NGN ATI PEDS HOW TO ACE PEADIATRIC EXAMS USING THESE REVISION
QUESTIONS AND THEIR VERIFIED ANSWERS READY FOR GRADE A+
1. A nurse is caring for a school-age child who is receiving a blood transfusion. What
manifestation should alert the nurse to a possible hemolytic transfusion reaction? -
Answer Flank pain
2. A nurse is planning care for a toddler who has a serum lead level of 4 mch/dL. What
should the nurse do? - Answer Schedule the toddler for a yearly rescreening
3. A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the
following findings should the nurse expect? - Answer Ankle clonus, exaggerated stretch
reflex, and contracutres
4. A nurse is planning care for a school-age child who is in the oliguric phase of acute
kidney injury (AKI) and has a sodium level of 129 mEq/L. What should the nurse do? -
Answer Initiate seizure precautions for the child
5. A school nurse is assessing an adolescent who has scoliosis. What finding should the
nurse expect? - Answer A unilateral rib hump
6. If a patient is allergic to neomycin, what imunization should be held? - Answer MMR
7. A nurse is preparing to administer an immunization to a 4-year-old child. What should the
nurse do? - Answer Administer the immunization using a 22-25 gauge needle
8. A nurse is interviewing the parent of an 18 month old toddler during a well-child visit.
The nurse should identify what as a need to assess the toddler for hearing loss? - Answer
The toddler received tobramycin during a hospitalization 2 weeks ago
,9. A nurse is assessing a school-age child who has meningitis. What finding would the nurse
report to the provider? - Answer Petechiae on the lower extremities
10. A nurse in an ED is caring for a toddler who has partial-thickness burns on their right
arm. What should the nurse do? - Answer Cleanse the affected area with mild soap and
water
11. A nurse is preparing an adolescent for a lumbar puncture. What should the nurse do? -
Answer Apply topical analgesic cream to the site 1 hour prior to the procedure
12. A nurse is assessing an infant who has ventricular septal defect. What should the nurse
expect to find? - Answer Loud, harsh murmur
13. A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. What
should the nurse do? - Answer Perform a finger stick
14. A nurse is admitting a school-aged chid who has pertussis. Which form of precaution
should the nurse take? - Answer Droplet precautions
15. A nurse is teaching a school-age child who has a new diagnosis of type 1 DM. Which of
the following statements by the child indicated an understanding of the teaching? -
Answer I will give myself a shot of regular insulin 30 minutes before I eat breakfeast
16. A nuse is assessing a school-aged child who has peritonitis. What finding would the nurse
expect? - Answer Abdominal distention
17. A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The
nurse should secure the sensor to which of the following areas on the infant? - Answer
Great toe
,18. A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which
med should the nurse expect the provider to prescribe? - Answer Recombinant growth
hormone
19. A nurse is assessing an adolescent who received a sodium polyrene sulfonate enema.
What should indicate effectiveness of the medication? - Answer Serum potassium level
4.1 mEq/L
20. A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of
Fallot and begins to have a hypercyantoic speel. What action should the nurse take? -
Answer Place the infant in knee-chest position
21. A nurse is providing teaching to an adolescent about how to manage tinea pedis. What
statement indicates an undersanding of the teaching? - Answer "I should wear sandals as
much as possible"
22. A nurse is providing taeching to the family of a school-age child who has juvenile
idiopathic arthritis. What instruction should the nurse include in the teaching? - Answer
"Encourage the child to perfomr independent self-care"
23. A nurse is caring for a school-age child who has DM and was admited with DKA. When
performing the respiratory assessment, what should the nurse expect? - Answer Deep
respirations of 32/min
24. A nurse in a health department is caring for an emancipated adolescent who has an STI
and is unaccompanied by a guardian. What should the nurse do? - Answer Have them
sign a consent form for treatment
25. A nurse is teaching the parent of an infant about home safety.
26. Which of the following pieces of information that should the nurse include? (select all
that apply)
A. Use a wheeled infant walker
B. Place soft pillows around the edge of the infants crib
, C. Position the car seat so it is rear facing
D. Secure a safety gate at the top and bottom of the stairs
E. Maintain the water heater temperature at 49°C (120°F) - Answer C, D, E
27. A charge nurse is providing education about child maltreatment to a group of newly
licensed nurses. Which of the following pieces of information should discharge nurse
include in the teaching?
A. Preschoolers have the highest rates of maltreatment
B. In single parent families, the parents non-biological partner is typically the abuser
of the child
C. Children who were born prematurely are more likely to be maltreated
D. Child maltreatment occurs equally across all socioeconomic groups - Answer C
28. A nurse is assessing a newborn at birth to assign Apgar scores. At 1 min of age, the
newborn is crying vigorously with limbs flexed and has a heart rate of 120 bpm. the
newborn's trunk is pink, but his hands and feet are cyanotic, and he cries when the soles
of his feet are stimulated. which of the following Apgar scores should the nurse assign
this infant?
A. 7
B. 8
C. 9
D. 10 - Answer C
29. A nurse is assessing a 6 month old infant. The Guardian reports that the infant does not
appear interested in the brightly colored mobile hanging above the crib at home. Which
of the following techniques should the nurse use to check the infants visual acuity?
A. Shine a penlight briefly into the left eye and then the right eye
B. Move a brightly colored toy from side to side in front of the infants face
C. Ask the guardian to sit in front of the infant and not his head up and down
D. Observe the infants ability to grasp the feet and pull them to the mouth - Answer
B
QUESTIONS AND THEIR VERIFIED ANSWERS READY FOR GRADE A+
1. A nurse is caring for a school-age child who is receiving a blood transfusion. What
manifestation should alert the nurse to a possible hemolytic transfusion reaction? -
Answer Flank pain
2. A nurse is planning care for a toddler who has a serum lead level of 4 mch/dL. What
should the nurse do? - Answer Schedule the toddler for a yearly rescreening
3. A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy. Which of the
following findings should the nurse expect? - Answer Ankle clonus, exaggerated stretch
reflex, and contracutres
4. A nurse is planning care for a school-age child who is in the oliguric phase of acute
kidney injury (AKI) and has a sodium level of 129 mEq/L. What should the nurse do? -
Answer Initiate seizure precautions for the child
5. A school nurse is assessing an adolescent who has scoliosis. What finding should the
nurse expect? - Answer A unilateral rib hump
6. If a patient is allergic to neomycin, what imunization should be held? - Answer MMR
7. A nurse is preparing to administer an immunization to a 4-year-old child. What should the
nurse do? - Answer Administer the immunization using a 22-25 gauge needle
8. A nurse is interviewing the parent of an 18 month old toddler during a well-child visit.
The nurse should identify what as a need to assess the toddler for hearing loss? - Answer
The toddler received tobramycin during a hospitalization 2 weeks ago
,9. A nurse is assessing a school-age child who has meningitis. What finding would the nurse
report to the provider? - Answer Petechiae on the lower extremities
10. A nurse in an ED is caring for a toddler who has partial-thickness burns on their right
arm. What should the nurse do? - Answer Cleanse the affected area with mild soap and
water
11. A nurse is preparing an adolescent for a lumbar puncture. What should the nurse do? -
Answer Apply topical analgesic cream to the site 1 hour prior to the procedure
12. A nurse is assessing an infant who has ventricular septal defect. What should the nurse
expect to find? - Answer Loud, harsh murmur
13. A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. What
should the nurse do? - Answer Perform a finger stick
14. A nurse is admitting a school-aged chid who has pertussis. Which form of precaution
should the nurse take? - Answer Droplet precautions
15. A nurse is teaching a school-age child who has a new diagnosis of type 1 DM. Which of
the following statements by the child indicated an understanding of the teaching? -
Answer I will give myself a shot of regular insulin 30 minutes before I eat breakfeast
16. A nuse is assessing a school-aged child who has peritonitis. What finding would the nurse
expect? - Answer Abdominal distention
17. A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The
nurse should secure the sensor to which of the following areas on the infant? - Answer
Great toe
,18. A nurse is caring for a newly admitted school-age child who has hypopituitarism. Which
med should the nurse expect the provider to prescribe? - Answer Recombinant growth
hormone
19. A nurse is assessing an adolescent who received a sodium polyrene sulfonate enema.
What should indicate effectiveness of the medication? - Answer Serum potassium level
4.1 mEq/L
20. A nurse is caring for an infant who is receiving IV fluids for the treatment of tetralogy of
Fallot and begins to have a hypercyantoic speel. What action should the nurse take? -
Answer Place the infant in knee-chest position
21. A nurse is providing teaching to an adolescent about how to manage tinea pedis. What
statement indicates an undersanding of the teaching? - Answer "I should wear sandals as
much as possible"
22. A nurse is providing taeching to the family of a school-age child who has juvenile
idiopathic arthritis. What instruction should the nurse include in the teaching? - Answer
"Encourage the child to perfomr independent self-care"
23. A nurse is caring for a school-age child who has DM and was admited with DKA. When
performing the respiratory assessment, what should the nurse expect? - Answer Deep
respirations of 32/min
24. A nurse in a health department is caring for an emancipated adolescent who has an STI
and is unaccompanied by a guardian. What should the nurse do? - Answer Have them
sign a consent form for treatment
25. A nurse is teaching the parent of an infant about home safety.
26. Which of the following pieces of information that should the nurse include? (select all
that apply)
A. Use a wheeled infant walker
B. Place soft pillows around the edge of the infants crib
, C. Position the car seat so it is rear facing
D. Secure a safety gate at the top and bottom of the stairs
E. Maintain the water heater temperature at 49°C (120°F) - Answer C, D, E
27. A charge nurse is providing education about child maltreatment to a group of newly
licensed nurses. Which of the following pieces of information should discharge nurse
include in the teaching?
A. Preschoolers have the highest rates of maltreatment
B. In single parent families, the parents non-biological partner is typically the abuser
of the child
C. Children who were born prematurely are more likely to be maltreated
D. Child maltreatment occurs equally across all socioeconomic groups - Answer C
28. A nurse is assessing a newborn at birth to assign Apgar scores. At 1 min of age, the
newborn is crying vigorously with limbs flexed and has a heart rate of 120 bpm. the
newborn's trunk is pink, but his hands and feet are cyanotic, and he cries when the soles
of his feet are stimulated. which of the following Apgar scores should the nurse assign
this infant?
A. 7
B. 8
C. 9
D. 10 - Answer C
29. A nurse is assessing a 6 month old infant. The Guardian reports that the infant does not
appear interested in the brightly colored mobile hanging above the crib at home. Which
of the following techniques should the nurse use to check the infants visual acuity?
A. Shine a penlight briefly into the left eye and then the right eye
B. Move a brightly colored toy from side to side in front of the infants face
C. Ask the guardian to sit in front of the infant and not his head up and down
D. Observe the infants ability to grasp the feet and pull them to the mouth - Answer
B
