Pediatrics ATI Practice A
A nurse is a providers office is preparing to administer vaccinations to a toddler
during a well-child visit. Which of the actions should the nurse plan to take? (kid
has increased RR & HR; allergy to Neomycin)
A. Withhold the measles, mumps, and rubella (MMR) vaccine.
B. Withhold the diphtheria, tetanus, and pertussis (DTaP) vaccine.
C. Withhold the influenza vaccine.
D. Withhold the tuberculin skin test (TST). - ANSWER A. Withhold the
measles, mumps, and rubella (MMR) vaccine.
Rationale: The nurse should recognize that an allergy to neomycin with an
anaphylactic reaction is a contraindication for receiving the MMR vaccine. Clients
who have a severe allergy to eggs or gelatin should not receive this vaccine.
A nurse is providing teaching to the parent of a school-aged child who has a new
prescription for oral nystatin for the treatment of oral candidacies. Which of the
following instructions should the nurse include?
A. "Shake the medication prior to administration."
B. "Provide the medication through a straw."
C. "Rinse the child's mouth with water immediately after giving the medication."
D. "Mix the medication with applesauce if the child dislikes the taste." -
ANSWER A. "Shake the medication prior to administration."
Rationale: The nurse should instruct the parent to shake the medication prior to
administration to disperse the medication evenly within the suspension.
,A nurse is reviewing the lumbar puncture results of a school-aged child who has
suspected bacterial meningitis. Which of the following findings should the nurse
identify as an indication of bacterial meningitis?
A. Decreased cerebrospinal fluid pressure
B. Decreased WBC count
C. Increased protein concentration
D. Increased glucose level - ANSWER C. Increased protein concentration
Rationale: The nurse should identify that an increased protein concentration in the
spinal fluid is a finding that can indicate bacterial meningitis.
A nurse is caring for a preschooler whose father is going home home for a few
hours while another relative stays with the child. Which of the following
statements should the nurse make to explain to the child when their father will
return?
A. "Your daddy will be back at 7 p.m."
B. "Your daddy will be back after you eat."
C. "Your daddy will be back in the morning."
D."Your daddy will be back after he takes care of your brother." - ANSWER
B. "Your daddy will be back after you eat."
Rationale: Preschoolers make sense of time best when they can associate it with an
expected daily routine, such as meals and bedtime. Therefore, the child
comprehends time best when it is explained to them in relation to an event they are
familiar with, such as eating.
A nurse is reviewing the laboratory report of a school-aged child who is
experiencing fatigue. Which of the following findings should the nurse recognize
as an indication of anemia?
A. Hematocrit 28%
B. Hemoglobin 13.5 g/dL
C. WBC count 8,000/mm3
D. Platelets 250,000/mm3 - ANSWER A. Hematocrit 28%
, Rationale: The nurse should recognize that this hematocrit level is below the
expected reference range of 32% to 44% for a school-age child. The child can
exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the
decreased oxygen-carrying capacity.
A nurse is reviewing the laboratory results of an infant who is receiving treatment
for severe dehydration. The nurse should identify which of the following lab values
indicates that the treatment is working?
A. Potassium 2.9 mEq/L
B. Sodium 140 mEq/L
C. Urine specific gravity 1.035
D. BUN 25 mg/dL - ANSWER B. Sodium 140 mEq/L
Rationale: The nurse should identify that a sodium level of 140 mEq/L is within
the expected reference range of 134 to 150 mEq/L and indicates the current
treatment regimen the infant is receiving for dehydration is effective.
A nurse is reviewing the laboratory report of a 7-year-old child who is going
through chemotherapy. which of the following lab values should the nurse report to
the provider?
A. Hgb 8.5 g/dL
B. WBC count 9,500/mm3
C. Prealbumin 18 mg/dL
D. Platelets 300,000/mm3 - ANSWER A. Hgb 8.5 g/dL
Rationale: A child receiving chemotherapy is at risk for anemia due to the
chemotherapy effects on the blood-forming cells of the bone marrow. The
development of anemia is diagnosed through laboratory testing of hemoglobin and
hematocrit levels. The nurse should recognize that a hemoglobin level of 8.5 g/dL
is below the expected reference range of 10 to 15.5 g/dL for a 7-year-old child and
should be reported to the provider.
A nurse is a providers office is preparing to administer vaccinations to a toddler
during a well-child visit. Which of the actions should the nurse plan to take? (kid
has increased RR & HR; allergy to Neomycin)
A. Withhold the measles, mumps, and rubella (MMR) vaccine.
B. Withhold the diphtheria, tetanus, and pertussis (DTaP) vaccine.
C. Withhold the influenza vaccine.
D. Withhold the tuberculin skin test (TST). - ANSWER A. Withhold the
measles, mumps, and rubella (MMR) vaccine.
Rationale: The nurse should recognize that an allergy to neomycin with an
anaphylactic reaction is a contraindication for receiving the MMR vaccine. Clients
who have a severe allergy to eggs or gelatin should not receive this vaccine.
A nurse is providing teaching to the parent of a school-aged child who has a new
prescription for oral nystatin for the treatment of oral candidacies. Which of the
following instructions should the nurse include?
A. "Shake the medication prior to administration."
B. "Provide the medication through a straw."
C. "Rinse the child's mouth with water immediately after giving the medication."
D. "Mix the medication with applesauce if the child dislikes the taste." -
ANSWER A. "Shake the medication prior to administration."
Rationale: The nurse should instruct the parent to shake the medication prior to
administration to disperse the medication evenly within the suspension.
,A nurse is reviewing the lumbar puncture results of a school-aged child who has
suspected bacterial meningitis. Which of the following findings should the nurse
identify as an indication of bacterial meningitis?
A. Decreased cerebrospinal fluid pressure
B. Decreased WBC count
C. Increased protein concentration
D. Increased glucose level - ANSWER C. Increased protein concentration
Rationale: The nurse should identify that an increased protein concentration in the
spinal fluid is a finding that can indicate bacterial meningitis.
A nurse is caring for a preschooler whose father is going home home for a few
hours while another relative stays with the child. Which of the following
statements should the nurse make to explain to the child when their father will
return?
A. "Your daddy will be back at 7 p.m."
B. "Your daddy will be back after you eat."
C. "Your daddy will be back in the morning."
D."Your daddy will be back after he takes care of your brother." - ANSWER
B. "Your daddy will be back after you eat."
Rationale: Preschoolers make sense of time best when they can associate it with an
expected daily routine, such as meals and bedtime. Therefore, the child
comprehends time best when it is explained to them in relation to an event they are
familiar with, such as eating.
A nurse is reviewing the laboratory report of a school-aged child who is
experiencing fatigue. Which of the following findings should the nurse recognize
as an indication of anemia?
A. Hematocrit 28%
B. Hemoglobin 13.5 g/dL
C. WBC count 8,000/mm3
D. Platelets 250,000/mm3 - ANSWER A. Hematocrit 28%
, Rationale: The nurse should recognize that this hematocrit level is below the
expected reference range of 32% to 44% for a school-age child. The child can
exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the
decreased oxygen-carrying capacity.
A nurse is reviewing the laboratory results of an infant who is receiving treatment
for severe dehydration. The nurse should identify which of the following lab values
indicates that the treatment is working?
A. Potassium 2.9 mEq/L
B. Sodium 140 mEq/L
C. Urine specific gravity 1.035
D. BUN 25 mg/dL - ANSWER B. Sodium 140 mEq/L
Rationale: The nurse should identify that a sodium level of 140 mEq/L is within
the expected reference range of 134 to 150 mEq/L and indicates the current
treatment regimen the infant is receiving for dehydration is effective.
A nurse is reviewing the laboratory report of a 7-year-old child who is going
through chemotherapy. which of the following lab values should the nurse report to
the provider?
A. Hgb 8.5 g/dL
B. WBC count 9,500/mm3
C. Prealbumin 18 mg/dL
D. Platelets 300,000/mm3 - ANSWER A. Hgb 8.5 g/dL
Rationale: A child receiving chemotherapy is at risk for anemia due to the
chemotherapy effects on the blood-forming cells of the bone marrow. The
development of anemia is diagnosed through laboratory testing of hemoglobin and
hematocrit levels. The nurse should recognize that a hemoglobin level of 8.5 g/dL
is below the expected reference range of 10 to 15.5 g/dL for a 7-year-old child and
should be reported to the provider.
