2023 PEDS ATI PROCTORED EXAM, ATI PN PEDIATRICS 2023
PROCTORED
The nurse is preparing to administer an immunization to a four- C- administer the immunization using a 24-gauge needle; The nurse should administer an
year-old child. immunization for a 4-year-old child using a 24-
Which of the following actions should the nurse plan to take? gauge needle to minimize the amount of pain experienced by the toddler.
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
A nurse is reviewing the laboratory report of an infant who is B- sodium 140; The nurse should identify that a sodium level of 140 mEq/L is within the
receiving expected reference range and indicates the current treatment regimen the infant
treatment for severe dehydration. The nurse should identify is receiving for dehydration is effective.
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
The nurse is providing teaching about Social Development to D- playing dress-up; The nurse should instruct the parents that at the preschool age, play
the parents of a should focus
preschooler. Which of the following play activities should the on social, mental, and physical development. Therefore, playing dress-up is a
nurse recommended play activity for this child.
recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
1/21
,A nurse is teaching the parents of a newborn about ways to D- Give the infant a pacifier at bedtime; The nurse should inform the parent that
prevent sudden protective factors against SIDS include
infant death syndrome SIDS. Which of the following breastfeeding and the use of a pacifier when the infant is sleeping.
instructions should the A- The nurse should instruct the parent to place the infant in a supine
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.
A nurse is assessing an infant who has pneumonia. Which of A- Nasal flaring; When using the airway, breathing, circulation approach to client care, the
the following nurse
findings is the priority for the nurse to report to the provider? should place the priority on nasal flaring. Nasal flaring indicates that the
A- Nasal flaring infant is experiencing acute respiratory distress.
B- WBC 11,300
C- diarrhea
D- abdominal distension
A school nurse is assessing a school-age child blood pressure C- assist the child to a side-lying position on the floor; The greatest risk to this child is
while he is seated aspiration, occlusion of the airway, and bodily
in a chair. The child starts to experience a tonic-clonic seizure. injury from falling out of the chair. The nurse should ease the child down to
Which of the floor in a side-lying position immediately. This position enables the child's
following actions should the nurse take first? secretions to drain from the mouth, preventing aspiration, and maintaining a
A- Clear the immediate area around the child of hazardous patent airway.
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
2/21
, A nurse is receiving change-of-shift Report on for children. A- A toddler who has a concussion and an episode of forceful vomiting; When using the
Which of the urgent vs. no urgent approach to client care, the nurse should assess
following children should the nurse assesses first? this child first. An episode of forceful vomiting is an indication of increased
A- A toddler who has a concussion and an episode of forceful intracranial pressure in a toddler who has a concussion.
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
A nurse in the emergency department is caring for an A is correct. The nurse should identify the lower right quadrant of the abdomen
adolescent who has between the umbilicus and the anterior iliac crest as the location of Burney's
severe abdominal pain due to appendicitis. Which of the point.
following
locations should the nurse identify as mcburney's point?
A nurse is providing teaching to the family of a school-age B- Encourage the child to perform independent self-care; The nurse should teach the
child who has family the importance of encouraging the child to
juvenile idiopathic arthritis. Which of the following instructions perform independent self-care. This will minimize the child's pain while maximizing
should mobility.
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.
A nurse is assessing a client who has a new diagnosis of celiac A- Steatorrhea; The nurse should realize that clients who have celiac disease are unable
disease. Which to digest
of the following clinical manifestations should the nurse gluten. This will cause damage to the cells in the bowel, leading to
expect? malabsorption, steatorrhea, and diarrhea.
A- Steatorrhea
B- projectile vomiting
C- sunken abdomen
D- weight gain
3/21
PROCTORED
The nurse is preparing to administer an immunization to a four- C- administer the immunization using a 24-gauge needle; The nurse should administer an
year-old child. immunization for a 4-year-old child using a 24-
Which of the following actions should the nurse plan to take? gauge needle to minimize the amount of pain experienced by the toddler.
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
A nurse is reviewing the laboratory report of an infant who is B- sodium 140; The nurse should identify that a sodium level of 140 mEq/L is within the
receiving expected reference range and indicates the current treatment regimen the infant
treatment for severe dehydration. The nurse should identify is receiving for dehydration is effective.
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
The nurse is providing teaching about Social Development to D- playing dress-up; The nurse should instruct the parents that at the preschool age, play
the parents of a should focus
preschooler. Which of the following play activities should the on social, mental, and physical development. Therefore, playing dress-up is a
nurse recommended play activity for this child.
recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up
1/21
,A nurse is teaching the parents of a newborn about ways to D- Give the infant a pacifier at bedtime; The nurse should inform the parent that
prevent sudden protective factors against SIDS include
infant death syndrome SIDS. Which of the following breastfeeding and the use of a pacifier when the infant is sleeping.
instructions should the A- The nurse should instruct the parent to place the infant in a supine
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.
A nurse is assessing an infant who has pneumonia. Which of A- Nasal flaring; When using the airway, breathing, circulation approach to client care, the
the following nurse
findings is the priority for the nurse to report to the provider? should place the priority on nasal flaring. Nasal flaring indicates that the
A- Nasal flaring infant is experiencing acute respiratory distress.
B- WBC 11,300
C- diarrhea
D- abdominal distension
A school nurse is assessing a school-age child blood pressure C- assist the child to a side-lying position on the floor; The greatest risk to this child is
while he is seated aspiration, occlusion of the airway, and bodily
in a chair. The child starts to experience a tonic-clonic seizure. injury from falling out of the chair. The nurse should ease the child down to
Which of the floor in a side-lying position immediately. This position enables the child's
following actions should the nurse take first? secretions to drain from the mouth, preventing aspiration, and maintaining a
A- Clear the immediate area around the child of hazardous patent airway.
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
2/21
, A nurse is receiving change-of-shift Report on for children. A- A toddler who has a concussion and an episode of forceful vomiting; When using the
Which of the urgent vs. no urgent approach to client care, the nurse should assess
following children should the nurse assesses first? this child first. An episode of forceful vomiting is an indication of increased
A- A toddler who has a concussion and an episode of forceful intracranial pressure in a toddler who has a concussion.
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
A nurse in the emergency department is caring for an A is correct. The nurse should identify the lower right quadrant of the abdomen
adolescent who has between the umbilicus and the anterior iliac crest as the location of Burney's
severe abdominal pain due to appendicitis. Which of the point.
following
locations should the nurse identify as mcburney's point?
A nurse is providing teaching to the family of a school-age B- Encourage the child to perform independent self-care; The nurse should teach the
child who has family the importance of encouraging the child to
juvenile idiopathic arthritis. Which of the following instructions perform independent self-care. This will minimize the child's pain while maximizing
should mobility.
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.
A nurse is assessing a client who has a new diagnosis of celiac A- Steatorrhea; The nurse should realize that clients who have celiac disease are unable
disease. Which to digest
of the following clinical manifestations should the nurse gluten. This will cause damage to the cells in the bowel, leading to
expect? malabsorption, steatorrhea, and diarrhea.
A- Steatorrhea
B- projectile vomiting
C- sunken abdomen
D- weight gain
3/21
