Ati Pediatrics Ngn Exam /Pediatrics Ati Proctored Next Generation Practice Exam Actual Exam 150 Real Exam Questions And Correct Detailed Answers

ATI PEDIATRICS NGN EXAM 2024-2025 /PEDIATRICS
ATI PROCTORED NEXT GENERATION PRACTICE
EXAM ACTUAL EXAM 150 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS

A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
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following actions should the nurse take? k,o k,o k,o k,o k,o




a. Perform the assessment in a head to toe sequence.
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b. Minimize physical contact with the child initially.
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c. Explain procedures using medical terminology.
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d. Stop the assessment if the child becomes uncooperative. - answersB
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Rationale: The nurse should initially minimize physical contact with the toddler, and then k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




progress from the least traumatic to the most traumatic procedures. k,o k,o k,o k,o k,o k,o k,o k,o k,o




A nurse is caring for an 18-year-old adolescent who is up-to-date on immunizations and is
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planning to attend college. The nurse should inform the client that he should receive which of the
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following immunizations prior to moving into a campus dormitory? k,o k,o k,o k,o k,o k,o k,o k,o




a. Pneumococcal polysaccharide
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b. Meningococcal polysaccharide
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c. Rotavirus
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d. Herpes zoster - answersB
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Rationale: The meningococcal polysaccharide immunization is used to prevent infection by k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




certain groups of meningococcal bacteria. Meningococcal infection can cause life-threatening
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illnesses, such as meningococcal meningitis, which affects the brain, and meningococcemia,
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which affects the blood. Both of these conditions can be fatal. College freshmen, particularly
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those who live in dormitories, are at an increased risk for meningococcal disease relative to other
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persons their age. Therefore, the Centers for Disease Control and Prevention has issued a
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recommendation that all incoming college students receive the meningococcal immunization. k,o k,o k,o k,o k,o k,o k,o k,o k,o




A nurse is teaching the parent of an infant about food allergens. Which of the following
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foods should the nurse include as being the most common food allergy in children?
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a. Cow's milk
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b. Wheat bread
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c. Corn syrup
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d. Egg - answersA
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Rationale: According to evidence-based practice, the nurse should instruct the parent that cow's k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




milk is the most common food allergy in children. Some children are sensitive to the protein,
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called casein, found in cow's milk. They have difficulty metabolizing the casein and are,
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therefore, allergic to cow's milk. k,o k,o k,o k,o




A nurse is teaching the parent of a toddler about home safety. Which of the following
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statements by the parent indicates an understanding of the teaching? k,o k,o k,o k,o k,o k,o k,o k,o k,o




a. "I lock my medications in the medicine cabinet."
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b. "I keep my child's crib mattress at the highest level."
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1/27 k,o k,o

,c. "I turn pot handles to the side of my stove while cooking."
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d. "I will give my child syrup of ipecac if she swallows something poisonous." - answersA
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Rationale: Locking up medications and other potential poisons prevents access. Toddlers have k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




improved gross and fine motor skills that allow for further exploration of the environment and k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




possible access to hazardous substances. k,o k,o k,o k,o




A nurse is performing a physical assessment on a 6-month-old infant. Which of the
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following reflexes should the nurse expect to find? k,o k,o k,o k,o k,o k,o k,o




a. Stepping k,o




b. Babinski
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c. Extrusionk,o




d. Moro - answersB
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Rationale: The Babinski reflex, which is elicited by stroking the bottom of the foot and causing k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k, o k,o




the toes to fan and the big toe to dorsiflex, should be present until the age of 1 year. Persistence
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of neonatal reflexes might indicate neurological deficits.
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A nurse is preparing to administer recommended immunizations to a 2-month-old infant.
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Which of the following immunizations should the nurse plan to administer?
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a. Human papillomavirus (HPV) and hepatitis A
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b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis
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(TDaP)
c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV)
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d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) - answersC
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Rationale: The recommended immunizations for a 2-month-old infant include Hib and IPV. The k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




Hib immunization series consists of 3 to 4 doses, depending on the immunization used, and at a
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minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months. The IPV k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




immunization series consists of 4 doses and is administered at the ages of 2 months, 4 months, 6 k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




to 18 months, and 4 to 6 years.
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A nurse is developing a plan of care for a school-age child who underwent a surgical
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procedure that resulted in temporary loss of vision. Which of the following interventions k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




should the nurse include in the plan of care? k,o k,o k,o k,o k,o k,o k,o k,o




a. Assign an assistive personnel to feed the child.
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b. Explain sounds the child is hearing.
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c. Have the child use a cane when ambulating.
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d. Rotate nurses caring for the child. - answersB
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Rationale: The noises in a facility can be frightening to a child who is experiencing a sensory k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




loss. It is important to explain these noises to allay the child's fears.
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A nurse is assessing a 3-year-old child who is 1 day postoperative following a tonsillectomy.
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Which of the following methods should the nurse use to determine if the child is
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experiencing pain? k,o




a. Ask the parents.
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b. Use the FACES scale.
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c. Use the numeric rating scale.
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d. Check the child's temperature. - answersB
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Rationale: Pain is a subjective experience even for a 3-year-old child. The FACES scale can be k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




used to accurately determine the presence of pain in children as young as 3 years of age.
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12. A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following
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findings indicates the need for further assessment? k,o k,o k,o k,o k,o k,o




2/27 k,o k,o

,a. Grabs feet and pulls them to her mouth
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b. Posterior fontanel is closed
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c. Legs remain crossed and extended when supine
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d. Birth weight has doubled - answersC
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Rationale: Legs crossed and extended when supine is an unexpected finding and requires further k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




assessment. At 6 months of age, the legs flex at the knees when the infant is supine. Crossed and k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




extended legs when supine is a finding associated with cerebral palsy. k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The
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mother asks if this game has any developmental significance. The nurse should inform the
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mother that peek-a-boo helps develop which of the following concepts in the child?
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a. Hand-eye coordination
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b. Sense of trustk,o k,o k,o




c. Object permanence
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d. Egocentrism - answersC
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Rationale: Object permanence refers to the cognitive skill of knowing an object still exists even k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




when it is out of sight. In discovering a hidden object while playing peek-a-boo, the infant
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experiences validation of this concept. k,o k,o k,o k,o




A nurse is caring for a 15-month-old toddler who requires droplet precautions. Which of the
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following actions should the nurse take? k,o k,o k,o k,o k,o




a. Have the toddler wear a disposable gown when in the unit's playroom.
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b. Wear sterile gloves when changing the toddler's diapers.
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c. Wear a mask when assisting the toddler with meals.
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d. Ask visitors to wear an N-95 mask when entering the room. - answersC
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Rationale: The nurse should wear a mask when within 3 to 6 feet of the toddler to prevent the k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




transmission of infections that are spread via large droplet particles expelled in the air. k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-child visit. Which
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of the following findings should the nurse report to the provider?
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a. Head lags when pulled from a lying to a sitting position
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b. Absence of startle and crawl reflexes
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c. Inability to pick up a rattle after dropping it
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d. Rolls from back to side - answersA
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Rationale: At the age of 5 months, the infant should have no head lag when pulled to a sitting k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




position; therefore, the nurse should report this finding to the provider k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




16. A nurse is planning to collect a specimen from a male infant using a urine collection bag.
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Which of the following actions should the nurse take? k,o k,o k,o k,o k,o k,o k,o k,o




a. Wash and dry the infant's genitalia and perineum thoroughly.
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b. Apply a small coating of water-soluble lubricant to the skin of the infant's perineal
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area.
c. Avoid placing the scrotum inside the collection bag.
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d. Wait several hours after positioning the device before checking it. - answersA
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Rationale: This is the method used to obtain a routine urine specimen of any sort in a child who k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




is not toilet trained. The skin should be washed and dried to promote application of the adhesive
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of the collection device.
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A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood lead level of 3
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mcg/dL. When teaching the toddler's parents about the correlation of nutrition with lead
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poisoning, which of the following information is appropriate for the nurse to include in the k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o k,o




3/27 k,o k,o