Past Exams
2019 ATI RN Care Of Children Proctored Exam Level 3 With Answers (62 Solved Questions)
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- Shared May 2025
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ATICareofChildrenRN2019ProctoredExam-Level3!Peds2019.AllQuestions withtheAnswersHiglightedPeds2019•Anurseisassessingaschool-agechildwhohasheartfailureandistakingfurosemide.Which ofthefollowingfindingsshouldthenurseidentifyasanindicationthatthemedicationiseffective?•Anincreaseinvenouspressure•b.adecreaseinperipheraledemac.adecreaseincardiacoutputd.anincreaseinpotassiumlevels•Anurseisassessinganinfantwhohasacuteotitismedia.Whichofthefollowingfindingsshould thenurse expect(selectallthatapply)•Increasedappetite•enlarged subclavian lymphnode•c.Cryingd.Restlessnesse.fever•anurseisprovidingteachingtotheparentsofaninfantwhoistoundergopilocarpinelontophoresisTestingforCysticFibrosis.Whichofthefollowingstatementsshouldthenurseincludeintheteaching?•Wewillmeasuretheamountofproteininyourbaby'surineover24hourperiod•Thetest willmeasuretheamountof waterinyourbaby’ssweat•anursewillinsertanIVpriortothetest•yourbaby willneedtofastfor8hourspriortothetest•Anurseinanurgentcareclinicisprioritizingcareforchildren.Whichofthefollowingchildrenshould the nurseassessfirst?•Atoddlerwhohasnephroticsyndromeandfacialedema•apreschool-agechildwhohasamuffledvoiceandnospontaneouscough•apreschool-agechildwhohasdiabetesmellitusandabloodglucoseofPage 2

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200mg/dL•anadolescentwhohasCrohn'sdiseaseandrecentweightlossof5kgmg(11lb)5.Anurseisprovidingteachingtotheparentsofa toddlerwhoisto undergoasweatchloridetest.Whichofthefollowing statementsshouldthenurseinclude?•ThepurposeofthetestistodetermineifyourchildhasCrohn'sdisease•thetechnicianwilluseadevicetoproduceanelectricalcurrentduringthetest•duringthetest,yourchildwillbeinaroomthatiscold•d.your childsweatwillbe collected over24hours•AnurseintheemergencydepartmentiscaringforanadolescentwhoisrequestingtestingforSTI.Whichofthefollowingactionisappropriateforthenursetotake?•Requestverbalconsentfromthesocialworker•contacttheclient'sparentstoobtainphoneconsent•postpone thetestinguntiltheclient'sparentsarepresent•d.obtainwrittenconsentfromtheclient•Anurseintheemergencydepartmentisassessingthetoddlerwhohashyperpyrexiaseveredyspneaanddroolingwhichofthefollowingactionsshouldthenursetakefirst?•obtainabloodculturefromthetoddler•administeringantibiotictothetoddler•insertanIVcatheterforthetoddler•preparethetoddlerfornasotrachealintubation•Anurseisprovidingteachingtoa10yearoldchildwithscheduledforanarterialcardiaccatheterization.Whichofthefollowinginformationshouldthenurseincludeintheteaching?•Youwillhaveyourdressingremoved12hoursaftertheprocedure•b. you will need to keep your legs straight for 8 hours following theprocedurec.youwillbeonaclearliquiddietfor24hoursfollowingtheprocedured.youwillbeonbedrestfor2daysaftertheprocedure9.•Anurseiscaringforapreschoolerwhoispost-operativefollowingatonsillectomy.ThechildPage 4
is now ready to resume oral intake which of the following dietary choicesshouldthenurseofferthechild?•sugar-freeCherrygelatin•vanillaicecream•chocolatemilk•limeflavoredicepop•Anurseiscaringforan infantwhohasPatentductusarteriosus.Thenurseshouldidentifythatthedefectisaswitchofthefollowinglocationsoftheheart.(youwillfindhotspotstoselectintheartworkbelow.Selectonlythehotspotthatcorrespondstoyouranswer)Answer:B•Anurseiscaringfora10montholdchildwasbroughttotheemergencydepartment by his parents following a head injury. Which of the followingactionsshould thenurse takefirst?•Inspectforfluidleakingfromtheears(thinkingaboutCSFleakageseveretrauma =urgent,afterrespiratorystatusisconfirmed)•assessrespiratorystatus•checkpupilreactions•examinethescalpforlacerations•Achargenurseisplanningcare for aninfantwhohasfailuretothrive.Whichofthefollowingactionsshouldthenurseincludeintheplanofcare?•AssignconsistentnursingStaffCarefortheinfant•Keepinfant inavisuallystimulatingenvironment•c.usehalf-strengthformulawhenfeedingtheinfantd.givetheinfantfruitjuicebetweenfeedings•Anurseisprovidingteachingabouthomecare to theparentofachildwhohasscabies.Whichof thefollowinginstructionshouldthenurseincludeintheteaching?a.WashyourclientshairwithshampoocontainingKetoconazoleb.soakCombsandbrushesinboilingwaterfor10minutesc.applypetroleumjellytotheaffectedareasPage 5
d.treateveryonewhocameintoclosecontact withachild•Anurseiscaringforapreschoolerwhorefusestotakea startdoseoforaldiphenhydramine.Whichofthefollowingstatementsshouldthenursemake?•Themedication isn'tbadittaste likecandy•letmeknowwhenyou wanttotake the medication•themedicationwilltreatyourhypersensitivityreaction(toomuch“Adult”terminology/jargonforpreschooler to understand)•sometimes,whenachild hastotakemedication,theyfeelsad.•A nurse is teaching the parent of a school-age child about bicycle safety.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?•Yourchildshouldwalkthebicyclethroughintersections•yourchild'sfeetshouldbethreetosixinchesoffthegroundwhenSeatedonthebicycle•youshouldtrytokeepthebicycleatleastthreefeetfromthecurbwhileridinginthestreet•yourchildshouldridethebicycleagainsttheflowoftraffic•Anurse iscaringfor aschool-age childfollowing theapplicationofa castto aFractured right tibia. Which of the following actions should the nursetakefirst?•Teachthechildaboutcastcare•Padtheedgesofthe cast•administerpainmedication•d. Elevatethechild'sleg•Anurseispreparingaschool-agechildforaninvasiveprocedure.Whichofthefollowingactionsshouldthenurseplantotake?•planfor30minuteteachingsessionabouttheprocedure•usevaguelanguagetodescribetheprocedure•explainthe proceduretothechild whenthey areinthe playroom•demonstratedeepbreathingandCountingexercises20.
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