ATI PEDIATRICS PN EXAM Questions and
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A nurse in the emergency department is caring for a 2-yr old child
who was found by his parents crying and holding a container of
toilet bowl cleaner. The child's lips are edematous and inflamed, and
he is drooling. Which of the following is the following priority action
by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child.
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Ans: b. Check the child's respiratory status.
Rationale: When applying the ABC priority setting framework, airway is
always the highest priority because the airway must be clear and open for
oxygen exchange to occur. Breathing is the second highest priority in the
ABC priority setting framework because adequate ventilatory effort is
essential in order for oxygen change to occur.
A nurse is teaching a parent of a 12-month old child about
development during the toddler years. Which of the following
statements should the nurse include?
a. Your child should be referring to himself using the appropriate
pronoun by the 18 months of age
b. a toddler's interest in looking at pictures occurs at 20 months of
age
c. a toddler should have daytime control of his bowel and bladder
by 24 months of age.
d. your child should be able to scribble spontaneously using a
crayon at the age of 15 months
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Ans: d. your child should be able to scribble spontaneously using a
crayon at the age of 15 months
Rationale: The nurse should teach the parent that at the age of 15
months, the toddler should be
able to scribble spontaneously, and at the age of 18 months, the toddler
should be able to make
strokes imitatively
A nurse is caring for a toddler and is preparing to administer 0.9%
sodium chloride 100ml IV to infuse over 4 hr. The drop factor of the
manual IV tubing is 60 gtt/ml. The nurse should set the manual IV
infusion to deliver how many gtt/min? (Round the answer to the
nearest whole number)
Ans: 25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
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A nurse in a pediatric clinic is assessing a toddler at a well-child visit.
Which of the following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology
d. Stop the assessment if the child becomes uncooperative.
Ans: b. Minimize physical contact with the child initially.
Rationale: The nurse should initially minimize physical contact with the
toddler, and then
progress from the least traumatic to the most traumatic procedures.
A nurse is caring for an 18-yr old adolescent who is up to date on
immunizations and is planning to attend college. The nurse should
inform the client that he should receive which of the following
immunizations prior to moving into a campus dormitory.
a. Pneumococcal polysaccharide