2023 PEDS ATI Proctored Exam

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?

C- administer the immunization using a 24-gauge needle;

A nurse is reviewing the laboratory report of an infant who is receiving

treatment for severe dehydration. The nurse should identify which of the

following laboratory values indicates effectiveness of the current treatment?

B- sodium 140;

The nurse is providing teaching about Social Development to the parents of a

preschooler. Which of the following play activities should the nurse

recommend for the child?

D- playing dress-up

A nurse is teaching the parents of a newborn about ways to prevent sudden

infant death syndrome SIDS. Which of the following instructions should the

nurse include?

D- Give the infant a pacifier at bedtime;

A- The nurse should instruct the parent to place the infant in a supine

A nurse is assessing an infant who has pneumonia. Which of the following

findings is the priority for the nurse to report to the provider?

A- Nasal flaring;

A school nurse is assessing a school-age child blood pressure while he is seated

in a chair. The child starts to experience a tonic-clonic seizure. Which of the

following actions should the nurse take first?

C- assist the child to a side-lying position on the floor;

A nurse is receiving change-of-shift Report on for children. Which of the

following children should the nurse assesses first?

A- A toddler who has a concussion and an episode of forceful vomiting

A nurse in the emergency department is caring for an adolescent who has

severe abdominal pain due to appendicitis. Which of the following

locations should the nurse identify as mcburney's point?

A is correct. The nurse should identify the lower right quadrant of the abdomen

between the umbilicus and the anterior iliac crest as the location of Burney's

point.

A nurse is providing teaching to the family of a school-age child who has

juvenile idiopathic arthritis. Which of the following instructions should

the nurse include in the teaching?

B- Encourage the child to perform independent self-care.

A nurse is assessing a client who has a new diagnosis of celiac disease. Which

of the following clinical manifestations should the nurse expect?

A- Steatorrhea

A nurse is providing teaching to an adolescent about how to manage tinea

pedis. Which of the following statements by the Adolescent indicates an

understanding of the teaching?

D- I should I seal my non washable shoes in plastic bags for a couple of weeks

A Nurse is teaching the parents of a school-aged child who has a new diagnosis of osteomyelitis of the tibia. The nurse should identify that which of the following statements by the parents indicates an understanding of the teaching?

B- My child will receive antibiotics for several weeks.

A nurse is auscultating the lungs of an adolescent who has asthma. The nurse

should identify the sound as which of the following? Click the audio button

to listen.

C- tachypnea

A nurse in an emergency department is caring for a school-age child who is experiencing an anaphylactic reaction. Which of the following is the

priority action by the nurse?

D- administer IM epinephrine to the

child

A nurse at an urgent care clinic is assessing an adolescent client who has an

upper respiratory tract infection. Which of the following findings should the

nurse recognize as a manifestation of pertussis?

C- dry, hacking cough

A nurse is providing teaching about car seat use to the mother of a six-monthold

infant. Which of the following statements by the mother indicates an

understanding of the teaching?

A- I should secure the car seat using lower

anchors and tethers instead of the seat belt

A nurse is assessing the pain level of a three-year-old toddler. Which of the

following pain assessment scales should the nurse use?

A- FACES Pain rating scale

A nurse is caring for a preschooler who is scheduled for hydrotherapy

treatment for wound debridement following a burn injury. Which of

the following actions should the nurse take prior to the procedure?

C- administer an analgesic to the child

A nurse is caring for a 10-year-old child following a head injury. Which

of the following findings should the nurse identify as an indication that

the child is developing diabetes insipidus?

B- sodium 155

A nurse is creating a plan of care for a toddler who has minimal change

nephrotic syndrome mcns and 3 + pitting edema. Which of the following

interventions should the nurse include in the plan?

D- administer corticosteroids to the toddler

A nurse is providing discharge teaching to the parent of a school-age child who

has moderate persistent asthma. Which of the following instructions should

the nurse include?

C- pulmonary function test will be performed every 12 to 24 months to

evaluate how yourchild is responding to therapy

A nurse is assessing a three-year-old toddler at a well-child visit. Which of the

following manifestations should the nurse report to the provider?

B- respiratory rate 45/min

A nurse is preparing an adolescent for a lumbar puncture. Which of the

following actions should the nurse take?

B- apply topical analgesic cream to the site one hour prior to the procedure

A nurse is providing teaching to the parents of a toddler about the

administration of a prescribed eye drops and eye ointment. Which of the

following instructions should the nurse include?

D- administer the eye drops 3 minutes before the ointment

The nurse is providing discharge teaching to the parent of an 18-month old

toddler who has dehydration as a result of acute diarrhea. Which of the

following statements by the parent indicates an understanding of the teaching?

C- I will monitor my child's number of wet diapers

A nurse is preparing to collect a sample from a toddler for a sickle turbidity

test. Which of the following actions should the nurse plan to take?

C- perform a finger stick

A nurse is caring for a school-age child who has peripheral edema. Which of

the following assessments should the nurse perform to confirm peripheral

edema?

A- Palpate the dorsum of the child's feet

A nurse in the emergency department is caring for a toddler who has partial

thickness burns on his right arm. Which of the following actions should the

nurse take?

C- cleanse the affected area with mild soap and water

A nurse is performing hearing screenings for children at a community health

fair. Which of the following children should the nurse refer to a provider for

a more extensive hearing evaluation?

D- an infant who is 8 months old and is not yet making babbling sounds

A nurse is providing dietary teaching to the parent of a school-age child who

has cystic fibrosis. Which of the following statements should the nurse

make?

A- You should offer your child high protein meals and snacks

throughout the day

The nurse is providing dietary teaching to the parent of a school-age child

who has celiac disease. The nurse should recommend that the parent offer

which of the following foods tote child?

D- rice pudding

A nurse is providing teaching to the parents of a preschooler who has heart

failure and who is to begin taking Digoxin twice-daily. Which of the

following instructions should the nurse include in the teaching?

B- brush the child teeth after giving the medication

A nurse is providing teaching to the parent of a school-age child who has oral candidiasis and is to begin taking oral Nystatin. Which of the following

instructions should the nurse include?

A- Check the medication prior to

Administration

The nurse is providing anticipatory guidance to the mother of a toddler.

Which of the following expected Behavior characteristics of toddlers should

the nurse include in the teaching?

D- expresses likes and dislikes

The nurse is reviewing the laboratory report of a school-age child who is

experiencing fatigue. Which of the following findings should the nurse

recognize as an indication of anemia?

A- Hematocrit 28%

A nurse is creating a plan of care for an infant who has an epidural hematoma with a skull fracture. Which of the following actions should the nurse include in the plan?

D- implements seizure precautions for the infants

A nurse in an emergency department is performing a physical assessment

on a 2-week old male infant. Which of the following manifestations is the

priority for the nurse to report to the provider?

D- substernal retractions

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?

D- apply a thin layer of antibiotic ointment on your babies' suture line daily for the next three days

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?

D- your mommy will be back after you eat

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

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?

B- monitor the child's oxygen saturation

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?

C- sunken anterior fontanel

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?

D- for 24 hours following initiation of antimicrobial therapy

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?

C- denies discomfort during assessment of injuries

A nurse is assessing an adolescent who received a sodium polystyrene

sulfonate enema. Which of the following findings indicates effectiveness

of the medication?

C- The Adolescents serum potassium level is 4.1

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?

D- schedule the toddler for a yearly screening

A nurse is assessing a school-age child immediately post-operative following a

perforatedappendix repair. Which of the following findings should the nurse

expect?

B- absence of peristalsis

A nurse is teaching the parents of a toddler who has cognitive

impairment about toilet training. which of the following instructions

should the nurse include in the teaching?

B- award the child with a sticker when he sits on the potty chair

A nurse in a provider's office is caring for a school-age child who has

varicella. The parent askthe nurse when her child will no longer be

contagious. Which of the following responses should the nurse make?

C- when your child lesions are crusted, 6 days after they appear

A nurse is caring for a school-age child who has primary nephrotic syndrome

and is taking prednisone. Following one week of treatment, which of the

following clinical manifestationsindicate to the nurse that the medication is

effective?

A- Decrease edema

A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy.

Which of thefollowing clinical manifestations should the nurse expect? Select

all that apply.

B- Ankle clonus

C- exaggerated stretch reflexes

E- contractures

A nurse is assessing the vital signs of a 10 year old child following a burn

injury. Which of thefollowing clinical manifestations indicate early septic

shock?

C- temperature 39.1 degrees Celsius or 102.4 degrees Fahrenheit

A nurse is creating a plan of care for a preschooler who has Wilms tumor and

is scheduled forsurgery. Which of the following interventions should the nurse

include?

A- Avoid palpating the abdomen when bathing the child before surgery

A charge nurse in an emergency department is preparing an in-service for a

group of newly licensed nurses on the clinical manifestations of child

maltreatment. Which of the followingclinical manifestations should the charge

nurse include as suggestive of potential physical abuse?

B- symmetric Burns of the lower extremities

The nurse is caring for a 15 year old client following a head injury. Which of

the following findings should the nurse identify as an indication that the child is

developing syndrome ofinappropriate antidiuretic hormone secretion SIADH?

C- mental confusion

A nurse in a provider's office is preparing to administer immunizations to a

toddler during awell-child visit. Which of the following actions should the

nurse plan to take?

Prescriptions:

-tuberculin skin test (TST)

-measles mumps rubella

vaccine

-inactivated influenza vaccine

-diphtheria, tetanus, and pertussis (DTaP vaccine)

Vital signs

-respiratory rate 24/minute

-heart rate 115/minute

-temperature 37.4 degrees Celsius or 99.3 degrees Fahrenheit

History and physical

-Age 12 months 9 days

-height 71.1cm/28-in

allergies

neomycin - anaphylactic reaction

caregiver reports:

-rhinitis with clear nasal drainage for 2days

-occasional non productive cough for 2 days

-history of asthma

A- Withhold the measles mumps and rubella MMR vaccine

A nurse is caring for a preschooler who has been receiving IV fluids via a peripheral IV catheter. When preparing a to discontinue the IV fluids and

catheter, which of the following actions should the nurse plan to take? Place

the steps in order of performance.

1) B- turn off the IV pump

2) C- occlude the IV tubing

3) A- remove the tape securing the catheter

4) D- apply pressure over the catheter insertion site

A nurse is reviewing the dietary choices of an adolescent who has iron

deficiency anemia. the nurse should identify that which of the following menu

items has the highest amount of iron?

C- 1/2 cup raisins

A nurse is creating an educational plan to teach parents about protecting their

children fromsun burns. Which of the following instructions should the nurse

plan to include?

A- Choose a waterproof sunscreen with an SPF of at least 15.