ATI PEDIATRICS LATEST PROCTORED EXAM GUIDE 2023/2024 |A+ GUARANTEE| 100% CORRECT QUESTIONS AND ANSWERS

A nurse is helping a school-age child who has celiac disease select menu items for the next day's meals and snacks. Which of the following foods should the nurse encourage the client to choose? a. Sliced chicken breast on whole wheat bread b. Beef, barley, and vegetable soup c. Graham crackers with peanut butter d. A cheese omelet with orange juice. Correct Ans:- d. A cheese omelet with orange juice. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching? a. "My daughter can't drink orange juice" b. "I will switch her to whole milk now that she's old enough" c. "I will steam carrots and cut them into small pieces of her" d. "I should ensure that my daughter eats 1 ounce of meat every day" Correct Ans:- c. "I will steam carrots and cut them into small pieces of her" A nurse is reviewing the results of the newborn screening for a newborn who is 1 week old. Results include total T4 0.8 mcg/dL, phenylalanine 0.7 mg/dL, and negative galactosemia. Which of the following interventions should the nurse include in the plan of care? a. Initiate a diet low in phenylalanine b. Monitor the newborn's urine for ketones c. Obtain blood glucose levels every 4 hr d. Instruct the newborn's parent about how to administer levothyroxine Correct Ans:- d. Instruct the newborn's parent about how to administer levothyroxine A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? (Select all that apply). a. Begin droplet precautions b. Obtain a throat culture c. Initiate IV access d. Inspect the epiglottis e. Monitor oxygen saturation Correct Ans:- a. Begin droplet precautions c. Initiate IV access e. Monitor oxygen saturation A nurse is planning care for an 8-month-old infant who has bronchiolitis. Which of the following actions should the nurse include in the plan of care? a. Administer a meningococcal vaccine upon admission b. Use a bulb syringe to suction the nares c. Place the infant in a room with negative-pressure airflow d. Initiate IV antibiotic therapy Correct Ans:- b. Use a bulb syringe to suction the nares A nurse is providing discharge teaching to the parents of a preschool aged child who has heart-failure and a new prescription for digoxin oral solution. Which of the following instructions should the nurse include? a. "If a dose is missed, double the next dose" b. "If your child vomits, do not give the medication for 48 hours" c. "Mix the medication with 6 ounces of your child's favorite juice" d. "Rinse your child's mouth with water after giving the medication" Correct Ans:- d. "Rinse your child's mouth with water after giving the medication" A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse report to the provider? a. Has a vocabulary of 30 words b. Eats a large amount of food one day then very little the next c. Sleeps 11 to 12 hr per day d. Hold his breath when having a temper tantrum Correct Ans:- a. Has a vocabulary of 30 words A nurse is assessing a child who is 2 hr postoperative following cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first? a. Administer acetaminophen b. Monitor pulse distal to the insertion site c. Check the child's blood glucose level d. Apply pressure just above the insertion site Correct Ans:- d. Apply pressure just above the insertion site A nurse is planning to teach an adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? a. "You should consume flavored yogurt instead of plain yogurt" b. "You can drink milk on an empty stomach" c. "You may tolerate plain milk better than chocolate milk" d. "You can replace milk with non-dairy sources of calcium" Correct Ans:- d. "You can replace milk with non-dairy sources of calcium" A nurse is collecting data from a toddler who weighs 20 kg (44 lb) and has a full-thickness burn to 10% of this body. Which of the following findings should the nurse report to the provider? a. Increased restlessness b. Respiratory rate 25/min c. Bowel sounds 20/min d. Urinary output 35 mL/hr Correct Ans:- a. Increased restlessness A nurse is assessing a preschool-age child who is in the immediate postoperative period following a tonsillectomy. Which of the following assessment findings is the priority? a. The child's throat pain increases b. The child swallows frequently c. The child refuses clear liquids d. The child cries often Correct Ans:- b. The child swallows frequently A nurse is providing teaching to a parent of an 11-month-old infant who has acute diarrhea and dehydration. Which of the following fluids should the nurse instruct the parent to provide to the infant? a. Oral electrolyte solution b. Half-strength apple juice c. Chicken broth d. Glucose water Correct Ans:- a. Oral electrolyte solution A nurse in an emergency department is caring for a child who experienced a submersion injury. Which of the following is the priority action for the nurse to take? a. Assist with intubation b. Obtain an ABG sample c. Administer an IV bolus d. Apply warming blankets Correct Ans:- a. Assist with intubation A nurse is reviewing the medical record of a 6-month-old infant who has heart failure prior to administering medications. The nurse should recognize that which of the following medications is contraindicated? (Click on the "EXHIBIT" a. NOT ENOUGH INFO. Correct Ans:- A nurse is caring for a school-age child who is in 90 degree/90 degree skeletal traction. Which of the following actions should the nurse take? a. Release the traction to allow the child to bathe b. Ensure that the pulley mechanism is attached to the skin c. Adjust the weights to allow the child to turn d. Place the child on alternating pressure mattress Correct Ans:- d. Place the child on alternating pressure mattress A nurse is providing teaching to the parents of an infant who is to undergo pilocarpine iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse include in the teaching? a. "The test will measure the amount of chloride in your baby's sweat" b. "A nurse will insert an IV prior to the test" c. "Your baby will need to fast for 8 hours prior to the test" d. "We will measure the amount of protein in your baby's urine over a 24 hour period" Correct Ans:- a. "The test will measure the amount of chloride in your baby's sweat" A nurse is assessing a preschool-age child who has celiac disease. Which of the following findings should the nurse expect? Inflammation caused by gluten foods. a. Chronic constipation b. Steatorrhea c. Obesity d. Polyphagia Correct Ans:- b. Steatorrhea A nurse is caring for a toddler who is postoperative following cleft palate repair. Which of the following actions should the nurse take? a. Change oral packing every 6 hr b. Use a bulb syringe to suction oral secretions c. Keep the toddler NPO for 24 hr postoperative d. Administer opioids for mouth pain Correct Ans:- b. Use a bulb syringe to suction oral secretions A nurse is caring for a 3-year-old child who is recovering from surgery. Which of the following methods should the nurse use to assess the child's pain level? a. Oucher Scale b. Poker Chip Tool c. Word-Graphic Rating Scale d. Visual Analog Scale Correct Ans:- a. Oucher Scale A nurse is preparing to perform a venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? a. Jacket b. Mitten c. Mummy (aka swaddling) d. Elbow Correct Ans:- c. Mummy (aka swaddling) A nurse is reviewing the laboratory results of a preschool-age child who has hematuria. Which of the following results should the nurse report to the provider? a. Hematocrit 36% b. Platelet count 170,000/mm3 c. Hgb 12 g/dL d. BUN 21 mg/dL Correct Ans:- d. BUN 21 mg/dL A nurse is planning care for a child immediately following the insertion of a chest tube for continuous suction with a close drainage system. Which of the following interventions should the nurse include in the plan of care? a. Ensure continuous bubbling is present in the suction control chamber b. Record the amount of chest tube drainage every 2 hr (every hour during the first few hours) c. Report the presence of tidaling of fluid in the water seal chamber d. Change the chest tube insertion site dressing every 12 hr Correct Ans:- a. Ensure continuous bubbling is present in the suction control chamber A nurse is planning care for a child who has osteomyelitis. Which of the following interventions should the nurse include in the plan of care? a. Encourage frequent physical activity to increase bone mass b. Provide a high-calorie, low-protein diet c. Initiate contact precautions for the child d. Maintain a patent intravenous catheter Correct Ans:- d. Maintain a patent intravenous catheter A nurse in a family practice clinic is assessing a preschool-age child who recently experienced the death of a sibling. Which of the following reactions is an age-appropriate response to death? a. The child can give a logical explanation for the sibling's death b. The child feels responsible for the sibling's death c. The child views the sibling's death as permanent d. The child is curious about what happened to the sibling's body Correct Ans:- b. The child feels responsible for the sibling's death A nurse is teaching home care to the parents of a preschool-age child who has heart failure. Which of the following information should the nurse include in the teaching? a. Withhold digoxin if the child's pulse is greater than 100/min- preschoolers HR must be < 70 infants is < 90 b. Provide for periods of rest c. Increase the child's oxygen flow rate until the child no longer has cyanosis d. Weight the child once each month Correct Ans:- b. Provide for periods of rest A nurse is caring for a child who is 2 days postoperative following an appendectomy due to rupture of the appendix. The child's NG tube is set to low intermittent suction. Which of the following findings indicates that the child's gastrointestinal function has returned? a. The abdomen is soft and nondistended on palpation b. The child reports thirst and hunger c. The NG tube has 20 mL of output every hour d. The nurse auscultates bowel sounds Correct Ans:- d. The nurse auscultates bowel sounds A nurse in a PACU is caring for a school-age child immediately following a tonsillectomy. Which of the following actions should the nurse take? a. Place the child in a side-lying position b. Encourage the child to deep breathe and cough c. Instruct the child to drink fluids through a straw. d. Offer the child ice cream when alert Correct Ans:- a. Place the child in a side-lying position A nurse in the emergency department is caring for an adolescent who is requesting testing for STIs. Which of the following actions is appropriate for the nurse to take? a. Contact the client's parents to obtain phone consent b. Obtain written consent from the client c. Postpone the testing until the client's parents are present d. Request verbal consent from the social worker Correct Ans:- b. Obtain written consent from the client A nurse is caring for a child who has bacterial meningitis. Which of the following criteria indicates the nurse should remove the child from droplet precautions? a. Antibiotics initiated 24 hr ago b. Negative Cerebrospinal fluid culture c. Absent nuchal rigidity d. Temperature below 37.4 C (99.4F) Correct Ans:- a. Antibiotics initiated 24 hr ago A nurse is creating a plan of care for a newly-admitted adolescent who has bacterial meningitis. How long should the nurse plan to maintain the adolescent in droplet precautions? A. Until the adolescent is afebrile b. For 7 days following admission to the facility c. Until the adolescent has a negative blood culture d. For 24hr following initiation of antimicrobial therapy Correct Ans:- d. For 24hr following initiation of antimicrobial therapy A nurse is preparing to administer an enteral feeding to an adolescent who has NG tube. Which of the following actions should the nurse take first? a. Attach the feeding bag tubing to the end of the NG tube b. Set the administration rate on the feeding pump c. Check the pH of the gastric secretions d. Flush the tube with water Correct Ans:- c. Check the pH of the gastric secretions A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider? a. Facial twitching b. Kyphosis c. Enuresis d. Constipation Correct Ans:- a. Facial twitching A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline. Which of the following findings should the nurse expect? a. Ataxia b. Hypothermia c. Pinpoint pupils d. Hyperactive reflexes Correct Ans:- a. Ataxia A nurse is providing discharge teaching to the parents of a school-age child following placement of a ventriculoperitoneal shunt. The nurse should determine that the teaching was effective when the parents identify which of the following as an indicator that the shunt has been displaced? a. Decreased urine output b. Elevated temperature c. Hyperactive bowel sounds d. Increased sleeping Correct Ans:- d. Increased sleeping A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the following actions should the nurse take first? a. Obtain a stool specimen for culture- intervention but not first, second before antibiotic administration b. Give 0.9% sodium chloride IV bolus- intervention but not first c. Administer an antibiotic- need stool culture first before administration of antibiotics d. Initiate contact precautions Correct Ans:- d. Initiate contact precautions A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report ot the provider? a. Blood pressure 102/58 mm Hg b. Serum glucose 90 mg/dL c. Weak pedal pulse distal to the site d. Bilateral cool extremities Correct Ans:- d. Bilateral cool extremities 36. A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots? Correct Ans:- A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect? a. Rhinorrhea b. Visible peristalsis c. Weight gain d. Steatorrhea Correct Ans:- d. Steatorrhea A nurse is caring for a child who is terminally ill. The parents tell the nurse that their child is going to be fine because they heard about another child who survived the same illness. Which of the following responses should the nurse take? a. "Tell me what you know about your child's illness" b. "The provider told you that your child's illness is terminal"(no) c. "Let's talk about some happy memories with your child"(not appropriate time) d. "It is important that you believe your child will survive"( belief is important but don't want to give false hope) Correct Ans:- a. "Tell me what you know about your child's illness" A nurse is assessing an infant who has acute otitis media. Which of the following findings should the nurse expect? (Select all that apply) a. Enlarged subclavicular lymph node b. Increased appetite- they will have nausea and vomiting so this one is odd man out. c. Restlessness d. Fever- can be as high as 104 degrees. e. Crying Correct Ans:- a. Enlarged subclavicular lymph node c. Restlessness d. Fever- can be as high as 104 degrees. e. Crying A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurse take? a. Initiate airborne precautions b. Maintain strict I&O c. Encourage bed rest d. Monitor for constipation Correct Ans:- b. Maintain strict I&O A nurse is caring for an infant who has heart failure and is receiving digoxin. Which of the following findings indicates a positive response to the medication? a. Urine output 2 mL/kg/hr. b. Heart rate 187/min c. Respiratory rate 32/min d. Capillary refill 4 seconds Correct Ans:- a. Urine output 2 mL/kg/hr. A nurse is providing teaching to the parents of a child who is receiving radiation therapy. Which of the following instructions should the nurse include in the teaching? (Select all that apply). a. "Dress your child in loose-fitting clothes" b. "Avoid giving your child lengthy baths" c. "Apply an oil-based lotion over the irradiated area twice per day" d. "Encourage mild activity daily"