her to learn from her behavior and learn to control her actions.
The nurse is reviewing the laboratory report of a school-age child who is
experiencing fatigue. Which of the following findings should the nurse
recognize as an indication of anemia?
A- Hematocrit 28%
B- hemoglobin 13.5 g
C- WBC 8000
D- platelet 250,000
A- Hematocrit 28%; The nurse should recognize that this hematocrit level is below
the expected
reference range fora school-age child. The child can exhibit fatigue,
lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygen
carrying
capacity.
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
