RN ATI PEDIATRIC Proctored Retake Version
1,2 &3 Actual Exam Newest / RN ATI
PEDIATRIC Proctored Retake Preparation
/RN ATI PEDIATRIC Proctored Retake
Practice Exam
With Complete Verified Questions And Correct
Answers with Detailed Rationales Graded A +
A nurse is instructing an AP in caring for a client who has a low platelet count as a result of
chemo. Which of the following is the nurse's priority instruction for measuring vital signs
for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP." –
Correct Answer :A. "Don't measure the client's temp rectally."
The greatest risk to a client w/a low platelet count is injury that results in bleeding,
obtaining a temp this way increases the risk for bleeding.
A nurse is instructing a group of nursing students in measuring a client's RR. Which of the
following guidelines should the nurse include? Select all.
A. Place the client in semi-Fowler's position
A+ TEST BANK
,B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any signs the client demonstrates –
Correct Answer :A, B, C
For D, this is if the rate is irregular after initial count, for E, sighs are expected & don't need to
be reported
A nurse who is admitting a client who has a fractured femur obtains a BP reading of
140/94 mmHg. The client denies any history of HTN. Which of the following actions
should the nurse take next?
A. Request a prescription for an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30min to recheck the client's BP –
Correct Answer :B
Perform a pain assessment would be the appropriate action to take next
A nurse is performing an admission assessment on a client. When measuring her vital signs,
the nurse finds that her radial pulse rate 68/min & her simultaneous apical pulse rate is
84/min.
What is the client's pulse deficit? - Correct Answer :16/min
the pulse deficit is the difference between the apical & radial pulse
rates. 84-68=16
A+ TEST BANK 2
,A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the
following info should the nurse include when explaining the procedure to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated –
Correct Answer :D.
The stool specimens cannot be contaminated with water or urine
A nurse is talking w/a client who reports constipation. When the nurse discusses dietary
changes that can help prevent constipation, which of the following foods should the nurse
recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice –
Correct Answer :B.
A high-fiber diet promotes normal bowel elimination
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the
client, the nurse should expect which of the following findings? Select all.
A. Bradycardia
A+ TEST BANK 3
, B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema –
Correct Answer :B, C, D
fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
A nurse is preparing to administer a cleansing enema to an adult client in preparation for a
diagnostic procedure. Which of the following are appropriate steps for the nurse to take?
Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus –
Correct Answer :A, B, C
-D is the appropriate length of insertion for a child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible painful distention of the
colon, 18 inches is the recommended height
A+ TEST BANK 4
1,2 &3 Actual Exam Newest / RN ATI
PEDIATRIC Proctored Retake Preparation
/RN ATI PEDIATRIC Proctored Retake
Practice Exam
With Complete Verified Questions And Correct
Answers with Detailed Rationales Graded A +
A nurse is instructing an AP in caring for a client who has a low platelet count as a result of
chemo. Which of the following is the nurse's priority instruction for measuring vital signs
for this client?
A. "Don't measure the client's temp rectally."
B. "Count the client's radial pulse for 30 sec & multiply by 2."
C. "Don't let the client know you are counting her respirations."
D. "Let the client rest for 5 mins before you measure her BP." –
Correct Answer :A. "Don't measure the client's temp rectally."
The greatest risk to a client w/a low platelet count is injury that results in bleeding,
obtaining a temp this way increases the risk for bleeding.
A nurse is instructing a group of nursing students in measuring a client's RR. Which of the
following guidelines should the nurse include? Select all.
A. Place the client in semi-Fowler's position
A+ TEST BANK
,B. Have the client rest an arm across the abdomen
C. Observe 1 full respiratory cycle before counting the rate
D. Count the rate for 1 min if it is regular
E. Count & report any signs the client demonstrates –
Correct Answer :A, B, C
For D, this is if the rate is irregular after initial count, for E, sighs are expected & don't need to
be reported
A nurse who is admitting a client who has a fractured femur obtains a BP reading of
140/94 mmHg. The client denies any history of HTN. Which of the following actions
should the nurse take next?
A. Request a prescription for an antihypertensive med
B. Ask the client if she is having pain
C. Request a prescription for an anti-anxiety med
D. Return in 30min to recheck the client's BP –
Correct Answer :B
Perform a pain assessment would be the appropriate action to take next
A nurse is performing an admission assessment on a client. When measuring her vital signs,
the nurse finds that her radial pulse rate 68/min & her simultaneous apical pulse rate is
84/min.
What is the client's pulse deficit? - Correct Answer :16/min
the pulse deficit is the difference between the apical & radial pulse
rates. 84-68=16
A+ TEST BANK 2
,A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the
following info should the nurse include when explaining the procedure to the client?
A. Eating more protein is optimal prior to testing
B. One stool specimen is sufficient for testing
C. A red color change indicates a positive test
D. The specimen cannot be contaminated –
Correct Answer :D.
The stool specimens cannot be contaminated with water or urine
A nurse is talking w/a client who reports constipation. When the nurse discusses dietary
changes that can help prevent constipation, which of the following foods should the nurse
recommend?
A. Macaroni & cheese
B. Fresh fruit & whole wheat toast
C. Rice pudding & ripe bananas
D. Roast chicken & white rice –
Correct Answer :B.
A high-fiber diet promotes normal bowel elimination
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the
client, the nurse should expect which of the following findings? Select all.
A. Bradycardia
A+ TEST BANK 3
, B. Hypotension
C. Fever
D. Poor skin turgor
E. Peripheral edema –
Correct Answer :B, C, D
fever=caused by dehydration
tachycardia not brady
hypotension because of decreased BP from dehydration
fluid overload=peripheral edema
A nurse is preparing to administer a cleansing enema to an adult client in preparation for a
diagnostic procedure. Which of the following are appropriate steps for the nurse to take?
Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus –
Correct Answer :A, B, C
-D is the appropriate length of insertion for a child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible painful distention of the
colon, 18 inches is the recommended height
A+ TEST BANK 4
