2023 PEDS ATI Proctored Exam
september exam with questions and
answers
A nurse is providing discharge teaching to the parents of a three-month-old
infant following acheiloplasty. which of the following instructions should the nurse
include?
A- Clean your baby's sutures daily with a mixture of chlorhexidine and water
B- expect your baby to swallow more than usual over the next few days
C- inspect your baby's tongue for white patches using a tongue depressor every 8 hours
D- apply a thin layer of antibiotic ointment on your babies' suture line daily for the next
three days - ✔✔ANSW✔✔..D- apply a thin layer of antibiotic ointment on your babies'
suture line daily for the next three days; The nurse should instruct the parents to apply a
thin layer of antibiotic ointment on the infant's suture line daily for 3 days and then
continue to apply petroleum jelly
to the area for several weeks to promote healing.
A nurse is caring for a hospitalized preschooler. The child's mother is going
home for a few hours while another relative stay with the child. Which of the
following statements should the nurse make to explain to the child when her
mother will return?
A- Your mommy will be back at 7 p.m.
B- your mommy will be back after she takes care of your brother
C- your mommy will be back in the morning
D- your mommy will be back after you eat - ✔✔ANSW✔✔..D- your mommy will be back
after you eat; Preschoolers make sense of time best when they can associate it with an
expected
daily routine, such as meals and bedtime. Therefore, the child comprehends time
best when it is explained to them in relation to an event they are familiar with,
such as eating.
A nurse is planning developmental activities for a newly admitted 10-year-old
child who has neutropenia. Which of the following actions should the nurse
plan to take?
A- Provide the child with a book about Adventure
B- arrange frequent visits from family members and peers
C- give the child a large piece puzzle
,D- use puppet to entertain the child - ✔✔ANSW✔✔..A- Provide the child with a book
about Adventure; The nurse should provide a school-age child with a book about
adventure as a
developmental activity because children are expanding their knowledge and
imagination during this age.
A nurse in the emergency department is caring for a school-age child who has
epiglottitis.Which of the following actions should the nurse take?
A- Obtain a throat culture from the child
B- monitor the child's oxygen saturation
C- put a warm mist humidifier in the child's room
D- Place the child in a Supine position - ✔✔ANSW✔✔..B- monitor the child's oxygen
saturation; The nurse should monitor the child's oxygen saturation level because the
child is
experiencing acute respiratory distress and it is necessary to determine if the
child is responding to treatment.
A nurse in an Emergency Department is assessing a three-month-old infant
who has rotavirusand is experiencing acute vomiting and diarrhea. Which of
the following manifestations should the nurse identify as an indication that
the infant has moderate to severe dehydration?
A- Heart rate 124/ minute
B- increase tear production
C- sunken anterior fontanel
D- capillary refill 2 seconds - ✔✔ANSW✔✔..C- sunken anterior fontanel; The nurse
should recognize that a sunken anterior fontanel is an indication of
moderate to severe dehydration due to the acute loss of fluid.
A nurse is creating a plan of care for a newly admitted adolescent who has
bacterial meningitis. How long should the nurse plan to maintain the
Adolescent in droplet precautions?
A- Until the Adolescent is afebrile
B- for 7 days following an admission to the facility
C- until the Adolescent has a negative blood culture
D- for 24 hours following initiation of antimicrobial therapy - ✔✔ANSW✔✔..D- for 24
hours following initiation of antimicrobial therapy; The nurse should plan to maintain the
adolescent on droplet precautions for at least
24 hr following initiation of antimicrobial therapy. This practice will ensure that the
adolescent is nolonger contagious, which protects family members and the
personnel caring for the client.
Prophylactic antibiotics might be prescribed to individuals who were in close
contact with the adolescent.
A school nurse is assessing an adolescent who presents with multiple Burns in
various stages of healing. Which of the following behaviors should the nurse
identify as suggestive of possible physical abuse?
, A- Expresses a reluctance to leave home
B- provides a detailed description of how the burns occurred
C- denies discomfort during assessment of injuries
D- describes strong relationships with peers - ✔✔ANSW✔✔..C- denies discomfort
during assessment of injuries; The nurse should suspect child maltreatment in the form
of physical abuse if the
adolescent has a blunted response to painful stimuli or injury.
A nurse is assessing an adolescent who received a sodium polystyrene
sulfonate enema. Which of the following findings indicates effectiveness
of the medication?
A- The Adolescents reports in absence of nausea and vomiting
B- the client experiences onset of loose stools within 15 minutes of administration
C- The Adolescents serum potassium level is 4.1
D- the Adolescent has a blood pressure of 86/ 52 - ✔✔ANSW✔✔..C- The Adolescents
serum potassium level is 4.1; The nurse should monitor the adolescent's serum
potassium level following the
administration of sodium polystyrene sulfonate. This medication is used to
treat hyperkalemia by exchanging sodium ions for potassium ions in the
intestine.
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL.
which of the following actions should the nurse plan to take?
A- Instruct the parents to decrease the calcium in their toddler's diet
B- prepare the toddler for chelation therapy
C- refer at the family to Child Protective Services
D- schedule the toddler for a yearly screening - ✔✔ANSW✔✔..D- schedule the toddler
for a yearly screening; The nurse should schedule the toddler for a lead level
rescreening in 1 year and
educate the family on ways to prevent exposure.
The nurse is preparing to administer an immunization to a four-year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
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 aspirating for 3 seconds - ✔✔ANSW✔✔..C-
administer the immunization using a 24-gauge needle; The nurse should administer an
immunization for a 4-year-old child using a 24-
gauge needle to minimize the amount of pain experienced by the toddler.
september exam with questions and
answers
A nurse is providing discharge teaching to the parents of a three-month-old
infant following acheiloplasty. which of the following instructions should the nurse
include?
A- Clean your baby's sutures daily with a mixture of chlorhexidine and water
B- expect your baby to swallow more than usual over the next few days
C- inspect your baby's tongue for white patches using a tongue depressor every 8 hours
D- apply a thin layer of antibiotic ointment on your babies' suture line daily for the next
three days - ✔✔ANSW✔✔..D- apply a thin layer of antibiotic ointment on your babies'
suture line daily for the next three days; The nurse should instruct the parents to apply a
thin layer of antibiotic ointment on the infant's suture line daily for 3 days and then
continue to apply petroleum jelly
to the area for several weeks to promote healing.
A nurse is caring for a hospitalized preschooler. The child's mother is going
home for a few hours while another relative stay with the child. Which of the
following statements should the nurse make to explain to the child when her
mother will return?
A- Your mommy will be back at 7 p.m.
B- your mommy will be back after she takes care of your brother
C- your mommy will be back in the morning
D- your mommy will be back after you eat - ✔✔ANSW✔✔..D- your mommy will be back
after you eat; Preschoolers make sense of time best when they can associate it with an
expected
daily routine, such as meals and bedtime. Therefore, the child comprehends time
best when it is explained to them in relation to an event they are familiar with,
such as eating.
A nurse is planning developmental activities for a newly admitted 10-year-old
child who has neutropenia. Which of the following actions should the nurse
plan to take?
A- Provide the child with a book about Adventure
B- arrange frequent visits from family members and peers
C- give the child a large piece puzzle
,D- use puppet to entertain the child - ✔✔ANSW✔✔..A- Provide the child with a book
about Adventure; The nurse should provide a school-age child with a book about
adventure as a
developmental activity because children are expanding their knowledge and
imagination during this age.
A nurse in the emergency department is caring for a school-age child who has
epiglottitis.Which of the following actions should the nurse take?
A- Obtain a throat culture from the child
B- monitor the child's oxygen saturation
C- put a warm mist humidifier in the child's room
D- Place the child in a Supine position - ✔✔ANSW✔✔..B- monitor the child's oxygen
saturation; The nurse should monitor the child's oxygen saturation level because the
child is
experiencing acute respiratory distress and it is necessary to determine if the
child is responding to treatment.
A nurse in an Emergency Department is assessing a three-month-old infant
who has rotavirusand is experiencing acute vomiting and diarrhea. Which of
the following manifestations should the nurse identify as an indication that
the infant has moderate to severe dehydration?
A- Heart rate 124/ minute
B- increase tear production
C- sunken anterior fontanel
D- capillary refill 2 seconds - ✔✔ANSW✔✔..C- sunken anterior fontanel; The nurse
should recognize that a sunken anterior fontanel is an indication of
moderate to severe dehydration due to the acute loss of fluid.
A nurse is creating a plan of care for a newly admitted adolescent who has
bacterial meningitis. How long should the nurse plan to maintain the
Adolescent in droplet precautions?
A- Until the Adolescent is afebrile
B- for 7 days following an admission to the facility
C- until the Adolescent has a negative blood culture
D- for 24 hours following initiation of antimicrobial therapy - ✔✔ANSW✔✔..D- for 24
hours following initiation of antimicrobial therapy; The nurse should plan to maintain the
adolescent on droplet precautions for at least
24 hr following initiation of antimicrobial therapy. This practice will ensure that the
adolescent is nolonger contagious, which protects family members and the
personnel caring for the client.
Prophylactic antibiotics might be prescribed to individuals who were in close
contact with the adolescent.
A school nurse is assessing an adolescent who presents with multiple Burns in
various stages of healing. Which of the following behaviors should the nurse
identify as suggestive of possible physical abuse?
, A- Expresses a reluctance to leave home
B- provides a detailed description of how the burns occurred
C- denies discomfort during assessment of injuries
D- describes strong relationships with peers - ✔✔ANSW✔✔..C- denies discomfort
during assessment of injuries; The nurse should suspect child maltreatment in the form
of physical abuse if the
adolescent has a blunted response to painful stimuli or injury.
A nurse is assessing an adolescent who received a sodium polystyrene
sulfonate enema. Which of the following findings indicates effectiveness
of the medication?
A- The Adolescents reports in absence of nausea and vomiting
B- the client experiences onset of loose stools within 15 minutes of administration
C- The Adolescents serum potassium level is 4.1
D- the Adolescent has a blood pressure of 86/ 52 - ✔✔ANSW✔✔..C- The Adolescents
serum potassium level is 4.1; The nurse should monitor the adolescent's serum
potassium level following the
administration of sodium polystyrene sulfonate. This medication is used to
treat hyperkalemia by exchanging sodium ions for potassium ions in the
intestine.
A nurse is planning care for a toddler who has a serum lead level of 4 mcg/dL.
which of the following actions should the nurse plan to take?
A- Instruct the parents to decrease the calcium in their toddler's diet
B- prepare the toddler for chelation therapy
C- refer at the family to Child Protective Services
D- schedule the toddler for a yearly screening - ✔✔ANSW✔✔..D- schedule the toddler
for a yearly screening; The nurse should schedule the toddler for a lead level
rescreening in 1 year and
educate the family on ways to prevent exposure.
The nurse is preparing to administer an immunization to a four-year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
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 aspirating for 3 seconds - ✔✔ANSW✔✔..C-
administer the immunization using a 24-gauge needle; The nurse should administer an
immunization for a 4-year-old child using a 24-
gauge needle to minimize the amount of pain experienced by the toddler.
