ATI Peds Practice B Exams
Questions with Complete
Solutions
Denning [Date] [Course title]
,A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder.
Which of the following interventions should the nurse plan to include? - Correct Answers Ensure the
oxygen source is functioning in the child's room.
The nurse should recognize that maintaining the child's airway is important during a seizure. The nurse
should ensure that the oxygen source is functioning because the child might require supplemental
oxygen following a seizure.
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which
of the following statements should the nurse make? - Correct Answers "You should offer your child high-
protein meals and snacks throughout the day."
The nurse should instruct the guardian to provide a diet that is well-balanced and high in protein and
calories. Children who have cystic fibrosis require a higher percentage of the recommended dietary
allowances of all nutrients to meet their energy requirements. Children who have good nutritional
intake have improved lung function and decreased risk of infection.
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative
following hypospadias repair with a stent placement. Which of the following instructions should the
nurse include in the teaching? - Correct Answers "Allow the stent to drain directly into your infant's
diaper."
The nurse should instruct the parents to ensure that the stent drains directly into the infant's diaper to
prevent kinking or twisting that can interfere with urine flow.
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone.
Following 1 week of treatment, which of the following manifestations indicates to the nurse that the
medication is effective? - Correct Answers Decreased edema
A child who has nephrotic syndrome can experience edema due to the increased glomerular
permeability, which increases protein loss. Prednisone decreases glomerular permeability, which causes
fluid to shift from the extracellular spaces, resulting in decreased edema.
A nurse is receiving change-of-shift report for four children. Which of the following children should the
nurse assess first? - Correct Answers A toddler who has a concussion and an episode of forceful vomiting
, When using the urgent vs. nonurgent approach to client care, the nurse should assess this child first. An
episode of forceful vomiting is an indication of increased intracranial pressure in a toddler who has a
concussion.
A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24
hr ago. The nurse should instruct the guardians to report which of the following findings to the
provider? - Correct Answers Restricted ability to move the toes
The nurse should inform the guardians that a restricted ability of the toddler to move their toes is an
indication of neurovascular compromise and requires immediate notification of the provider. Permanent
muscle and tissue damage can occur in just a few hours.
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? (Click on the audio button to
listen to the clip.) - Correct Answers Wheezes
The nurse should identify the sound during auscultation as wheezes, which are high-pitched, musical or
whistling-like sounds heard primarily on expiration as air passes through and vibrates narrowed airways.
Notes:
The nurse should identify crackles as high-pitched, short, and noncontinuous sounds usually heard at the
end of inspiration. Crackles occur when air expands deflated alveoli or when the passage of air through
small airways is disrupted.
The nurse should identify a pleural friction rub as a loud, rough, grating sound that can be heard during
inspiration or expiration. A pleural friction rub occurs when the pleurae are inflamed and the surfaces
rub together.
The nurse should identify rhonchi as low-pitched, continuous sounds that have a snore-like quality and
are usually louder during expiration. Rhonchi occur when the larger airways are obstructed.
Questions with Complete
Solutions
Denning [Date] [Course title]
,A nurse is planning care for a newly admitted school-age child who has generalized seizure disorder.
Which of the following interventions should the nurse plan to include? - Correct Answers Ensure the
oxygen source is functioning in the child's room.
The nurse should recognize that maintaining the child's airway is important during a seizure. The nurse
should ensure that the oxygen source is functioning because the child might require supplemental
oxygen following a seizure.
A nurse is providing dietary teaching to the guardian of a school-age child who has cystic fibrosis. Which
of the following statements should the nurse make? - Correct Answers "You should offer your child high-
protein meals and snacks throughout the day."
The nurse should instruct the guardian to provide a diet that is well-balanced and high in protein and
calories. Children who have cystic fibrosis require a higher percentage of the recommended dietary
allowances of all nutrients to meet their energy requirements. Children who have good nutritional
intake have improved lung function and decreased risk of infection.
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is postoperative
following hypospadias repair with a stent placement. Which of the following instructions should the
nurse include in the teaching? - Correct Answers "Allow the stent to drain directly into your infant's
diaper."
The nurse should instruct the parents to ensure that the stent drains directly into the infant's diaper to
prevent kinking or twisting that can interfere with urine flow.
A nurse is caring for a school-age child who has primary nephrotic syndrome and is taking prednisone.
Following 1 week of treatment, which of the following manifestations indicates to the nurse that the
medication is effective? - Correct Answers Decreased edema
A child who has nephrotic syndrome can experience edema due to the increased glomerular
permeability, which increases protein loss. Prednisone decreases glomerular permeability, which causes
fluid to shift from the extracellular spaces, resulting in decreased edema.
A nurse is receiving change-of-shift report for four children. Which of the following children should the
nurse assess first? - Correct Answers A toddler who has a concussion and an episode of forceful vomiting
, When using the urgent vs. nonurgent approach to client care, the nurse should assess this child first. An
episode of forceful vomiting is an indication of increased intracranial pressure in a toddler who has a
concussion.
A nurse is providing discharge teaching to the guardians of a toddler who had a lower leg cast applied 24
hr ago. The nurse should instruct the guardians to report which of the following findings to the
provider? - Correct Answers Restricted ability to move the toes
The nurse should inform the guardians that a restricted ability of the toddler to move their toes is an
indication of neurovascular compromise and requires immediate notification of the provider. Permanent
muscle and tissue damage can occur in just a few hours.
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? (Click on the audio button to
listen to the clip.) - Correct Answers Wheezes
The nurse should identify the sound during auscultation as wheezes, which are high-pitched, musical or
whistling-like sounds heard primarily on expiration as air passes through and vibrates narrowed airways.
Notes:
The nurse should identify crackles as high-pitched, short, and noncontinuous sounds usually heard at the
end of inspiration. Crackles occur when air expands deflated alveoli or when the passage of air through
small airways is disrupted.
The nurse should identify a pleural friction rub as a loud, rough, grating sound that can be heard during
inspiration or expiration. A pleural friction rub occurs when the pleurae are inflamed and the surfaces
rub together.
The nurse should identify rhonchi as low-pitched, continuous sounds that have a snore-like quality and
are usually louder during expiration. Rhonchi occur when the larger airways are obstructed.
