ATI PEDS PROCTORED EXAM

A nurse is teaching a group of female adolescents about healthy eating. Which of the following instructions should the nurse include in the teaching? a. Increase the amount of your dietary iron intake b. limit your sodium intake to 3000 mg per day c. consumer 1,500 to 1700 calories per day d. decrease your vitamin D intake once you start to menstruate - a. Increase the amount of your dietary iron intake A nurse is assessing a child who has multiple Closed fractures of the lower extremities due to a motor vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hours after the injury occurred? A. Compartment syndrome B. Osteomyelitis C. Renal calculi D. Volkmann ischemic contracture. - A. Compartment syndrome A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning. Which of the following should the nurse expect? A. Neck vein distention B. Jaundice C. Polyuria D. Hyperpyrexia - D. Hyperpyrexia A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? A. Inspect the skin for discoloration B. Initiate a low diet for lead absorption C. Obtain a stool specimen for lead levels D. Perform development testing for delays - D. Perform development testing for delays A nurse teaches about growth and development to a parent of a 12- years old child. The nurse should instruct the parent to expect the child to exhibit the following characteristics during early adolescence? A. Emotional separation from parents B. Decelerating growth rate. C. Mood swings D. Increased self-esteem. - C. Mood swings A nurse preparing to administer ondansetron 0.15mg/kg IV to a child receiving chemotherapy and weighs 29.4 kg. Available is ondansetron 4mg/2 ml solution. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero). mL - 2.2 mL A nurse reviews the laboratory result of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect? A. Hypertension B. Oliguria C. Hyporeflexia D. Hyperactive bowel sounds. - B. Oliguria 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 to the provider? A. Bilateral extremities B. Weak pedal pulse distal to the site C. Serum glucose 90 mg/dl D. Blood pressure 102/58 mm Hg. - B. Weak pedal pulse distal to the site A school nurse is assessing a 7 year old student. The nurse should identify which of the following findings is a potential indicator of physical abuse? A. Abrasions on the knees B. Front deciduous teeth missing C. Weight in 45th percentile D. Bruising around the wrists - D. Bruising around the wrists A nurse is teaching the parents of a school-age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? A. Your child should walk the bicycle through intersections B. Your child should keep the bicycle at least 3 feet from the curb while riding in the street. C. Your child should ride the bicycle against the flow of traffic D. Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle. - A. Your child should walk the bicycle through intersections A charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse? A. A toddler repeatedly refuses to let a nurse auscultate his lungs B. A toddler has bruises on his knees. C. An 8-month-old infant cries when his parent levels the room. D. A mother is hesitant to comfort her 6-month-old infant. - D. A mother is hesitant to comfort her 6-month-old infant. A nurse is teaching the guardian of 5- years old child who has encopresis (fecal incontinence) about managing the condition. Which of the following statements by the guardian indicates an understanding of the teaching? A. I will limit my child's fluid intakes B. I will increase my child's diary intakes C. I will have my child try to defecate 15 minutes after each meal D. I will have my child sit on the toilet for 20 minutes at a time. - C. I will have my child try to defecate 15 minutes after each meal A nurse is preparing to initiate IV antibiotics therapy for a newly admitted 12- month-old infant. Which of the following actions should the nurse plan to take? A. Cover the insertion site with an opaque dressing. B. Use a 24-gauge catheter to start the IV. C. Start the IV in the infant's foot. D. Change the IV site every 3 days. - B. Use a 24-gauge catheter to start the IV. A nurse is caring for a postoperative client following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take? A. Tighten the screws on the halo device one quarter turn every 48 hr B. Reposition the client using a turning sheet C. Assess the pin sites for infection once every other day. (suppose to be everyday) D. Encourage flexion and extension of the neck. - B. Reposition the client using a turning sheet A nurse is planning care for an adolescent following repair of the Meckel diverticulum. Which of the following actions should the nurse include in the plan of care? A. Teach the client about ostomy care B. Indicate long-term antibiotic therapy. C. Administer total parenteral nutrition. D. Maintain an NG tube for decompression. - D. Maintain an NG tube for decompression. A nurse is caring for a school-age child who has pertussis. Which of the following actions should the nurse take? A. Restrict oral fluids to 500 mL per day. B. Administer the pertussis vaccine. C. Report the diagnosis to the public health department. (CDC) D. Place the child in a protected environment for 48 hr. - C. Report the diagnosis to the public health department. (CDC) A nurse in the emergency department cares for a school-age child who has developed respiratory stridor, wheezing, and urticaria after receiving an IV medication. Which of the following actions should the nurse take first? A. Administer oxygen. B. Administer epinephrine C. Administer methylprednisolone. D. Administer a nebulizer bronchodilator. - B. Administer epinephrine A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching? A. I should limit the use of the fingers of my broken arm B. I will sprinkle the baby powder into the cast if my arm itches C. I will elevate my broken arm on pillows at night. D. I should expect my fingers to be swollen for several days. - C. I will elevate my broken arm on pillows at night. 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 replace milk with nondairy sources of calcium C. You might tolerate plain milk better than chocolate milk D. You can drink milk on an empty stomach. - B. You can replace milk with nondairy sources of calcium A nurse is admitting a child who has acute epiglottitis. Which of the following actions should the nurse take? A. Obtain a throat culture B. Check oxygen saturation every 4 hr. C. Initiate droplet isolation precautions. D. Assist the child in a supine position. - C. Initiate droplet isolation precautions. A nurse is planning to administer immunizations to a 2-month-old infant. Which of the following actions should the nurse take to decrease the infant's pain? A. Ask the parent to leave the room during the injections. B. Administer the injections in the deltoid muscle. C. Apply a warm pack to the injection site before administration. D. Administer the injections while the infant is breastfeeding. - D. Administer the injections while the infant is breastfeeding. A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect? A. Hypertension. B. Increased urine output C. Increased respiratory rate D. Capillary refill of 2 seconds - C. Increased respiratory rate A nurse at an inpatient facility is planning care for a child with an autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? A. Place the child in a semi-private room. B. Vary daily routes when providing care for the child C. Keep staff with the child brief D. Keep the television on in the child's room for background noise. - C. Keep staff with the child brief A nurse evaluates a 4-years child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse should identify which of the following findings is an indication that the therapy has been effective? A. Increased urine output B. Reduced pain C. Increased expectoration D. Increased heart rate. - C. Increased expectoration A nurse is preparing to administer immunization to a 3-month-old infant. Which of the following is an appropriate action for the nurse to take to deliver atraumatic care? A. Provide a pacifier coated with an oral sucrose solution prior to the injections. B. Inject the immunizations into the deltoid muscle C. Apply an eutectic mixture of local anesthetics (EMLA) cream immediately before the injections. - no, 60 minutes beforehand D. Use a 20-gauge needle for the injections. - no, use a 22-25gauge needle, 1/2"-1" long - A. Provide a pacifier coated with an oral sucrose solution prior to the injections. 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. Obtain ABG samples B. Assist with intubation C. Apply warming blankets D. Administer an IV bolus. - B. Assist with intubation 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. Hypothermia B. Hyperactive reflexes C. Ataxia - impaired balance or coordination D. Pinpoint pupils. - C. Ataxia - impaired balance or coordination A nurse provides teaching to the parents of a child who has varicella about the management of the disease. Which of the following instructions should the nurse include in the teaching? A. Avoid bathing the child while vesicles are present. B. Keep the child away from others until the skin is clear of scabs C. Dress the child in warm clothing to promote the healing of vesicles. D. Apply calamine lotion to vesicles on the child's skin. - B. Keep the child away from others until the skin is clear of scabs A nurse reviews the medication records of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccines. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine? A. Temperature of 37.2 C (99 E) degrees B. Family history of seizures. C. Upper respiratory infection 2 days ago D. Allergy to neomycin - D. Allergy to neomycin. A nurse is providing teaching to the parent of a child who has impetigo. Which of the following instructions should the nurse include in the teaching? A. Administer acyclovir PO two times per day B. Soak hairbrushes in boiling water for 10 mins C. Apply bactericidal ointment to lesions. D. Seal soft toys in plastic bags for 14 days. - C. Apply bactericidal ointment to lesions. A nurse is planning to admit a preschooler from the PACU following the removal of a Wilms tumor. Which of the following children should the nurse identify as an appropriate roommate for the preschooler? A. A child who has cellulitis of the right radius. B. A child who has impetigo C. A child who has pneumonia D. A child who has a fractured left femur. - D. A child who has a fractured left femur. A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? A. Apply warm compresses to the affected areas B. Administer furosemide IV twice per day C. Initiate contact precautions D. Decrease the child's fluid intake. - A. Apply warm compresses to the affected areas A nurse is creating a care plan for a toddler who is recovering following a routine surgical procedure. Which of the following interventions should the nurse include? A. Administer IV dantrolene sodium to the toddler. B. Encourage the toddler to use an incentive spirometer C. Place a cooling blanket on the toddler D. Administer aspirin to the toddler as needed for pain. - can cause Reye's syndrome - B. Encourage the toddler to use an incentive spirometer A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider? A. Nightmares B. Hyperactivity C. Pruritus D. Diplopia - double vision - D. Diplopia - double vision A nurse is preparing to perform venipuncture to collect a blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? A. Elbow B. Jacket C. Mitten D. Mummy. - D. Mummy. A nurse is caring for an infant who has a patent ductus arteriosus. The nurse should identify that the defect is at which of the following locations of the heart? (you will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - B A nurse collects data from a toddler who weighs 20 kg (44 Lb) and has a full thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider? A. Respiratory rate 25/min B. Bowel sodium 20/min C. Urinary output 35/hr. D. Increased restlessness - D. Increased restlessness A nurse provides teaching to the parents of a school-age child newly diagnosed with a seizure disorder. The nurse should teach the parents to take the following actions during a seizure? A. Place the child in a prone position B. Insert a tongue blade between the teeth. C. Minimize movement of the limbs D. Clear the area of hard objects. - D. Clear the area of hard objects. A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? A. Apply a warm compress to the affected areas B. Administer furosemide IV twice per day C. Initiate contact precautions D. Decrease the child's fluid intake - A. Apply a warm compress to the affected areas A nurse is planning care for an adolescent who has sickle cell anemia. Which of the following immunizations should the nurse include in the plan? A. Respiratory syncytial virus (RSV) B. Pneumococcal conjugate (PCV) C. Measles, mumps, and rubella (MMR) D. Rotavirus - B. Pneumococcal conjugate (PCV) A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin. Which of the following laboratory values should the nurse report to the provider? A. Creatinine 1.4mg/dL B. BUN 6mg/dL C. Creatinine 0.3 mg/dL D. BUN 12mg/dL - A. Creatinine 1.4mg/dL A nurse is caring for a school-age child who is 1hr postoperative following a tonsillectomy. Which of the following actions should the nurse take? (Select all that apply) A. Maintain the child in a supine position. B. Provide cranberry juice to the child. C. Discourage the child from coughing. D. Observe the child for frequent swallowing. E. Administer an analgesic to the child on a scheduled basis. - C. Discourage the child from coughing. D. Observe the child for frequent swallowing. E. Administer an analgesic to the child on a scheduled basis. A nurse is caring for a group of clients. Which of the following findings should the nurse report to the provider? A. 3-month-old infant who has a respiratory rate of 30/min (25-30 normal) B. An 18-month-old toddler who has a heart rate of 68/min C. A school-age child who has a rectal body temperature of 37.3 C(99.1 F) D. An adolescent who has a BP of 132/82 mm Hg - D. An adolescent who has a BP of 132/82 mm Hg A nurse is caring for a 2-month-old infant with heart failure and receiving furosemide. Which of the following findings is the nurse's priority? A. Heart rate 162/min B. Potassium 5.1 mEQ/L - C. Sunken anterior fontanel - sign of dehydration D. Negative doll's eye reflex - C. Sunken anterior fontanel - sign of dehydration 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 ageappropriate response to death? A. The child feels responsible for the sibling's death B. The child views the sibling's death as permanent C. The child is curious about what happened to the sibling's body. D. The child can give a logical explanation for the sibling's death - A. The child feels responsible for the sibling's death A nurse in a community clinic is reviewing the laboratory results of four clients. The nurse should identify which of the following sexuality transmitted infections is nationality notifiable? A. Bacterial vaginosis trichomoniasis B. Genital herpes simplex virus C. Human papillomavirus D. Gonorrhea (CDC) - D. Gonorrhea (CDC) A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse rapport with the provider? A. Has a vocabulary of 30 words B. Holds his breath when having a temper tantrum C. Eats a large amount of food one day, then very little the next D. Steps 11 to 12 hr per day. - A. Has a vocabulary of 30 words (normal = 50-300 words) A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following findings requires immediate interventions by the nurse? A. Frequent swallowing B. Dark brown blood noted in emesis C. Axillary temperature 38C( 100 F) D. Child reports a pain level of 5 on the FACES scale - A. Frequent swallowing A nurse is providing teaching to the guardians of an infant who requires a Pavlik harness. Which of the following instructions should the nurse include? A. Apply baby powder under the harness straps daily B. Massage lotion into the skin under the harness twice per day C. Adjust the harness straps daily D. Place the diaper under the straps of the harness. - D. Place the diaper under the straps of the harness. A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care? A. Apply a cold compress to affected joints B. Limit fruit intake C. Administer meperidine as needed for pain D. Initiate bed rest - D. Initiate bed rest A nurse is prioritizing care for four clients. Which of the following clients should the nurse assess first? A. An adolescent who has sickle cell anemia and slurred speech B. A toddler who has a partial-thickness burn on his right hand and requires a dressing change C. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin D. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10 - A. An adolescent who has sickle cell anemia and slurred speech A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates an understanding of the teaching? A. I should give the medication with 4 ounces of my child's favorite juice B. I should give my child water after giving the medication C. I should give the medication with foods that are high in fiber D. I should give my child another dose if he vomits right after taking the medication - B. I should give my child water after giving the medication A nurse is assessing an adolescent client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect? A. Flushed skin B. Night sweats C. Unexplained weight gain D. Decreased body temperature. - B. Night sweats A nurse teaches a parent about home interventions for a preschooler who is experiencing night terrors. Which of the following instructions should the nurse include in the teaching? A. Wait until the child indicates that he is tired before putting him to bed B. Allow your child to watch an animated movie right before bedtime C. Avoid allowing your child to sleep in your bed D. Wake your child up during the night terror - C. Avoid allowing your child to sleep in your bed A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching? A. My child will need to double his medications for the next 6 months B. My child will need to repeat his childhood immunizations once he is in remission C. The risk of transmission decreases once my child is on zidovudine for 2 weeks D. I will ensure that my child is tested for tuberculosis every year - D. I will ensure that my child is tested for tuberculosis every year A nurse is preparing to apply lidocaine and prilocaine cream to a child before inserting an IV catheter. Which of the following actions should the nurse plan to care for? A. Gently rub the cream into the skin B. Apply the cream 1 hr before the procedure C. Wash the site with alcohol before applying the cream D. Avoid removing the cream before the procedure - B. Apply the cream 1 hr before the procedure A nurse is caring for a child who received partial-thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contraction. Which of the following actions should the nurse take? (Select all that apply) A. Monitor intake and output B. Provide a high-calorie client C. Administer analgesics IM D. Change dressing using an aseptic technique E. Remove splints during sleep - A. Monitor intake and output B. Provide a high-calorie client D. Change dressing using an aseptic technique A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure? A. Prone B. Lateral C. Semi-Fowler's D. Supine - B. Lateral A nurse is teaching a group of male adolescents about testicular self-examination. Which of the following statements should the nurse include in the teaching? A. You should perform the examination once every other month - should be every month B. You should notify your provider if your testes are firm and egg-shaped C. perform the exam following a warm shower D. If you feel a hard lump, wait 1 month and retest yourself - C. perform the exam following a warm shower A nurse is creating a plan of care for an adolescent who has muscular dystrophy. Which of the following interventions should the nurse include in the plan? A. Avoid influenza and pneumococcal vaccines for 24 months B. Initiate a referral for chest physiotherapy every 4 hr C. Recommend the adolescent use a wheelchair to prevent stress on the lower extremities D. Encourage the adolescent to perform incentive spirometry to maintain lung capacity. - D. Encourage the adolescent to perform incentive spirometry to maintain lung capacity. A nurse is caring for an adolescent who has a major depressive disorder. Which of the following actions should the nurse take first? A. Ask the client if he is considering harming himself B. Administer an antidepressant to the client C. Encourage the client to attend a group therapy session D. Assist the client in completing his ADLs - A. Ask the client if he is considering harming himself A nurse is assessing an adolescent who has type 1 diabetes mellitus. Which of the following findings is the nurse's priority? A. Glycosuria B. Cholesterol 189 mg/dL C. Pre-prandial blood glucose 124 mg/dL D. HbA1c 11.5% - D. HbA1c 11.5% A nurse is planning to perform tracheostomy care for a toddler. Which of the following is an appropriate action for the nurse to take? A. Have the child flex his head when securing the ties. B. Clean around the stoma with full-strength hydrogen peroxide C. Use clean techniques to change the tracheostomy tube D. Place the child in Trendelenburg position when performing care. - A. Have the child flex his head when securing the ties. A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching? A. Limit foods high in iron B. Avoid foods containing milk products C. Use aspartame as a sugar substitute D. Increase the toddler's protein consumption - B. Avoid foods containing milk products A nurse is assessing a 6-month-old infant who has a respiratory syncytial virus. The nurse should immediately report which of the following findings to the provider? A. Tachypnea B. Coughing C. Brisk capillary refill D. Pharyngitis - A. Tachypnea A nurse reviews the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect? A. Hemoglobin 6.8g/dL B. RBC count 5 mm^3 C. WBC count 15000 mm^3 D. Platelet count 34000 mm^3 (150,000-400,000) - B. RBC count 5 mm^3 (normal range) A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis? A. Bradycardia B. Tachypnea C. Tremors D. Increased appetite - B. Tachypnea A nurse is teaching a group of parents about childhood immunization. The nurse should identify that infants should receive the first dose of the following immunizations at 12 months of age. A. Human papillomavirus B. Inactivated poliovirus C. Varicella D. Hepatitis B. - C. Varicella A nurse is reviewing the medical record of a 24-month-old child who has acute lymphocytic leukemia. Which of the following actions should the nurse take? A. Obtain rectal temperature every 4 hour B. Place the child in a knee-chest position C. Apply viscous lidocaine to the oral mucosa D. Initiate bleeding precautions - D. Initiate bleeding 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 to the provider? A. Serum glucose 90 mg/dL B. Blood pressure 102/58 mmHg C. Weak pedal pulse distal to the site D. Bilateral cool extremities - D. Bilateral cool extremities A nurse is communicating with a child who has hearing loss. Which of the following actions should the nurse take? A. Maintain a neutral facial expression when speaking to the child B. Change positions frequently to maintain the child's attention C. Exaggerate the pronunciation of words D. Use a light touch when initiating conversation - C. Exaggerate the pronunciation of words A nurse is teaching a parent of a 10- month-old infant about home safety. Which of the following instructions should the nurse include in the teaching? SATA A. Ensure the crib mattress is in the lowest position B. Select a toy chest that has a heavy, hinged lid C. Keep toilet lids in the upright position D. Remove labels forms containers that contain toxic substances E. Place gates at the top and bottom of the stairs - A. Ensure the crib mattress is in the lowest position E. Place gates at the top and bottom of the stairs