ATI PEDS PROCTORED EXAM
aAanursemismplanningmcaremformamchildmwhomhasmseveremdiarrhea.mwhichmofmthemfollowi
ngmactionsmismthemnursempriority?m-m"ACCURATEmANSWER"mmAssessmfluidmbalance
Amnursemismcaringmformamtoddlermwho'smparentmstatesmthatmthemchildmhasmammassminm
hismabdominalmareamandmhismurinemismampinkmcolor.mWhichmofmthemfollowingmactionsmis
mthemnurse'smpriority?m-
m"ACCURATEmANSWER"mmInstructmthemparentmtomavoidmpressingmonmthemabdominalmarea
Amnursemismcaringmformamchildmwhomhasmacutemglomerulonephritis.mWhichmofmthemfollow
ingmactionsmismthemnurse'smpriority?m-
m"ACCURATEmANSWER"mmCheckmthemChildsmweightmdaily
Amnursemismcaringmformamchildmwhomhasmamsuspectedmdiagnosismofmbacterialmmeningitis.
mWhichmofmthemfollowingmismthemnurse'smpriority?m-
m"ACCURATEmANSWER"mmAdministermantibioticsmwhenmavailable
Amnursemismcollectingmdatamfrommanmadolescent.mWhichmofmthemfollowingmrepresentsmthe
mgreatestmriskmformsuicide?m-
m"ACCURATEmANSWER"mmActivempsychiatricmdisorderm(Mark,mmentalmproblems,mpatientsm
mindmismunstable)
Amnursemismcollectingmdatamfrommanminfantmwhomhasmotitismmediam(middlemearminfection
).mThemnursemshouldmexpectmwhichmofmthemfollowingmfindings?m-
m"ACCURATEmANSWER"mmTuggingmonmthemaffectedmearmlobe
Amnursemismreinforcingmreachingmwithmamparentmofmam1mmonthmoldminfantmwhomismtom
undergomtheminitialmsurgerymtomtreatmHirschsprung'smdiseasem(amganglionicmmegacolon,mpa
rtmofmthemcolonmisn'tmconnectedmtomthemnervesmormnotmfunctioning,msomtheremwillmbem
anmincreasemsizemofmthemcolonmandmstoolmgetsmstuckminmthere).mWhichmofmthemfollowin
gmstatementsmshouldmindicatemtomthemnursemthatmthemparentmunderstandingmthemgoalmof
msurgery?m-
m"ACCURATEmANSWER"mm"I'mmgladmthatmthemostomymismonlymtemporarym"m(1stmtheremg
oingmtomcutmthemnonfunctioningmofmthemcolon,mandmthenmapplymtemporarymcolostomy,ma
ftermamcouplemofmmonthsmtheymwillmsuturemitmtogether)
Amnursemismcaringmformanminfantmwhomism1mdaympostoperativemfollowingmsurgicalmrepair
mofmamcleftmlip.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?m-
m"ACCURATEmANSWER"mmApplymanmantibioticmointmentmtomthemsuturemsite
Amnursemismreinforcingmdischargeminstructionsmwithmamparentmofmamchildmwhomhasmcystic
mfibrosis.mWhichmofmthemfollowingmstatementsmbymthemparentmindicatesmanmunderstanding
mofmthemteaching?m-
m"ACCURATEmANSWER"mm"Imwillmmakemsuremmymchildmwashesmhermhandsmbeforemeating
"
Amnursemworkingmatmamclinicmspeaksmonmthemtelephonemwithmamparentmofmam2-
montholdminfant.mThemparentmtellsmthemnursemthatmtheminfantmhasmprojectilemvomitingmf
ollowedmbymhungermaftermmeals.mWhichmofmthemfollowingmresponsembymthemnursemismap
propriate?m-
m"ACCURATEmANSWER"mm"Bringmyourminfantmintomthemclinicmtodaymtombemseen"
Amnursemismcaringmformam4myearmoldmchildmwhomism2mdaysmpostoperativemfollowingmthe
minsertionmofmamventriculoperitonealmshunt.mWhichmofmthemfollowingmfindingsmshouldmthe
, mnursemidentifymasmthemprioritym.m(causesmicpmhydrocephalus)m-
m"ACCURATEmANSWER"mmlethargym(highmpitchedmcry,mrespiratorymchanges,mbradycardia,mw
idempulsempressure,mirritability
amnursemismcaringmformamchildmfollowingmanmopenmreductionmandminternalmfixationmofma
mfracturedmfemurmandmapplicationmofmamcast.mThemcastmhasmamwindowmcutminmitmform
viewingmofmthemincision.mWhichmofmthemfollowingmactionsmshouldmthemnursemtakemfirst?
m-
m"ACCURATEmANSWER"mmPerformmneurovascularmchecksmofmthemaffectedmextremitym(check
mforminfection,mcolor,mcapillarymrefill,mredness)
Amnursemismanmurgentmcaremclinicmismassistingmwithmthemcaremofmamtoddlermwhomingest
edm30mtabletsmofmaspirin.mWhichmofmthemfollowingmsubstancesmshouldmthemnursemadmini
stermtomthemtoddler?m-
m"ACCURATEmANSWER"mmActivatedmcharcoalm(canmworkmwithmtoxin,mpoison.mGivenmthrou
ghmngmtubemabsorbsmtoxins)
Amnursemismcaringmformam3myearmoldmclientmwhomhasmpersistentmotitismmedia.mTomhelp
midentifymcontributingmfactors,mthemnursemshouldmaskmthemparentsmwhichmofmthemfollowi
ngmquestions?m-
m"ACCURATEmANSWER"mmDoesmanyonemsmokeminmthemsamemhousemasmyourmdaughter?
m(smokingmcanmcausemirritation,mcausemmucusminmrespiratorymandmcausesmotitismmedia?)m
(otitismmediamismpurulentmcolor)
Amnursemismcollectingmdatamfrommam2myearmoldmtoddlermwhomhasmAIDS.mThemnursemsh
ouldminspectminsidemthemtoddlermmouthmformwhichmofmthemfollowingmopportunisticminfecti
onsm(fungusminfectionsmismusuallymopportunisticminfections)?m-
m"ACCURATEmANSWER"mmCandidiasism(alsomcalledmoralmthrush)
Amnursemismcaringmformam4myearmoldmchildmwhomhasmdehydration.mWhichmofmthemfollo
wingmfindingsmshouldmthemnursemidentifymasmthempriority?m-
m"ACCURATEmANSWER"mmPotassiumm2.5mmEq/L
AmnursemismcaringmformamchildmwhomIsmpostoperativemfollowingmtheminsertionmofmamvent
riculorperitonealmshunt.mThemnursemshouldmplacemthemchildminmwhichmofmthemfollowingmp
ositions?m-m"ACCURATEmANSWER"mmOnmthemnonoperativemside
AmnursemismcaringmformanminfantmwhomismdehydratedmandmrequiresmIVmtherapy.mThemnu
rsemshouldmmonitormtheminfantmresponsemtomtherapymbymperformingmwhichmofmthemfollo
wingmactions?m-
m"ACCURATEmANSWER"mmweighingmtheminfantsmatmthemsamemtimemeveryday
Amnursemismcaringmformampreschoolmagemchildmwhomhasmcroup.mWhichmofmthemfollowing
mfindingsmshouldmthemnursemreportmtomthemprovider?m-
m"ACCURATEmANSWER"mmDroolingm(thatmcouldmmeanmitmcanmmeanmthere'smanmepiglottiti
smcausesmobstructionmofmthemairway)
Amnursemismcollectingmdatamfrommanminfantmwhomhasmhypertrophicmpyloricmstenosis.mWhi
chmofmthemfollowingmfindingsmshouldmthemnursemexpect?m-
m"ACCURATEmANSWER"mmProjectilemvomiting
Amschoolmnursemismscreeningmanm11-year-
oldmchildmformidiopathicmscoliosis.mWhichmofmthemfollowingminstructionsmshouldmthemnurse
mgivemthemchildmformthismexamination?m-
m"ACCURATEmANSWER"mmBendmforwardmfrommthemwaistmwithmyourmheadmandmarmsmdo
wnward
aAanursemismplanningmcaremformamchildmwhomhasmseveremdiarrhea.mwhichmofmthemfollowi
ngmactionsmismthemnursempriority?m-m"ACCURATEmANSWER"mmAssessmfluidmbalance
Amnursemismcaringmformamtoddlermwho'smparentmstatesmthatmthemchildmhasmammassminm
hismabdominalmareamandmhismurinemismampinkmcolor.mWhichmofmthemfollowingmactionsmis
mthemnurse'smpriority?m-
m"ACCURATEmANSWER"mmInstructmthemparentmtomavoidmpressingmonmthemabdominalmarea
Amnursemismcaringmformamchildmwhomhasmacutemglomerulonephritis.mWhichmofmthemfollow
ingmactionsmismthemnurse'smpriority?m-
m"ACCURATEmANSWER"mmCheckmthemChildsmweightmdaily
Amnursemismcaringmformamchildmwhomhasmamsuspectedmdiagnosismofmbacterialmmeningitis.
mWhichmofmthemfollowingmismthemnurse'smpriority?m-
m"ACCURATEmANSWER"mmAdministermantibioticsmwhenmavailable
Amnursemismcollectingmdatamfrommanmadolescent.mWhichmofmthemfollowingmrepresentsmthe
mgreatestmriskmformsuicide?m-
m"ACCURATEmANSWER"mmActivempsychiatricmdisorderm(Mark,mmentalmproblems,mpatientsm
mindmismunstable)
Amnursemismcollectingmdatamfrommanminfantmwhomhasmotitismmediam(middlemearminfection
).mThemnursemshouldmexpectmwhichmofmthemfollowingmfindings?m-
m"ACCURATEmANSWER"mmTuggingmonmthemaffectedmearmlobe
Amnursemismreinforcingmreachingmwithmamparentmofmam1mmonthmoldminfantmwhomismtom
undergomtheminitialmsurgerymtomtreatmHirschsprung'smdiseasem(amganglionicmmegacolon,mpa
rtmofmthemcolonmisn'tmconnectedmtomthemnervesmormnotmfunctioning,msomtheremwillmbem
anmincreasemsizemofmthemcolonmandmstoolmgetsmstuckminmthere).mWhichmofmthemfollowin
gmstatementsmshouldmindicatemtomthemnursemthatmthemparentmunderstandingmthemgoalmof
msurgery?m-
m"ACCURATEmANSWER"mm"I'mmgladmthatmthemostomymismonlymtemporarym"m(1stmtheremg
oingmtomcutmthemnonfunctioningmofmthemcolon,mandmthenmapplymtemporarymcolostomy,ma
ftermamcouplemofmmonthsmtheymwillmsuturemitmtogether)
Amnursemismcaringmformanminfantmwhomism1mdaympostoperativemfollowingmsurgicalmrepair
mofmamcleftmlip.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?m-
m"ACCURATEmANSWER"mmApplymanmantibioticmointmentmtomthemsuturemsite
Amnursemismreinforcingmdischargeminstructionsmwithmamparentmofmamchildmwhomhasmcystic
mfibrosis.mWhichmofmthemfollowingmstatementsmbymthemparentmindicatesmanmunderstanding
mofmthemteaching?m-
m"ACCURATEmANSWER"mm"Imwillmmakemsuremmymchildmwashesmhermhandsmbeforemeating
"
Amnursemworkingmatmamclinicmspeaksmonmthemtelephonemwithmamparentmofmam2-
montholdminfant.mThemparentmtellsmthemnursemthatmtheminfantmhasmprojectilemvomitingmf
ollowedmbymhungermaftermmeals.mWhichmofmthemfollowingmresponsembymthemnursemismap
propriate?m-
m"ACCURATEmANSWER"mm"Bringmyourminfantmintomthemclinicmtodaymtombemseen"
Amnursemismcaringmformam4myearmoldmchildmwhomism2mdaysmpostoperativemfollowingmthe
minsertionmofmamventriculoperitonealmshunt.mWhichmofmthemfollowingmfindingsmshouldmthe
, mnursemidentifymasmthemprioritym.m(causesmicpmhydrocephalus)m-
m"ACCURATEmANSWER"mmlethargym(highmpitchedmcry,mrespiratorymchanges,mbradycardia,mw
idempulsempressure,mirritability
amnursemismcaringmformamchildmfollowingmanmopenmreductionmandminternalmfixationmofma
mfracturedmfemurmandmapplicationmofmamcast.mThemcastmhasmamwindowmcutminmitmform
viewingmofmthemincision.mWhichmofmthemfollowingmactionsmshouldmthemnursemtakemfirst?
m-
m"ACCURATEmANSWER"mmPerformmneurovascularmchecksmofmthemaffectedmextremitym(check
mforminfection,mcolor,mcapillarymrefill,mredness)
Amnursemismanmurgentmcaremclinicmismassistingmwithmthemcaremofmamtoddlermwhomingest
edm30mtabletsmofmaspirin.mWhichmofmthemfollowingmsubstancesmshouldmthemnursemadmini
stermtomthemtoddler?m-
m"ACCURATEmANSWER"mmActivatedmcharcoalm(canmworkmwithmtoxin,mpoison.mGivenmthrou
ghmngmtubemabsorbsmtoxins)
Amnursemismcaringmformam3myearmoldmclientmwhomhasmpersistentmotitismmedia.mTomhelp
midentifymcontributingmfactors,mthemnursemshouldmaskmthemparentsmwhichmofmthemfollowi
ngmquestions?m-
m"ACCURATEmANSWER"mmDoesmanyonemsmokeminmthemsamemhousemasmyourmdaughter?
m(smokingmcanmcausemirritation,mcausemmucusminmrespiratorymandmcausesmotitismmedia?)m
(otitismmediamismpurulentmcolor)
Amnursemismcollectingmdatamfrommam2myearmoldmtoddlermwhomhasmAIDS.mThemnursemsh
ouldminspectminsidemthemtoddlermmouthmformwhichmofmthemfollowingmopportunisticminfecti
onsm(fungusminfectionsmismusuallymopportunisticminfections)?m-
m"ACCURATEmANSWER"mmCandidiasism(alsomcalledmoralmthrush)
Amnursemismcaringmformam4myearmoldmchildmwhomhasmdehydration.mWhichmofmthemfollo
wingmfindingsmshouldmthemnursemidentifymasmthempriority?m-
m"ACCURATEmANSWER"mmPotassiumm2.5mmEq/L
AmnursemismcaringmformamchildmwhomIsmpostoperativemfollowingmtheminsertionmofmamvent
riculorperitonealmshunt.mThemnursemshouldmplacemthemchildminmwhichmofmthemfollowingmp
ositions?m-m"ACCURATEmANSWER"mmOnmthemnonoperativemside
AmnursemismcaringmformanminfantmwhomismdehydratedmandmrequiresmIVmtherapy.mThemnu
rsemshouldmmonitormtheminfantmresponsemtomtherapymbymperformingmwhichmofmthemfollo
wingmactions?m-
m"ACCURATEmANSWER"mmweighingmtheminfantsmatmthemsamemtimemeveryday
Amnursemismcaringmformampreschoolmagemchildmwhomhasmcroup.mWhichmofmthemfollowing
mfindingsmshouldmthemnursemreportmtomthemprovider?m-
m"ACCURATEmANSWER"mmDroolingm(thatmcouldmmeanmitmcanmmeanmthere'smanmepiglottiti
smcausesmobstructionmofmthemairway)
Amnursemismcollectingmdatamfrommanminfantmwhomhasmhypertrophicmpyloricmstenosis.mWhi
chmofmthemfollowingmfindingsmshouldmthemnursemexpect?m-
m"ACCURATEmANSWER"mmProjectilemvomiting
Amschoolmnursemismscreeningmanm11-year-
oldmchildmformidiopathicmscoliosis.mWhichmofmthemfollowingminstructionsmshouldmthemnurse
mgivemthemchildmformthismexamination?m-
m"ACCURATEmANSWER"mmBendmforwardmfrommthemwaistmwithmyourmheadmandmarmsmdo
wnward