Pediatrics
1. A nurse in the emergency department Check the child's respiratory status.
is caring for a 2-year-old child who was
found by his parents crying and hold-
ing a container of toilet bowl cleaner.
The child's lips are edematous and in-
flamed, and he is drooling. Which of the
following is the priority action by the
nurse?
Remove the child's contaminated
clothing.
Check the child's respiratory status.
Administer an antidote to the child.
Establish IV access for the child.
Rationale: The nurse should apply the
ABC priority-setting
2. A nurse is teaching a parent of a d. "Your child should be able to scribble sponta-
12-month old child about development neously using a crayon at the age of 15 months."
during the toddler years. Which of the
following statements should the nurse
include?
"Your child should be referring to him-
self using the appropriate pronoun by
18 months of age."
"A toddler's interest in looking at pic-
tures occurs at 20 months of age."
C. "A toddler should have davtime con-
trol of his bowel and bladder by 24
months of age.
d. "Your child should be able to scrib-
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Pediatrics
ble spontaneously using a crayon at the
age of 15 months."
3. A nurse is caring for a toddler and is 25 GTT
preparing to administer 0.9% sodium
chloride 100 mL IV to infuse over 4 hr.
The drop factor of the manual IV tub-
ing is 60 gtt/mL. The nurse should set
the manual IV infusion to deliver how
many gtt/min? (Round the answer to
the nearest whole number. Use a lead-
ing zero if it applies. Do not use a trail-
ing zero.)
4. 4. A nurse in a pediatric clinic is as- b. Minimize physical contact with the child ini-
sessing a toddler at a well-child visit. tially.
Which of the following actions should
the nurse take?
a. Perform the assessment in a head to
toe sequence.
b. Minimize physical contact with the
child initially.
c. Explain procedures using medical
terminology.
d. Stop the assessment if the child be-
comes uncooperative.
5. 4. A nurse is caring for an 18-year-old b. Meningococcal polysaccharide
adolescent who is up-to-date on immu-
nizations and is planning to attend col-
lege. The nurse should inform the client
, PEDIATRIC PROCTOR, ATI Pediatrics Proctored Exam, ATI proctored exam
Pediatrics
that he should receive which of the fol-
lowing immunizations prior to moving
into a campus dormitory?
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. Rotavirus
d. Herpes zoster
6. 4. A nurse is teaching the parent of a a. "I lock my medications in the medicine cabi-
toddler about home safety. Which of net."
the following statements by the par-
ent indicates an understanding of the
teaching?
a. "I lock my medications in the medi-
cine cabinet."
b. "I keep my child's crib mattress at the
highest level."
c. "I turn pot handles to the side of my
stove while cooking."
d. "I will give my child syrup of ipecac if
she swallows something poisonous."
7. 4. A nurse is performing a physical b. Babinski
assessment on a 6-month-old infant.
Which of the following reflexes should
the nurse expect to find?
a. Stepping
b. Babinski
c. Extrusion
d. Moro
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Pediatrics
8. 4. A nurse is teaching the parent of an a. Cow's milk
infant about food allergens. Which of
the following foods should the nurse in-
clude as being the most common food
allergy in children?
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Eggs
9. 9. A nurse is preparing to adminis- c. Haemophilus influenzae type B (Hib) and in-
ter recommended immunizations to a activated polio virus (IPV)
2-month-old infant.
Which of the following immunizations
should the nurse plan to administer?
a. Human papillomavirus (HPV) and he-
patitis A
b. Measles, mumps, rubella (MMR) and
tetanus, diphtheria, and acellular per-
tussis
(TDaP)
c. Haemophilus influenzae type B (Hib)
and inactivated polio virus (IPV)
d. Varicella (VAR) and live attenuated
influenza vaccine (LAIV)
10. 9. A nurse is developing a plan of care b. Explain sounds the child is hearing.
for a school-age child who underwent a
surgical procedure that resulted in tem-
porary loss of vision. Which of the fol-
lowing interventions should the nurse