ATI Peds ATI 2019 B with NGN/rationales
Study online at https://quizlet.com/_hm9omu
1. A nurse is assessing the pain lev- A
el of a 3 year old toddler. Which
of the following assessment scales The nurse should use the FACES pain rating scale for
should the nurse use? pediatric clients who are 3 years old and older. This scale
allows the toddler to point to the face that depicts their
a. FACES current level of pain. The nurse can then determine the
b. Numeric need for pain management.
c. CRIES
d. Visual analog
2. A nurse is planning an education- B
al program to teach parents about
protecting their children from sun- The nurse should instruct parents to avoid allowing their
burns. Which of the following in- children to play outside during the hours between 1000
structions should the nurse plan to and 1400 because the child is at greatest risk for devel-
include? oping a sunburn during this time.
a. "allow your child to play out- The nurse should instruct parents to apply a waterproof
side during the hours between sunscreen with a minimum SPF of 15 for children. The
10:00am and 2:00pm." parents should apply the sunscreen prior to sun expo-
b. "choose a waterproof sunscreen sure to reduce the risk of sunburn.
with a minimum SPF of 15."
The nurse should instruct parents to dress their children
c. "dress you child in loose weave
in tight weave cotton fabric prior to sun exposure to
polyester fabric prior to sun expo-
protect the skin from the sun.
sure."
d. "reapply sunscreen every 4
The nurse should instruct parents to reapply sunscreen
hours."
every 2 to 3 hr.
3. A nurse is performing hearing D
screenings for children at a com-
munity health fair. Which of the fol- The nurse should refer a toddler who does not possess
lowing children should the nurse intelligible speech by the age of 24 months to a provider
, ATI Peds ATI 2019 B with NGN/rationales
Study online at https://quizlet.com/_hm9omu
refer to a provider for a more ex- for a more extensive evaluation of hearing.
tensive hearing evaluation?
The nurse should refer infants who are under the age of
a. an 18 month old toddler who 4 months and lack a startle response to a provider for a
has unintelligible speech more extensive evaluation of hearing.
b. a 3 month old infant who has
exaggerated startle response The nurse should refer a preschooler who prefers play-
c. a 4 year old preschooler who ing alone and avoids interaction with others to a provider
prefers playing with others rather for a more extensive evaluation of hearing.
than alone
The nurse should refer an infant who is not making
d. an 8 month old infant who is not
babbling sounds by the age of 7 months to a provider
yet making babbling sounds
for a more extensive evaluation of hearing.
4. A nurse in an emergency depart- C
ment is assessing a 3 month old in-
fant who has rotavirus and is expe- A heart rate of 124/min is within the expected reference
riencing acute vomiting and diar- range of 106 to 186/min for a 3- to the 5-month-old
rhea. Which of the following man- infant. The nurse should expect the infant who has mod-
ifestations should the nurse iden- erate to severe dehydration to have tachycardia.
tify as an indication that the infant
An infant who has moderate to severe dehydration is
has moderate to severe dehydra-
more likely to have an absence of tears rather than in-
tion?
creased tear production.
a. HR 124
The nurse should recognize that a sunken anterior
b. increased tear production
fontanel is an indication of moderate to severe dehydra-
c. sunken anterior fontanel
tion due to the acute loss of fluid.
d. capillary refill 2 seconds
A capillary refill of 2 seconds is within the expected ref-
erence range of 2 seconds or less for a 3-month-old
infant. An infant who has moderate to severe dehydration
, ATI Peds ATI 2019 B with NGN/rationales
Study online at https://quizlet.com/_hm9omu
is more likely to have a delayed capillary refill of greater
than 2 seconds.
5. A nurse is providing teaching to B
the family of a school-age child
who has juvenile idiopathic arthri- "Limit movement of the child's large joints."Large joints
sis. Which of the following instruc- should be exercised regularly to maintain mobility and
tions should the nurse include in strengthen muscles.
the teaching?
"Encourage the child to perform independent
a. "limit movement of the child's self-care."MY ANSWERThe nurse should teach the fam-
large joints" ily the importance of encouraging the child to perform
b. "encourage the child to perform independent self-care. This will minimize the child's pain
independent self-care." while maximizing mobility. Encouraging and praising the
c. "provide the child with a soft child's efforts for independence will also increase their
mattress for sleeping." self-esteem.
d. "schedule a 2 hour daily nap for
"Provide the child with a soft mattress for sleeping."Chil-
the child in the afternoon."
dren who have juvenile idiopathic arthritis should sleep
on a firm mattress to provide support in maintaining
joints in a functional position.
"Schedule a 2-hour daily nap for the child in the after-
noon."Daytime naps are discouraged because stiffness
can occur quickly and easily with inactivity, and naps can
interfere with nighttime sleeping.
6. A nurse is planning care for a D
school age child who has a tun-
neled central venous access de- The nurse should avoid the use of scissors when per-
vice. Which of the following inter- forming dressing changes because this can result in the
ventions should the nurse include accidental cutting of the catheter.
in the plan? The nurse should flush each lumen of the catheter with
, ATI Peds ATI 2019 B with NGN/rationales
Study online at https://quizlet.com/_hm9omu
a heparin solution daily when not in use.
a. use sterile scissors to remove
the dressing from the site The nurse should use a non-coring angled or straight
b. irrigate each lumen weekly with needle when accessing an implanted port.
10 ml of 0.9% sodium chloride so-
lution when not in use The nurse should cover the site with a semipermeable
c. access the site suing a noncoring transparent dressing to reduce the risk of infection.
angle needle
d. use a semipermeable transpar-
ent depressing to cover the site
7. A nurse is providing anticipatory D
guidance to the parent of a tod-
dler. Which of the following expect- Controlling impulsive feelings is expected behavior of
ed behavior characteristics of tod- school-age children. Toddler is more likely to have diffi-
dlers should the nurse include? culty controlling strong and impulsive feelings as they try
to assert their independence and gain control of situa-
a. controls impulsive feelings tions.
b. understands right from wrong
c. easily separates from parents Understanding right from wrong and modifying their
for long periods of time behavior in response to others' expectations is the ex-
d. expresses likes and dislikes pected behavior of preschoolers. Toddlers tend to have
a great deal of curiosity and ask many questions but are
not able to fully understand what behaviors are right or
wrong.
A toddler might be able to separate from their parents
for a short period of time, but toddlers are more likely
to experience acute separation anxiety when separated
from their parents for an extended period of time. The
toddler might offer resistance if they are left with a new
babysitter or at a new daycare center.
Study online at https://quizlet.com/_hm9omu
1. A nurse is assessing the pain lev- A
el of a 3 year old toddler. Which
of the following assessment scales The nurse should use the FACES pain rating scale for
should the nurse use? pediatric clients who are 3 years old and older. This scale
allows the toddler to point to the face that depicts their
a. FACES current level of pain. The nurse can then determine the
b. Numeric need for pain management.
c. CRIES
d. Visual analog
2. A nurse is planning an education- B
al program to teach parents about
protecting their children from sun- The nurse should instruct parents to avoid allowing their
burns. Which of the following in- children to play outside during the hours between 1000
structions should the nurse plan to and 1400 because the child is at greatest risk for devel-
include? oping a sunburn during this time.
a. "allow your child to play out- The nurse should instruct parents to apply a waterproof
side during the hours between sunscreen with a minimum SPF of 15 for children. The
10:00am and 2:00pm." parents should apply the sunscreen prior to sun expo-
b. "choose a waterproof sunscreen sure to reduce the risk of sunburn.
with a minimum SPF of 15."
The nurse should instruct parents to dress their children
c. "dress you child in loose weave
in tight weave cotton fabric prior to sun exposure to
polyester fabric prior to sun expo-
protect the skin from the sun.
sure."
d. "reapply sunscreen every 4
The nurse should instruct parents to reapply sunscreen
hours."
every 2 to 3 hr.
3. A nurse is performing hearing D
screenings for children at a com-
munity health fair. Which of the fol- The nurse should refer a toddler who does not possess
lowing children should the nurse intelligible speech by the age of 24 months to a provider
, ATI Peds ATI 2019 B with NGN/rationales
Study online at https://quizlet.com/_hm9omu
refer to a provider for a more ex- for a more extensive evaluation of hearing.
tensive hearing evaluation?
The nurse should refer infants who are under the age of
a. an 18 month old toddler who 4 months and lack a startle response to a provider for a
has unintelligible speech more extensive evaluation of hearing.
b. a 3 month old infant who has
exaggerated startle response The nurse should refer a preschooler who prefers play-
c. a 4 year old preschooler who ing alone and avoids interaction with others to a provider
prefers playing with others rather for a more extensive evaluation of hearing.
than alone
The nurse should refer an infant who is not making
d. an 8 month old infant who is not
babbling sounds by the age of 7 months to a provider
yet making babbling sounds
for a more extensive evaluation of hearing.
4. A nurse in an emergency depart- C
ment is assessing a 3 month old in-
fant who has rotavirus and is expe- A heart rate of 124/min is within the expected reference
riencing acute vomiting and diar- range of 106 to 186/min for a 3- to the 5-month-old
rhea. Which of the following man- infant. The nurse should expect the infant who has mod-
ifestations should the nurse iden- erate to severe dehydration to have tachycardia.
tify as an indication that the infant
An infant who has moderate to severe dehydration is
has moderate to severe dehydra-
more likely to have an absence of tears rather than in-
tion?
creased tear production.
a. HR 124
The nurse should recognize that a sunken anterior
b. increased tear production
fontanel is an indication of moderate to severe dehydra-
c. sunken anterior fontanel
tion due to the acute loss of fluid.
d. capillary refill 2 seconds
A capillary refill of 2 seconds is within the expected ref-
erence range of 2 seconds or less for a 3-month-old
infant. An infant who has moderate to severe dehydration
, ATI Peds ATI 2019 B with NGN/rationales
Study online at https://quizlet.com/_hm9omu
is more likely to have a delayed capillary refill of greater
than 2 seconds.
5. A nurse is providing teaching to B
the family of a school-age child
who has juvenile idiopathic arthri- "Limit movement of the child's large joints."Large joints
sis. Which of the following instruc- should be exercised regularly to maintain mobility and
tions should the nurse include in strengthen muscles.
the teaching?
"Encourage the child to perform independent
a. "limit movement of the child's self-care."MY ANSWERThe nurse should teach the fam-
large joints" ily the importance of encouraging the child to perform
b. "encourage the child to perform independent self-care. This will minimize the child's pain
independent self-care." while maximizing mobility. Encouraging and praising the
c. "provide the child with a soft child's efforts for independence will also increase their
mattress for sleeping." self-esteem.
d. "schedule a 2 hour daily nap for
"Provide the child with a soft mattress for sleeping."Chil-
the child in the afternoon."
dren who have juvenile idiopathic arthritis should sleep
on a firm mattress to provide support in maintaining
joints in a functional position.
"Schedule a 2-hour daily nap for the child in the after-
noon."Daytime naps are discouraged because stiffness
can occur quickly and easily with inactivity, and naps can
interfere with nighttime sleeping.
6. A nurse is planning care for a D
school age child who has a tun-
neled central venous access de- The nurse should avoid the use of scissors when per-
vice. Which of the following inter- forming dressing changes because this can result in the
ventions should the nurse include accidental cutting of the catheter.
in the plan? The nurse should flush each lumen of the catheter with
, ATI Peds ATI 2019 B with NGN/rationales
Study online at https://quizlet.com/_hm9omu
a heparin solution daily when not in use.
a. use sterile scissors to remove
the dressing from the site The nurse should use a non-coring angled or straight
b. irrigate each lumen weekly with needle when accessing an implanted port.
10 ml of 0.9% sodium chloride so-
lution when not in use The nurse should cover the site with a semipermeable
c. access the site suing a noncoring transparent dressing to reduce the risk of infection.
angle needle
d. use a semipermeable transpar-
ent depressing to cover the site
7. A nurse is providing anticipatory D
guidance to the parent of a tod-
dler. Which of the following expect- Controlling impulsive feelings is expected behavior of
ed behavior characteristics of tod- school-age children. Toddler is more likely to have diffi-
dlers should the nurse include? culty controlling strong and impulsive feelings as they try
to assert their independence and gain control of situa-
a. controls impulsive feelings tions.
b. understands right from wrong
c. easily separates from parents Understanding right from wrong and modifying their
for long periods of time behavior in response to others' expectations is the ex-
d. expresses likes and dislikes pected behavior of preschoolers. Toddlers tend to have
a great deal of curiosity and ask many questions but are
not able to fully understand what behaviors are right or
wrong.
A toddler might be able to separate from their parents
for a short period of time, but toddlers are more likely
to experience acute separation anxiety when separated
from their parents for an extended period of time. The
toddler might offer resistance if they are left with a new
babysitter or at a new daycare center.
