PEDS EXAM 3 (FINAL) - ATI PRACTICE QUESTIONS | Exam
Success Guide | Graded A+
1. Describe the rationale behind compressing a sports-related injury for 24
hours.
Compressing the injury allows for immediate mobility of the joint.
Compressing the injury prevents the need for further medical
intervention.
Compressing the injury helps reduce swelling and provides support
to the affected area.
Compressing the injury increases blood flow to promote healing.
2. Describe the role of epinephrine in managing anaphylactic reactions in
pediatric patients.
Epinephrine acts as a vasoconstrictor and bronchodilator, reversing
the symptoms of anaphylaxis.
Epinephrine only helps with respiratory symptoms and has no effect
on blood pressure.
Epinephrine is used to treat nausea and vomiting in children.
Epinephrine increases heart rate and blood pressure without affecting
breathing.
3. You are providing physical therapy services to an 18-month-old boy named
Julian. Julian has a diagnosis of Down Syndrome. The focus of your treatment
today includes observing Julian in his home environment, and interviewing
Julian's mother on her concerns and goals for the care of her child. You note
during your observation of Julian that he has difficulty maintaining a standing
position without any support, and he is unable to initiate any steps. The
mother states, 'Julian's inability to walk really bothers me. My sister's son was
, walking at 1 year old. Should I be concerned?' What would be the most
appropriate response to this question?
"Julian should be seen by his primary care provider as soon as
possible. He is behind in his motor development. Development of the
skills necessary to complete standing unsupported and walking are
usually achieved by 10-12 months."
"Try not to think about it too much. I am sure with time Julian will be up
and walking."
"I'm sorry this has you concerned. I know it must be difficult that
Julian is developing at a slower rate than you expected. However,
research does show that children with Down Syndrome will
eventually meet their motor milestones like walking, but it can take
up to twice as long compared to children without Down Syndrome."
"I think it is important that we establish a general lower extremity
strengthening program today to help improve the strength and
stability in Julian's legs so he can start walking as soon as possible."
4. If a caregiver incorrectly adjusts the straps of a Pavlik harness, what potential
complication could arise for the infant?
Increased mobility of the legs
Improved blood circulation to the hips
Improper hip joint alignment
Enhanced muscle strength in the legs
5. During IV fluid resuscitation therapy for a burn injury, which vital sign is most
indicative of adequate fluid replacement?
Temperature
Respiratory Rate
, Heart Rate
Blood Pressure
6. A nurse is caring for a child who just experienced a generalized seizure.
Which of the following is the priority action for the nurse to take?
Note the time and characteristics of the child's seizure
Loosen the child's restrictive clothing
Reorient the child to the environment
Maintain the child in a side-lying position
7. Describe the significance of blisters in a partial-thickness burn and what they
indicate about the injury.
Blisters are irrelevant to the assessment of burn severity.
Blisters indicate that the dermis is affected and that the injury is
more severe than a superficial burn.
Blisters show that the epidermis is intact and the burn is minor.
Blisters are a sign of healing and indicate the burn is superficial.
8. A child presents with a sports-related injury and shows signs of swelling.
What should the nurse prioritize in the immediate care plan?
Apply heat to the injury to relieve pain
Compress the injury for 24 hrs
Encourage the child to move the injured joint
Keep the injured extremity elevated above the heart
9. The nurse is caring for Molly, a 16 year old who has just had a spinal fusion to
correct scoliosis. which of the following should the nurse include in molly's
, immediate plan of care during the first 24 hours after surgery?
encourage the use of the inspirometer to avoid any pulmonary
complications and ensure lung expansion
encourage Molly to ambulate the length of the hallway 2-3 times
encourage molly's mother to assist with the admin of morphine via
PCA pump while Molly is sleeping to assure a continuous level of
analgesia
keep Molly flat on her back to maintain alignment for the first 24 hours
10. A child with attention deficit hyperactivity disorder (ADHD) is working on
developing on-task behaviors in the classroom. Which intervention strategy
would be appropriate to support the child in developing on-task behaviors?
Modifying the classroom environment so that the child is not sitting
near close friends and will have a tendency to talk less to the
surrounding students.
Introducing the child to other students with ADHD so that they can
discuss what it feels like to have this condition.
Requesting that the teacher not penalize the student for off-task
behavior until the student's medication has been adjusted.
Developing a behavior modification program in which the child is
rewarded for being on task at different intervals throughout the
day.
11. A nurse is preparing to assist with applying a cast to a preschooler's arm.
Which of the following actions should the nurse take?
Tell the child, "This will make your arm feel better."
Support the casted arm with a firm grasp.
Place a heated fan at the bedside to facilitate drying.
Success Guide | Graded A+
1. Describe the rationale behind compressing a sports-related injury for 24
hours.
Compressing the injury allows for immediate mobility of the joint.
Compressing the injury prevents the need for further medical
intervention.
Compressing the injury helps reduce swelling and provides support
to the affected area.
Compressing the injury increases blood flow to promote healing.
2. Describe the role of epinephrine in managing anaphylactic reactions in
pediatric patients.
Epinephrine acts as a vasoconstrictor and bronchodilator, reversing
the symptoms of anaphylaxis.
Epinephrine only helps with respiratory symptoms and has no effect
on blood pressure.
Epinephrine is used to treat nausea and vomiting in children.
Epinephrine increases heart rate and blood pressure without affecting
breathing.
3. You are providing physical therapy services to an 18-month-old boy named
Julian. Julian has a diagnosis of Down Syndrome. The focus of your treatment
today includes observing Julian in his home environment, and interviewing
Julian's mother on her concerns and goals for the care of her child. You note
during your observation of Julian that he has difficulty maintaining a standing
position without any support, and he is unable to initiate any steps. The
mother states, 'Julian's inability to walk really bothers me. My sister's son was
, walking at 1 year old. Should I be concerned?' What would be the most
appropriate response to this question?
"Julian should be seen by his primary care provider as soon as
possible. He is behind in his motor development. Development of the
skills necessary to complete standing unsupported and walking are
usually achieved by 10-12 months."
"Try not to think about it too much. I am sure with time Julian will be up
and walking."
"I'm sorry this has you concerned. I know it must be difficult that
Julian is developing at a slower rate than you expected. However,
research does show that children with Down Syndrome will
eventually meet their motor milestones like walking, but it can take
up to twice as long compared to children without Down Syndrome."
"I think it is important that we establish a general lower extremity
strengthening program today to help improve the strength and
stability in Julian's legs so he can start walking as soon as possible."
4. If a caregiver incorrectly adjusts the straps of a Pavlik harness, what potential
complication could arise for the infant?
Increased mobility of the legs
Improved blood circulation to the hips
Improper hip joint alignment
Enhanced muscle strength in the legs
5. During IV fluid resuscitation therapy for a burn injury, which vital sign is most
indicative of adequate fluid replacement?
Temperature
Respiratory Rate
, Heart Rate
Blood Pressure
6. A nurse is caring for a child who just experienced a generalized seizure.
Which of the following is the priority action for the nurse to take?
Note the time and characteristics of the child's seizure
Loosen the child's restrictive clothing
Reorient the child to the environment
Maintain the child in a side-lying position
7. Describe the significance of blisters in a partial-thickness burn and what they
indicate about the injury.
Blisters are irrelevant to the assessment of burn severity.
Blisters indicate that the dermis is affected and that the injury is
more severe than a superficial burn.
Blisters show that the epidermis is intact and the burn is minor.
Blisters are a sign of healing and indicate the burn is superficial.
8. A child presents with a sports-related injury and shows signs of swelling.
What should the nurse prioritize in the immediate care plan?
Apply heat to the injury to relieve pain
Compress the injury for 24 hrs
Encourage the child to move the injured joint
Keep the injured extremity elevated above the heart
9. The nurse is caring for Molly, a 16 year old who has just had a spinal fusion to
correct scoliosis. which of the following should the nurse include in molly's
, immediate plan of care during the first 24 hours after surgery?
encourage the use of the inspirometer to avoid any pulmonary
complications and ensure lung expansion
encourage Molly to ambulate the length of the hallway 2-3 times
encourage molly's mother to assist with the admin of morphine via
PCA pump while Molly is sleeping to assure a continuous level of
analgesia
keep Molly flat on her back to maintain alignment for the first 24 hours
10. A child with attention deficit hyperactivity disorder (ADHD) is working on
developing on-task behaviors in the classroom. Which intervention strategy
would be appropriate to support the child in developing on-task behaviors?
Modifying the classroom environment so that the child is not sitting
near close friends and will have a tendency to talk less to the
surrounding students.
Introducing the child to other students with ADHD so that they can
discuss what it feels like to have this condition.
Requesting that the teacher not penalize the student for off-task
behavior until the student's medication has been adjusted.
Developing a behavior modification program in which the child is
rewarded for being on task at different intervals throughout the
day.
11. A nurse is preparing to assist with applying a cast to a preschooler's arm.
Which of the following actions should the nurse take?
Tell the child, "This will make your arm feel better."
Support the casted arm with a firm grasp.
Place a heated fan at the bedside to facilitate drying.
