ATI Pediatrics Exam 4 2024
1.) A nurse is reinforcing teaching with the guardian of a school age child who has asthma.
Which of the following instructions should the nurse include in the teaching?
A. Obtain a pneumococcal immunization for your child
B. Have your child inhale deeply and quickly when using peak flow meter
C. Use Salmeterol to manage your child's acute exacerbations
D. Avoid allowing your child to participate in school sports
B. Have your child inhale deeply and quickly when using peak flow meter
2.) A nurse is collecting data form an adolescent who has diabetes mellitus and is receiving
glucagon therapy. Which of the following findings indicate that the therapy has been
effective?
A. Urine Ketone +3
B. Blood Glucose 50 mg/dl
C. Increase alertness
D. Diaphoresis
C. Increase alertness
3.) A nurse is collecting data from a school age child who has bacterial meningitis. Which of
the following should the nurse expect? Select all that apply
A. Tinnitus
B. Negative Kerning Sign
C. Headache
D. Seizures
E. Vomiting
A. Tinnitus
C. Headache
D. Seizures
E. Vomiting
4.) A nurse is caring for a child who has cystic fibrosis and is taking dornase alfa. Which of
the following actions should the nurse take to evaluate the effectiveness of the medication?
A. Monitor the child's so
B. Weight the child daily
C. Determine the child's heart rate
D. Auscultate the child's breath sounds
D. Auscultate the child’s breath sounds
5.) A nurse is assisting with the care of a preschooler who is postoperative following
tetralogy of Fallot correction. Which of the following manifestations indicates the child is
possibly experiencing decreased cardiac output?
A. Extremities warm to touch
B. Blood pressure 112/66 mmHg
C. Capillary refill 2 seconds
D. Diminished pulses
D. Diminished pulses
, 6.) A nurse is reinforcing teaching about accidental drowning with the parents of a toddler.
Which of the following information should the nurse include in the teaching?
A. Placing a fence around a pool ensures the safety of the child
B. Most incidents of accidental drowning occur in ponds or lakes
C. An adult should remain within arm's reach of the child when near water
D. Teaching the child to swim eliminates the risk of accidental drowning
A. Placing a fence around a pool ensures the safety of the child
7.) A nurse is collecting data from a child who has sickle cell anemia and is experiencing a
vaso-occlusive crisis. Which of the following finding should the nurse expect?
A. Abdominal Pain
B. Polyuria
C. Tinnitus
D. Pruritus
A. Abdominal Pain
8.) A nurse is reinforcing teaching with a parent of a child who has attention deficit
hyperactivity disorder. Which of the following statements should the nurse include in the
teaching to promote the child's learning?
A. Offer your child frequent breaks in activity during the day
B. Provide your child with long-term goals to increase self esteem
C. Administer your child's medication at bedtime to prevent insomnia
D. Schedule a different routine for your child each day
A. Offer your child frequent breaks in activity during the day
9.) A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of
the following findings should the nurse expect?
A. Rounded facial features
B. Rapid weight loss
C. Hypotension
D. Hypersomnia
A. Rounded facial features
10.) A nurse is caring for a child who has acute glomerulonephritis. Which of the following
manifestations should the nurse expect?
A. Hypokalemia
B. Muehrcke lines on the nails
C. Hypertension
D. Dehydration
C. Hypertension
11.) A nurse is reinforcing teaching with the parent of a 2-month-old infant who has
gastroesophageal reflux. The parents are feeding the child infant formula. Which of the
following instructions should the nurse include in the teaching?
A. Give the bottle immediately before the infant's bedtime
B. Limit the infant's formula feedings to every 6 hr
C. Change the infant's formula to a soy-based formula
D. Keep the infant at a 30 degree angle for 1 hr following each feeding
D. Keep the infant at a 30 degree angle for 1 hr following each feeding
1.) A nurse is reinforcing teaching with the guardian of a school age child who has asthma.
Which of the following instructions should the nurse include in the teaching?
A. Obtain a pneumococcal immunization for your child
B. Have your child inhale deeply and quickly when using peak flow meter
C. Use Salmeterol to manage your child's acute exacerbations
D. Avoid allowing your child to participate in school sports
B. Have your child inhale deeply and quickly when using peak flow meter
2.) A nurse is collecting data form an adolescent who has diabetes mellitus and is receiving
glucagon therapy. Which of the following findings indicate that the therapy has been
effective?
A. Urine Ketone +3
B. Blood Glucose 50 mg/dl
C. Increase alertness
D. Diaphoresis
C. Increase alertness
3.) A nurse is collecting data from a school age child who has bacterial meningitis. Which of
the following should the nurse expect? Select all that apply
A. Tinnitus
B. Negative Kerning Sign
C. Headache
D. Seizures
E. Vomiting
A. Tinnitus
C. Headache
D. Seizures
E. Vomiting
4.) A nurse is caring for a child who has cystic fibrosis and is taking dornase alfa. Which of
the following actions should the nurse take to evaluate the effectiveness of the medication?
A. Monitor the child's so
B. Weight the child daily
C. Determine the child's heart rate
D. Auscultate the child's breath sounds
D. Auscultate the child’s breath sounds
5.) A nurse is assisting with the care of a preschooler who is postoperative following
tetralogy of Fallot correction. Which of the following manifestations indicates the child is
possibly experiencing decreased cardiac output?
A. Extremities warm to touch
B. Blood pressure 112/66 mmHg
C. Capillary refill 2 seconds
D. Diminished pulses
D. Diminished pulses
, 6.) A nurse is reinforcing teaching about accidental drowning with the parents of a toddler.
Which of the following information should the nurse include in the teaching?
A. Placing a fence around a pool ensures the safety of the child
B. Most incidents of accidental drowning occur in ponds or lakes
C. An adult should remain within arm's reach of the child when near water
D. Teaching the child to swim eliminates the risk of accidental drowning
A. Placing a fence around a pool ensures the safety of the child
7.) A nurse is collecting data from a child who has sickle cell anemia and is experiencing a
vaso-occlusive crisis. Which of the following finding should the nurse expect?
A. Abdominal Pain
B. Polyuria
C. Tinnitus
D. Pruritus
A. Abdominal Pain
8.) A nurse is reinforcing teaching with a parent of a child who has attention deficit
hyperactivity disorder. Which of the following statements should the nurse include in the
teaching to promote the child's learning?
A. Offer your child frequent breaks in activity during the day
B. Provide your child with long-term goals to increase self esteem
C. Administer your child's medication at bedtime to prevent insomnia
D. Schedule a different routine for your child each day
A. Offer your child frequent breaks in activity during the day
9.) A nurse is collecting data from a school-age child who has Cushing's syndrome. Which of
the following findings should the nurse expect?
A. Rounded facial features
B. Rapid weight loss
C. Hypotension
D. Hypersomnia
A. Rounded facial features
10.) A nurse is caring for a child who has acute glomerulonephritis. Which of the following
manifestations should the nurse expect?
A. Hypokalemia
B. Muehrcke lines on the nails
C. Hypertension
D. Dehydration
C. Hypertension
11.) A nurse is reinforcing teaching with the parent of a 2-month-old infant who has
gastroesophageal reflux. The parents are feeding the child infant formula. Which of the
following instructions should the nurse include in the teaching?
A. Give the bottle immediately before the infant's bedtime
B. Limit the infant's formula feedings to every 6 hr
C. Change the infant's formula to a soy-based formula
D. Keep the infant at a 30 degree angle for 1 hr following each feeding
D. Keep the infant at a 30 degree angle for 1 hr following each feeding
