ATI Pediatric Exam Questions With & Rationales
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1. A nurse in the emergency department is caring for a b. Check the child's respi-
2-yr old child who was found by his parents crying and ratory status.
holding a container of toilet bowl cleaner. The child's Rationale: When applying
lips are edematous and inflamed, and he is drooling. the ABC priority setting
Which of the following is the following priority action framework, airway is al-
by the nurse? ways the highest priority
a. Remove the child's contaminated clothing. because the airway must
b. Check the child's respiratory status. be clear and open for oxy-
c. Administer an antidote to the child. gen exchange to occur.
d. Establish IV access for the child. Breathing is the second
highest priority in the ABC
priority setting framework
because adequate ventila-
tory effort is essential in
order for oxygen change
to occur.
2. A nurse is teaching a parent of a 12-month old child d. your child should be
about development during the toddler years. Which of able to scribble sponta-
the following statements should the nurse include? neously using a crayon at
a. Your child should be referring to himself using the the age of 15 months
appropriate pronoun by the 18 months of age Rationale: The nurse
b. a toddler's interest in looking at pictures occurs at should teach the par-
20 months of age ent that at the age of
c. a toddler should have daytime control of his bowel 15 months, the toddler
and bladder by 24 months of age. should be
d. your child should be able to scribble spontaneously able to scribble sponta-
using a crayon at the age of 15 months neously, and at the age
of 18 months, the toddler
should be able to make
strokes imitatively
, ATI Pediatric Exam Questions With & Rationales
Study online at https://quizlet.com/_gypcze
3. A nurse is caring for a toddler and is preparing to 25 gtt
administer 0.9% sodium chloride 100ml IV to infuse Rationale: 100ml/4 hr x
over 4 hr. The drop factor of the manual IV tubing is 60 60gtt/1mlx 1 hr/60min=
gtt/ml. The nurse should set the manual IV infusion to 6000/240= 25 gtt
deliver how many gtt/min? (Round the answer to the
nearest whole number)
4. A nurse in a pediatric clinic is assessing a toddler at a b. Minimize physical con-
well-child visit. Which of the following actions should tact with the child initially.
the nurse take? Rationale: The nurse
a. Perform the assessment in a head to toe sequence. should initially minimize
b. Minimize physical contact with the child initially. physical contact with the
c. Explain procedures using medical terminology toddler, and then
d. Stop the assessment if the child becomes uncooper- progress from the least
ative. traumatic to the most trau-
matic procedures.
5. A nurse is caring for an 18-yr old adolescent who is up b. Meningococcal polysac-
to date on immunizations and is planning to attend charide
college. The nurse should inform the client that he Rationale: The meningo-
should receive which of the following immunizations coccal polysaccharide im-
prior to moving into a campus dormitory. munization is used to pre-
a. Pneumococcal polysaccharide vent infection by
b. Meningococcal polysaccharide certain groups of
c. rotavirus meningococcal bacteria.
d. Herpes zoster Meningococcal infection
can cause life-threaten-
ing
illnesses, such as
meningococcal meningi-
tis, which affects the brain,
and meningococcemia,
, ATI Pediatric Exam Questions With & Rationales
Study online at https://quizlet.com/_gypcze
which affects the blood.
Both of these conditions
can be fatal. College fresh-
men, particularly
those who live in dor-
mitories, are at an in-
creased risk for meningo-
coccal disease relative to
other persons their age.
Therefore, the Centers for
Disease Control and Pre-
vention has issued a
recommendation that all
incoming college students
receive the meningococcal
immunization.
6. A nurse is teaching the parent of an infant about food a. Cow's milk
allergens. Which of the following foods should the Rationale: According to ev-
nurse include as being the most common food allergy idence-based practice, the
in children. nurse should instruct the
a. Cow's milk parent that cow's
b. Wheat bread milk is the most common
c. Corn syrup food allergy in children.
d. Eggs Some children are sensi-
tive to the protein,
called casein, found in
cow's milk. They have diffi-
culty metabolizing the ca-
sein and are,
therefore, allergic to cow's
milk.
Study online at https://quizlet.com/_gypcze
1. A nurse in the emergency department is caring for a b. Check the child's respi-
2-yr old child who was found by his parents crying and ratory status.
holding a container of toilet bowl cleaner. The child's Rationale: When applying
lips are edematous and inflamed, and he is drooling. the ABC priority setting
Which of the following is the following priority action framework, airway is al-
by the nurse? ways the highest priority
a. Remove the child's contaminated clothing. because the airway must
b. Check the child's respiratory status. be clear and open for oxy-
c. Administer an antidote to the child. gen exchange to occur.
d. Establish IV access for the child. Breathing is the second
highest priority in the ABC
priority setting framework
because adequate ventila-
tory effort is essential in
order for oxygen change
to occur.
2. A nurse is teaching a parent of a 12-month old child d. your child should be
about development during the toddler years. Which of able to scribble sponta-
the following statements should the nurse include? neously using a crayon at
a. Your child should be referring to himself using the the age of 15 months
appropriate pronoun by the 18 months of age Rationale: The nurse
b. a toddler's interest in looking at pictures occurs at should teach the par-
20 months of age ent that at the age of
c. a toddler should have daytime control of his bowel 15 months, the toddler
and bladder by 24 months of age. should be
d. your child should be able to scribble spontaneously able to scribble sponta-
using a crayon at the age of 15 months neously, and at the age
of 18 months, the toddler
should be able to make
strokes imitatively
, ATI Pediatric Exam Questions With & Rationales
Study online at https://quizlet.com/_gypcze
3. A nurse is caring for a toddler and is preparing to 25 gtt
administer 0.9% sodium chloride 100ml IV to infuse Rationale: 100ml/4 hr x
over 4 hr. The drop factor of the manual IV tubing is 60 60gtt/1mlx 1 hr/60min=
gtt/ml. The nurse should set the manual IV infusion to 6000/240= 25 gtt
deliver how many gtt/min? (Round the answer to the
nearest whole number)
4. A nurse in a pediatric clinic is assessing a toddler at a b. Minimize physical con-
well-child visit. Which of the following actions should tact with the child initially.
the nurse take? Rationale: The nurse
a. Perform the assessment in a head to toe sequence. should initially minimize
b. Minimize physical contact with the child initially. physical contact with the
c. Explain procedures using medical terminology toddler, and then
d. Stop the assessment if the child becomes uncooper- progress from the least
ative. traumatic to the most trau-
matic procedures.
5. A nurse is caring for an 18-yr old adolescent who is up b. Meningococcal polysac-
to date on immunizations and is planning to attend charide
college. The nurse should inform the client that he Rationale: The meningo-
should receive which of the following immunizations coccal polysaccharide im-
prior to moving into a campus dormitory. munization is used to pre-
a. Pneumococcal polysaccharide vent infection by
b. Meningococcal polysaccharide certain groups of
c. rotavirus meningococcal bacteria.
d. Herpes zoster Meningococcal infection
can cause life-threaten-
ing
illnesses, such as
meningococcal meningi-
tis, which affects the brain,
and meningococcemia,
, ATI Pediatric Exam Questions With & Rationales
Study online at https://quizlet.com/_gypcze
which affects the blood.
Both of these conditions
can be fatal. College fresh-
men, particularly
those who live in dor-
mitories, are at an in-
creased risk for meningo-
coccal disease relative to
other persons their age.
Therefore, the Centers for
Disease Control and Pre-
vention has issued a
recommendation that all
incoming college students
receive the meningococcal
immunization.
6. A nurse is teaching the parent of an infant about food a. Cow's milk
allergens. Which of the following foods should the Rationale: According to ev-
nurse include as being the most common food allergy idence-based practice, the
in children. nurse should instruct the
a. Cow's milk parent that cow's
b. Wheat bread milk is the most common
c. Corn syrup food allergy in children.
d. Eggs Some children are sensi-
tive to the protein,
called casein, found in
cow's milk. They have diffi-
culty metabolizing the ca-
sein and are,
therefore, allergic to cow's
milk.
