2023 PEDS ATI Proctored Exam
Study online at https://quizlet.com/_h1cpg9
1. The nurse is preparing to administer an im- C- administer the immunization us-
munization to a four-year-old child. ing a 24-gauge needle; The nurse
Which of the following actions should the should administer an immunization for
nurse plan to take? a 4-year-old child using a 24-
A- Place the child in a prone position for the gauge needle to minimize the amount
immunization of pain experienced by the toddler.
B- request that the child's caregiver leave the
room during the immunization
C- administer the immunization using a
24-gauge needle
D- inject the immunization slowly after aspi-
rating for 3 seconds
2. A nurse is reviewing the laboratory report of B- sodium 140; The nurse should iden-
an infant who is receiving tify that a sodium level of 140 mEq/L is
treatment for severe dehydration. The nurse within the
should identify which of the expected reference range and indicates
following laboratory values indicates effec- the current treatment regimen the in-
tiveness of the current treatment? fant
A- Potassium 2.9 mEq/L is receiving for dehydration is effective.
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
3. The nurse is providing teaching about Social D- playing dress-up; The nurse should
Development to the parents of a instruct the parents that at the preschool
preschooler. Which of the following play activ- age, play should focus
ities should the nurse on social, mental, and physical develop-
recommend for the child? ment. Therefore, playing dress-up is a
A- Play pat-a-cake recommended play activity for this child.
B- using a push pull toy
, 2023 PEDS ATI Proctored Exam
Study online at https://quizlet.com/_h1cpg9
C- creating a scrapbook
D- playing dress-up
4. A nurse is teaching the parents of a newborn D- Give the infant a pacifier at bedtime;
about ways to prevent sudden The nurse should inform the parent that
infant death syndrome SIDS. Which of the fol- protective factors against SIDS include
lowing instructions should the breastfeeding and the use of a pacifier
nurse include? when the infant is sleeping.
A- Place the infant in a prone position to A- The nurse should instruct the parent
sleep. to place the infant in a supine
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
5. A nurse is assessing an infant who has pneu- A- Nasal flaring; When using the airway,
monia. Which of the following breathing, circulation approach to client
findings is the priority for the nurse to report care, the nurse
to the provider? should place the priority on nasal flar-
A- Nasal flaring ing. Nasal flaring indicates that the
B- WBC 11,300 infant is experiencing acute respiratory
C- diarrhea distress.
D- abdominal distension
6. A school nurse is assessing a school-age child C- assist the child to a side-lying po-
blood pressure while he is seated sition on the floor; The greatest risk to
in a chair. The child starts to experience a this child is aspiration, occlusion of the
tonic-clonic seizure. Which of the airway, and bodily
following actions should the nurse take first? injury from falling out of the chair. The
A- Clear the immediate area around the child nurse should ease the child down to
of hazardous objects floor in a side-lying position immediate-
B- loosen the child restrictive clothing ly. This position enables the child's
C- assist the child to a side-lying position on secretions to drain from the mouth, pre-
, 2023 PEDS ATI Proctored Exam
Study online at https://quizlet.com/_h1cpg9
the floor venting aspiration, and maintaining a
D- apply an oxygen mask to the child patent airway.
7. A nurse is receiving change-of-shift Report on A- A toddler who has a concussion and
for children. Which of the an episode of forceful vomiting; When
following children should the nurse assesses using the urgent vs. no urgent approach
first? to client care, the nurse should assess
A- A toddler who has a concussion and an this child first. An episode of forceful
episode of forceful vomiting vomiting is an indication of increased
B- an adolescent who has infective endocardi- intracranial pressure in a toddler who
tis and reports having a headache has a concussion.
C- an adolescent who was placed into Halo
traction 1 hour ago and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomeru-
lonephritis and brown colored urine
8. A nurse in the emergency department is car- A is correct. The nurse should identi-
ing for an adolescent who has fy the lower right quadrant of the ab-
severe abdominal pain due to appendicitis. domen
Which of the following between the umbilicus and the anterior
locations should the nurse identify as mcbur- iliac crest as the location of Burney's
ney's point? point.
9. A nurse is providing teaching to the family of B- Encourage the child to perform in-
a school-age child who has dependent self-care; The nurse should
juvenile idiopathic arthritis. Which of the fol- teach the family the importance of en-
Study online at https://quizlet.com/_h1cpg9
1. The nurse is preparing to administer an im- C- administer the immunization us-
munization to a four-year-old child. ing a 24-gauge needle; The nurse
Which of the following actions should the should administer an immunization for
nurse plan to take? a 4-year-old child using a 24-
A- Place the child in a prone position for the gauge needle to minimize the amount
immunization of pain experienced by the toddler.
B- request that the child's caregiver leave the
room during the immunization
C- administer the immunization using a
24-gauge needle
D- inject the immunization slowly after aspi-
rating for 3 seconds
2. A nurse is reviewing the laboratory report of B- sodium 140; The nurse should iden-
an infant who is receiving tify that a sodium level of 140 mEq/L is
treatment for severe dehydration. The nurse within the
should identify which of the expected reference range and indicates
following laboratory values indicates effec- the current treatment regimen the in-
tiveness of the current treatment? fant
A- Potassium 2.9 mEq/L is receiving for dehydration is effective.
B- sodium 140
C- urine specific gravity 1.035
D- BUN 25 mg
3. The nurse is providing teaching about Social D- playing dress-up; The nurse should
Development to the parents of a instruct the parents that at the preschool
preschooler. Which of the following play activ- age, play should focus
ities should the nurse on social, mental, and physical develop-
recommend for the child? ment. Therefore, playing dress-up is a
A- Play pat-a-cake recommended play activity for this child.
B- using a push pull toy
, 2023 PEDS ATI Proctored Exam
Study online at https://quizlet.com/_h1cpg9
C- creating a scrapbook
D- playing dress-up
4. A nurse is teaching the parents of a newborn D- Give the infant a pacifier at bedtime;
about ways to prevent sudden The nurse should inform the parent that
infant death syndrome SIDS. Which of the fol- protective factors against SIDS include
lowing instructions should the breastfeeding and the use of a pacifier
nurse include? when the infant is sleeping.
A- Place the infant in a prone position to A- The nurse should instruct the parent
sleep. to place the infant in a supine
B- Allow the infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.
5. A nurse is assessing an infant who has pneu- A- Nasal flaring; When using the airway,
monia. Which of the following breathing, circulation approach to client
findings is the priority for the nurse to report care, the nurse
to the provider? should place the priority on nasal flar-
A- Nasal flaring ing. Nasal flaring indicates that the
B- WBC 11,300 infant is experiencing acute respiratory
C- diarrhea distress.
D- abdominal distension
6. A school nurse is assessing a school-age child C- assist the child to a side-lying po-
blood pressure while he is seated sition on the floor; The greatest risk to
in a chair. The child starts to experience a this child is aspiration, occlusion of the
tonic-clonic seizure. Which of the airway, and bodily
following actions should the nurse take first? injury from falling out of the chair. The
A- Clear the immediate area around the child nurse should ease the child down to
of hazardous objects floor in a side-lying position immediate-
B- loosen the child restrictive clothing ly. This position enables the child's
C- assist the child to a side-lying position on secretions to drain from the mouth, pre-
, 2023 PEDS ATI Proctored Exam
Study online at https://quizlet.com/_h1cpg9
the floor venting aspiration, and maintaining a
D- apply an oxygen mask to the child patent airway.
7. A nurse is receiving change-of-shift Report on A- A toddler who has a concussion and
for children. Which of the an episode of forceful vomiting; When
following children should the nurse assesses using the urgent vs. no urgent approach
first? to client care, the nurse should assess
A- A toddler who has a concussion and an this child first. An episode of forceful
episode of forceful vomiting vomiting is an indication of increased
B- an adolescent who has infective endocardi- intracranial pressure in a toddler who
tis and reports having a headache has a concussion.
C- an adolescent who was placed into Halo
traction 1 hour ago and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomeru-
lonephritis and brown colored urine
8. A nurse in the emergency department is car- A is correct. The nurse should identi-
ing for an adolescent who has fy the lower right quadrant of the ab-
severe abdominal pain due to appendicitis. domen
Which of the following between the umbilicus and the anterior
locations should the nurse identify as mcbur- iliac crest as the location of Burney's
ney's point? point.
9. A nurse is providing teaching to the family of B- Encourage the child to perform in-
a school-age child who has dependent self-care; The nurse should
juvenile idiopathic arthritis. Which of the fol- teach the family the importance of en-
