2024 ATI PEDIATRIC CMS PROCTORED EXAM
ll ll ll ll ll
VERSION 1/ACTUAL EXAM WITH CORRECT
ll ll ll ll ll
DETAILED ANSWERS WITH RATIONALES/A+
ll ll ll ll
GRADE ll
A nurse is caring for an adolescent following a lumbar puncture. which
ll ll ll ll ll ll ll ll ll ll ll
ll of the followingactions should the nurse take?
ll ll l ll ll ll ll
- initiate llNPO llstatus llfor llthe lladolescent
- place llthe lladolescent llin lla llsupine llposition
- place lla llmoist, llwarm llpack llon llthe lladolescents lllower llback
- apply lla lleutectic llmixture llof lllocal llanesthetics llto llthe lladolescent's
ll puncture site -ANSWER>>Place the adolescent in supine
ll ll l ll ll ll ll
ll position
RATIONALE:(The nurse should place the adolescent in a supine position ll ll ll ll ll ll ll ll ll
ll for 30 minutes to an 1 hourfollowing a lumbar puncture to decrease the
ll ll ll ll ll ll l ll ll ll ll ll ll
risk of a post Dural puncture headache)
ll ll ll ll ll ll ll
A nurse is assessing a child who is receiving IV chemotherapy.
ll ll ll ll ll ll ll ll ll ll
ll assessment findingsinclude extravasation of the tissues surrounding
ll l ll ll ll ll ll
ll the IV insertion site. In which order should the nurse take the
ll ll ll ll ll ll ll ll ll ll ll
ll following actions? ll
-Remove IV line ll ll
-Elevate the extremity ll ll
-Stop the infusion ll ll
-Notify the provider - ANSWER>>Stop ll ll ll ll
ll the infusionElevate the extremity
ll l ll ll
, Notify the ll
ll provider
ll Remove the IV ll ll
line
ll
A nurse is discussing the causes of chronic diarrhea with a client. which
ll ll ll ll ll ll ll ll ll ll ll ll
ll of the followingconditions is caused by malabsorption
ll ll l ll ll ll ll
-Celiac disease ll
-Ulcerative colitis ll
-Hirschsprung's disease ll
-Crohn's disease - ANSWER>>Celiac Disease
ll ll ll ll
RATIONALE:( (the nurse should recognize that celiac disease causes ll ll ll ll ll ll ll ll
ll chronic diarrhea due to malabsorption. other malabsorption conditions
ll ll ll ll ll ll ll
include short bowel syndrome, lactoseintolerance, and congenital enzyme
ll ll ll ll ll l ll ll ll
ll deficiency)
A nurse is caring for an 8 year old child who has sickle cell anemia.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
which of thefollowing actions should the nurse take?
ll ll ll l ll ll ll ll ll
-Apply cool compresses to the painful area
ll ll ll ll ll ll
-Initiate contact isolation precautions
ll ll ll
-Give the child flavored popsicles
ll ll ll ll
-Administer phytonadione - ANSWER>>Give the child flavored popsicles
ll ll ll ll ll ll ll
RATIONALE:( (Maintaining hydration with a child who has sickle cell ll ll ll ll ll ll ll ll ll
anemia is important to preventsickling. children often accept flavored
ll ll ll ll ll l ll ll ll ll
ll ll ll ll ll
VERSION 1/ACTUAL EXAM WITH CORRECT
ll ll ll ll ll
DETAILED ANSWERS WITH RATIONALES/A+
ll ll ll ll
GRADE ll
A nurse is caring for an adolescent following a lumbar puncture. which
ll ll ll ll ll ll ll ll ll ll ll
ll of the followingactions should the nurse take?
ll ll l ll ll ll ll
- initiate llNPO llstatus llfor llthe lladolescent
- place llthe lladolescent llin lla llsupine llposition
- place lla llmoist, llwarm llpack llon llthe lladolescents lllower llback
- apply lla lleutectic llmixture llof lllocal llanesthetics llto llthe lladolescent's
ll puncture site -ANSWER>>Place the adolescent in supine
ll ll l ll ll ll ll
ll position
RATIONALE:(The nurse should place the adolescent in a supine position ll ll ll ll ll ll ll ll ll
ll for 30 minutes to an 1 hourfollowing a lumbar puncture to decrease the
ll ll ll ll ll ll l ll ll ll ll ll ll
risk of a post Dural puncture headache)
ll ll ll ll ll ll ll
A nurse is assessing a child who is receiving IV chemotherapy.
ll ll ll ll ll ll ll ll ll ll
ll assessment findingsinclude extravasation of the tissues surrounding
ll l ll ll ll ll ll
ll the IV insertion site. In which order should the nurse take the
ll ll ll ll ll ll ll ll ll ll ll
ll following actions? ll
-Remove IV line ll ll
-Elevate the extremity ll ll
-Stop the infusion ll ll
-Notify the provider - ANSWER>>Stop ll ll ll ll
ll the infusionElevate the extremity
ll l ll ll
, Notify the ll
ll provider
ll Remove the IV ll ll
line
ll
A nurse is discussing the causes of chronic diarrhea with a client. which
ll ll ll ll ll ll ll ll ll ll ll ll
ll of the followingconditions is caused by malabsorption
ll ll l ll ll ll ll
-Celiac disease ll
-Ulcerative colitis ll
-Hirschsprung's disease ll
-Crohn's disease - ANSWER>>Celiac Disease
ll ll ll ll
RATIONALE:( (the nurse should recognize that celiac disease causes ll ll ll ll ll ll ll ll
ll chronic diarrhea due to malabsorption. other malabsorption conditions
ll ll ll ll ll ll ll
include short bowel syndrome, lactoseintolerance, and congenital enzyme
ll ll ll ll ll l ll ll ll
ll deficiency)
A nurse is caring for an 8 year old child who has sickle cell anemia.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
which of thefollowing actions should the nurse take?
ll ll ll l ll ll ll ll ll
-Apply cool compresses to the painful area
ll ll ll ll ll ll
-Initiate contact isolation precautions
ll ll ll
-Give the child flavored popsicles
ll ll ll ll
-Administer phytonadione - ANSWER>>Give the child flavored popsicles
ll ll ll ll ll ll ll
RATIONALE:( (Maintaining hydration with a child who has sickle cell ll ll ll ll ll ll ll ll ll
anemia is important to preventsickling. children often accept flavored
ll ll ll ll ll l ll ll ll ll
