ATI PEDIATRIC EXAM WITH VERIFIED
QUESTIONS AND ANSWERS LATEST UPDATED
Nurse assesses school age child with infratentorial brain tumor. Which findings should
the nurse ID as manifestation of IICP?
a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia - c. Difficulty concentrating
- The nurse should identify that irritability, inability to follow commands, and difficulty
concentrating are manifestations of IICP due to decreased blood flow within the
brain and pressure on the brainstem.
Wrong Answers: a.
Hypotension
- HTN is a late manifestation of IICP due to compression of the brain vessels. b.
Reports insomnia
- somnolence and lethargy are manifestations of IICP. c. Tachycardia
- bradycardia is a late manifestation of IICP.
Nurse in ED auscultates lungs of adolescent experiencing dyspnea. Nurse should ID
sound as what?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi - a. Wheezes
- high-pitched, musical or whistling-like sounds heard primarily on expiration as air
passes through and vibrates narrowed airways.
Wrong answers: b.
Crackles
,- high-pitched, short, and noncontinuous sounds usually heard at the end of
inspiration. Crackles occur when air expands deflated alveoli or when the passage of air
through small airways is disrupted. c. Pleural friction rub
- a loud, rough, grating sound that can be heard during inspiration or expiration. A
pleural friction rub occurs when the pleurae are inflamed and the surfaces rub together.
d. Rhonchi
- low-pitched, continuous sounds that have a snore-like quality and are usually
louder during expiration. Rhonchi occur when the larger airways are obstructed.
Nurse assesses infant with pneumonia. Which findings is priority for nurse to report to
HCP?
a. Nasal flaring
b. WBC count 11,300/mm3
c. Diarrhea
d. Abdominal distension - a. Nasal flaring
- When using the ABC approach to client care, the nurse should determine that the
priority finding to report to the provider is nasal flaring. Nasal flaring indicates the infant
is experiencing acute respiratory distress.
Wrong Answers:
b. WBC count 11,300/mm3
- The nurse should report a WBC count of 11,300/mm3 because it is above the
expected reference range of 5,000 to 10,000/mm3 and indicates infection. However,
there is another finding that is the priority for the nurse to report. c. Diarrhea
- The nurse should report diarrhea because it is a manifestation of pneumonia in
infants and indicates the current treatment is not effective. However, there is another
finding that is the priority for the nurse to report. d. Abdominal distension
- The nurse should report abdominal distension because it is a manifestation of
pneumonia in infants and indicates the current treatment is not effective. However,
there is another finding that is the priority for the nurse to report.
Nurse in health department is caring for emancipated adolescent with STI and
unaccompanied by guardian. Which actions should the nurse take?
a. Have the adolescent sign a consent form for treatment.
b. Instruct the adolescent to return with a guardian.
c. Obtain consent from the adolescent's guardian over the phone
d. Treat the adolescent without a consent form - a. Have the adolescent sign a consent
form for treatment
- The nurse should identify that an emancipated minor can sign the consent form for
treatment of an STI or any other form of medical treatment requiring consent.
, Nurse is reviewing lab results of a school age child 1 week postop following an open
fracture repair. Which findings should nurse ID as indication of potential complication?
a. Erythrocyte sedimentation rate 18 mm/hr
b. WBC count 6,200/mm3
c. C-reactive protein 1.4 mg/LRBC count 4.7 million/mm3 - a. Erythrocyte sedimentation
rate 18 mm/hr
- above the expected reference range of up to 10 mm/hr and is an indication of
osteomyelitis.
Wrong Answers:
b. WBC count 6,200/mm3:- within the expected reference range of 5,000 to
10,000/mm3.
-An elevated WBC count is an indication of osteomyelitis.
c. C-reactive protein 1.4 mg/L:- within the expected reference range of <10.0 mg/L.
-An elevated C-reactive protein level is an indication of osteomyelitis.RBC count 4.7
million/mm3:- within the expected reference range of 4.0 to 5.5 million/mm3. A
decreased RBC count can indicate hemorrhage.
Nurse planning care for school age child with tunneled CVA device. Which interventions
should the nurse include in plan?
a. Use sterile scissors to remove the dressing from the site.
b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in
use
c. Access the site using a noncoring angled needle
d. Use a semipermeable transparent dressing to cover the site - d. Use a
semipermeable transparent dressing to cover the site
- The nurse should cover the site with a semipermeable transparent dressing to reduce
the risk of infection.
Wrong Answers:
a. Use sterile scissors to remove the dressing from the site
- The nurse should avoid the use of scissors when performing dressing changes
because this can result in accidental cutting of the catheter.
b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in
use
- The nurse should flush each lumen of the catheter with a heparin solution daily when
not in use.
c. Access the site using a noncoring angled needle
QUESTIONS AND ANSWERS LATEST UPDATED
Nurse assesses school age child with infratentorial brain tumor. Which findings should
the nurse ID as manifestation of IICP?
a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia - c. Difficulty concentrating
- The nurse should identify that irritability, inability to follow commands, and difficulty
concentrating are manifestations of IICP due to decreased blood flow within the
brain and pressure on the brainstem.
Wrong Answers: a.
Hypotension
- HTN is a late manifestation of IICP due to compression of the brain vessels. b.
Reports insomnia
- somnolence and lethargy are manifestations of IICP. c. Tachycardia
- bradycardia is a late manifestation of IICP.
Nurse in ED auscultates lungs of adolescent experiencing dyspnea. Nurse should ID
sound as what?
a. Wheezes
b. Crackles
c. Pleural friction rub
d. Rhonchi - a. Wheezes
- high-pitched, musical or whistling-like sounds heard primarily on expiration as air
passes through and vibrates narrowed airways.
Wrong answers: b.
Crackles
,- high-pitched, short, and noncontinuous sounds usually heard at the end of
inspiration. Crackles occur when air expands deflated alveoli or when the passage of air
through small airways is disrupted. c. Pleural friction rub
- a loud, rough, grating sound that can be heard during inspiration or expiration. A
pleural friction rub occurs when the pleurae are inflamed and the surfaces rub together.
d. Rhonchi
- low-pitched, continuous sounds that have a snore-like quality and are usually
louder during expiration. Rhonchi occur when the larger airways are obstructed.
Nurse assesses infant with pneumonia. Which findings is priority for nurse to report to
HCP?
a. Nasal flaring
b. WBC count 11,300/mm3
c. Diarrhea
d. Abdominal distension - a. Nasal flaring
- When using the ABC approach to client care, the nurse should determine that the
priority finding to report to the provider is nasal flaring. Nasal flaring indicates the infant
is experiencing acute respiratory distress.
Wrong Answers:
b. WBC count 11,300/mm3
- The nurse should report a WBC count of 11,300/mm3 because it is above the
expected reference range of 5,000 to 10,000/mm3 and indicates infection. However,
there is another finding that is the priority for the nurse to report. c. Diarrhea
- The nurse should report diarrhea because it is a manifestation of pneumonia in
infants and indicates the current treatment is not effective. However, there is another
finding that is the priority for the nurse to report. d. Abdominal distension
- The nurse should report abdominal distension because it is a manifestation of
pneumonia in infants and indicates the current treatment is not effective. However,
there is another finding that is the priority for the nurse to report.
Nurse in health department is caring for emancipated adolescent with STI and
unaccompanied by guardian. Which actions should the nurse take?
a. Have the adolescent sign a consent form for treatment.
b. Instruct the adolescent to return with a guardian.
c. Obtain consent from the adolescent's guardian over the phone
d. Treat the adolescent without a consent form - a. Have the adolescent sign a consent
form for treatment
- The nurse should identify that an emancipated minor can sign the consent form for
treatment of an STI or any other form of medical treatment requiring consent.
, Nurse is reviewing lab results of a school age child 1 week postop following an open
fracture repair. Which findings should nurse ID as indication of potential complication?
a. Erythrocyte sedimentation rate 18 mm/hr
b. WBC count 6,200/mm3
c. C-reactive protein 1.4 mg/LRBC count 4.7 million/mm3 - a. Erythrocyte sedimentation
rate 18 mm/hr
- above the expected reference range of up to 10 mm/hr and is an indication of
osteomyelitis.
Wrong Answers:
b. WBC count 6,200/mm3:- within the expected reference range of 5,000 to
10,000/mm3.
-An elevated WBC count is an indication of osteomyelitis.
c. C-reactive protein 1.4 mg/L:- within the expected reference range of <10.0 mg/L.
-An elevated C-reactive protein level is an indication of osteomyelitis.RBC count 4.7
million/mm3:- within the expected reference range of 4.0 to 5.5 million/mm3. A
decreased RBC count can indicate hemorrhage.
Nurse planning care for school age child with tunneled CVA device. Which interventions
should the nurse include in plan?
a. Use sterile scissors to remove the dressing from the site.
b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in
use
c. Access the site using a noncoring angled needle
d. Use a semipermeable transparent dressing to cover the site - d. Use a
semipermeable transparent dressing to cover the site
- The nurse should cover the site with a semipermeable transparent dressing to reduce
the risk of infection.
Wrong Answers:
a. Use sterile scissors to remove the dressing from the site
- The nurse should avoid the use of scissors when performing dressing changes
because this can result in accidental cutting of the catheter.
b. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in
use
- The nurse should flush each lumen of the catheter with a heparin solution daily when
not in use.
c. Access the site using a noncoring angled needle
