PEDS ATI RETAKE QUESTIONS AND ANSWERS

1) A nurse is assisting a child who has multiple closed fractures of the lower extremities due to a motor-vehicle crash. The nurse should monitor the child for which of the following complications during the first 24 hr after the injury occurred? a. Osteomyelitis b. Compartment syndrome c. Volkmann ischemic contracture d. Renal calculi - b. Compartment syndrome 2) A nurse is teaching the parent of a toddler who has phenylketonuria about meal planning. Which of the following information should the nurse include in the teaching? a. Use aspartame as sugar substitute b. Avoid foods containing milk products c. Increase the toddlers protein consumption d. Limit foods high in iron - b. Avoid foods containing milk products 3) A nurse at an inpatient facility is planning care for a child who has autism spectrum disorder. Which of the following interventions should the nurse include in the plan of care? a. Vary daily routines when providing care for the child b. Keep the television on in the child's room for background noise c. Keep staff visits with the child brief d. Place the child in a semi private room. - c. Keep staff visits with the child brief 4) A nurse is assisting an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect? a. Increase urine output b. Hypertension c. Increase respiratory rate d. Capillary refill of 2 seconds - c. Increase respiratory rate 5) A nurse is planning care for a child who has cystic fibrosis. Which of the following interventions should the nurse plan to include? a. Restrict the child's physical activity to promote rest b. Administer pancreatic enzymes by mouth 1 hr. prior to each meal c. Provide the child with low sodium diet d. Use a vest to perform high-frequency chest compressions - d. Use a vest to perform high-frequency chest compressions 6) A nurse is teaching the parent of a school age child about bicycle safety. Which of the following instructions should the nurse include in the teaching? a. Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle b. Your child should walk the bicycle through intersections c. Your child should keep the bicycle at least 3 feet from the curb while riding in the street d. Your child should ride the bicycle against the flow of traffic - b. Your child should walk the bicycle through intersections 7) A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure? a. Lateral b. Prone c. Semi-fowler d. Supine - a. Lateral 8) A nurse is reviewing the complete blood count results for a child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect? a. WBC count 15.000/mm b. Hemoglobin 6.8 g/dL c. Platelet count 98.0000/mm d. RBC count 5/mm - d. RBC count 5/mm 9) A nurse is caring for a school age child who has pertussis. Which of the following actions should the nurse take? a. Report the diagnosis to the public health department b. Place the child in a protected environment for 48hr c. Administer the pertussis vaccine d. Restrict oral fluids to 500mL per day - a. Report the diagnosis to the public health department 10) A nurse is assessing a week old infant. The nurse should identify which of the following manifestations can indicate neonatal abstinence syndrome? a. Frequent coughing b. Constipation c. Excessive sucking d. Lethargy - c. Excessive sucking 11) A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12 month-old infant. Which of the following actions should the nurse plan to take? a. Use a 12 gauge catheter to the start the IV b. Start the IV in the infant's foot c. Cover the insertion site with an opaque dressing d. Change the IV site every 3 days - c. Cover the insertion site with an opaque dressing 12) A nurse is assessing a toddler who is 8 hr. postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider? a. Weak pedal pulse distal to the site b. Blood pressure 102/58mm Hg c. Bilateral cool extremities d. Serum glucose 90mg/dL - a. Weak pedal pulse distal to the site 18) A nurse is providing teaching to the parents of a child who has varicella about management of the disease. Which of the following instructions should the nurse include in the teaching? a. Avoid giving the child a bath while vesicles are present b. Keep the child away from others until the skin is clear of scabs c. Apply calamine lotion to vesicles on the child's skin d.Dress the child in warm clothing to promote healing of the vesicles - c. Apply calamine lotion to vesicles on the child's skin 30) A nurse is planning care for a child who is experiencing a sickle cell crisis. Which of the following interventions should the nurse include in the plan of care? a. Administer meperidine as needed for plan b. Initiate bed rest c. Limit fluid intake d. Apply cold compresses to affected joints - b. Initiate bed rest 31) A charge nurses teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse? a. An 8 month old infant cries when his parents leave the room b. A toddler repeatedly refuses to let a nurse auscultate his lungs C. A toddler has bruises on their knees d. A mother is hesitant to comfort her 6 month old infant - d. A mother is hesitant to comfort her 6 month old infant 32) A nurse is teaching the guardian of a 5 year old child who has encopresis about management of the condition. Which of the following statements by the guardian indicates an understanding of the teaching? a. I will limit my child's fluid intake b. I will increase my child's dairy intake c. I will have my child sit in the toilet for 2o minutes at a time d.I will have my child try to defecate 15 minutes after each meal - d. I will have my child try to defecate 15 minutes after each meal 33) A nurse is assisting an infant who has respiratory syncytial virus. For which of the following findings should the nurse intervene? a. Brisk capillary refill b. Tachypnea c. Rhinorrhea d. Coughing - b. Tachypnea 34) A nurse is performing a health assessment for a 6 month old infant. The nurse should begin the assessment by performing which of the following actions while the infant is quiet and sitting on the guardians lap? a. Obtaining the infant's health history from the guardian b. Checking the infant reflexes c. Listening to the infinite heart and lung sounds d. Looking in the infants eyes - c. Listening to the infinite heart and lung sounds 35) A nurse is caring for an adolescent who has major depressive disorder. Which of the following actions should the nurse take first a. Administer an antidepressant to the client b. Ask the client if he is considering harming himself c. Encourage the client to attend a group therapy session t the client in completing his ADLs - b. Ask the client if he is considering harming himself 36) A nurse is caring for a child in the PACU following a tonsillectomy. Which of the following findings requires immediate intervention by the nurse? a. Dark brown blood noted in emesis b. Axillary temperature 38 C (100 F) c. Child resorts pain level 5 on FACES scale d. Frequent swallowing - d. Frequent swallowing 37) A nurse in the emergency department is caring for a school age child who has developed respiratory stridor, wheezing, and urticarial after receiving an IV medication. Which of the following actions should the nurse take first? a. Administer oxygen b. Ad mister methylprednisolone c. Administer a nebulized bronchodilator d. Administer epinephrine - d. Administer epinephrine 39) A nurse is caring for a school aged child who is 1hr postoperative following a tonsillectomy. Which of the following actions should the nurse take first? ( Select all that apply) a. Maintain the child in a supine position b. Observe the child for frequent swallowing c. Discourage the child from coughing d. Administer an analgesic to the child on a scheduled basis e. Provide cranberry juice to the child - b. Observe the child for frequent swallowing c. Discourage the child from coughing d. Administer an analgesic to the child on a scheduled basis 40) a nurse is teaching the guardian of an infant who has congestive heart failure about methods to preserve energy during bottle feeding. Which of the following statements by the guardian indicates a clear understanding of the teaching? a. I will feed my baby every 2 hours b. I will allow my baby to suck for 45 minutes during each feeding c. I will use a low calorie formula for my baby's feeding d. I will stroke my baby's cheek during feeding - a. I will feed my baby every 2 hours 41) A nurse in a family practice clinic is assessing a preschool age child who recently experienced the death of a sibling. Which of the following reactions in an age appropriate response to death? a. The child view the siblings death as permanent b. The child feels responsible for the siblings death c. The child can give a logical explanation for the siblings death d. The child is curious about what happened to the siblings body - b. The child feels responsible for the siblings death 59) A nurse is teaching a parent of a toddler about administering digoxin. Which of the following statements by the parent indicates a clear understanding of the teaching? a. I should mix the medication with 4 ounces of my child's favorite juice b. I should give my child another dose if he vomits right after taking the medication c. I should give my child water after giving the medication d.I should give the medication with foods that are high in fiber - c. I should give my child water after giving the medication 60) A nurse is providing a teaching to the guardian of a 2year old about typical toddler behavior. Which of the following behaviors should the nurse include? a. Frequency negative responses b. Less emotionally labile c. Increased dependency d. Resistant to routines - a. Frequency negative responses 61) A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take? a. Tighten the screws on the halo device one quarter turn every 48 hr b. Encourage flexion and extension of the neck c. Reposition the client using a turning sheet d. Asses the pin sites for an infection once every other day - c. Reposition the client using a turning sheet 62) A nurse is caring for a 1 year old infant who has GERD. Which of the following actions should the nurse take to promote sleep for the infant? a. Place the infant in supine position to sleep b. Place the infant in a left lateral position' c. Offer feedings just before bedtime d. Provide the infant with a bottle of milk at bedtime - b. Place the infant in a left lateral position' 63) A nurse is assessing a toddler who has a history of lead poisoning. Which of the following actions should the nurse take? a. Obtain a stool specimen for lead levels b. Initiate a low iron diet for lead absorption c. Perform development testing for delays d. Inspect the skin for discoloration - c. Perform development testing for delays 64) A nurse is collecting data from a toddler who weighs 25 kg (44ib) and has a full thickness burn to 10% of his body. Which of the following findings should the nurse report to the provider? a. Respiratory rate 25/min b. Bowl sounds 20/min c. Increased restlessness d. Urinary output 35mL//hr - c. Increased restlessness 65) A nurse is educating an adolescent following the application of an arm cast. Which of the following statements by the client indicates an understanding of the teaching? a. I will sprinkle baby powder into the cast if my arm itches b. I should limit the use of fingers of my broken arm c. I will elevate my broken arm on pillows a tonight d. I should expect my fingers to be swollen for several days - c. I will elevate my broken arm on pillows a tonight 66) A nurse is teaching a parent about home interventions for a preschooler who is experiencing night terrors. Which of the following instructions should the nurse include in the teaching? a. Wake your child up from the night terrors b. Avoid allowing your child to sleep in your bed c. Allow your child to watch an animated movie right before bedtime d. Wait until your child indicates that he is tired before putting him to bed - b. Avoid allowing your child to sleep in your bed 67) A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client's potassium level is 3.2 mEq/L. Which of the following assessment findings should the nurse expect? a. Hypertension b. Hyperreflexia c. Hyperactive bowel sounds d. Oliguria - c. Hyperactive bowel sounds 68) A nurse is assessing a child who has heart failure. Which of the following findings is a clinical manifestation associated with this diagnosis? a. Tachypnea b. Increased appetite c. Tremors d. Bradycardia - a. Tachypnea 13. A nurse is caring for an adolescent who has scoliosis and is refusing to wear a back brace which of the following statements should the nurse make? a. I think you are worrying too much about wearing the brace. b. Let's sit down and discuss why you do not want to wear the brace. c. your primary care provider said you have to wear a brace. d. At first it is hard to wear a back brace but it gets easier over time. - b. Let's sit down and discuss why you do not want to wear the brace. 14. A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching? a. I will ensure that my child is tested for tuberculosis every year. b. my child will need to double his medications for the next 6 months. c. the risk of transmission decreases once my child is on zidovudine for 2 weeks. d. my child will need to repeat his childhood immunizations once he is in remission. - a. I will ensure that my child is tested for tuberculosis every year. 15.A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following findings is the nurse's priority ? a. heart rate 162/min b. negative doll's eye reflex. c. Sunken anterior fontanel d. potassium 5.1MEq/L - c. Sunken anterior fontanel 16.A nurse in an emergency department is caring for a child who experienced submersion injury. Which of the following is the priority action for the nurse to take? a. obtain an ABG sample. b. Apply warming blankets. c. Assist with intubation. d. Administer an IV bolus. - c. Assist with intubation.