2023 ATI Clinical Analysis Proctored Exam with Answers (81 Solved Questions)

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Question - 1A nurse is creating a plan of care for a school-age child who has heart disease and has developedheart failure. Which of the following interventions should the nurse include in the plan?Provide small, frequent meals for the child. The metabolic rate of a child who has heartfailure is hight because of poor cardiac function. Therefore, the nurse should provide small, frequentmeals for the child because it helps to conserve energy.Question - 2A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment ofdevelopmental dysplasia of the hip. The nurse should identify that which of the following statementsby the parent indicates an understanding of the teaching?"I will place my infant's diapers under the harness straps". To prevent soiling of theharness, the parent should apply the infant's diaper under the straps.Question - 3A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury(AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the nurseinclude in the plan?Initiate seizure precautions for the child. A sodium level of 129 mEq/L indicateshyponatremia and places the child at increased risk for neurological deficits and seizure activity. Thenurse should complete a neurologic assessment and implement seizure precautions to maintain thechild's safety.Question - 4A nurse is assessing a school-age child immediately following a perforated appendix repair. Which ofthe following findings should the nurse expect?Absence of peristalsis. The nurse should expect absence of peristalsis immediatelyfollowing a perforated appendix repair, until the bowel resumes functioning.Question - 5A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should thenurse take?Apply topical analgesic cream to the site 1 hr prior to the procedure. The nurse shouldapply a topical analgesic to the lumbar site 1 hr prior to the procedure to decrease the adolescent'spain while the lumbar needle is inserted.Question - 6A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The childsuddenly develops diffuse flushing of the skin and angioedema. After discontinuing the medicationinfusion, which of the following medications should the nurse administer first?Epinephrine. This child is most likely experiencing an anaphylactic reaction to thecefazolin. According to evidence-based practice, the nurse should first administer epinephrine totreat the anaphylaxis. Epinephrine is a beta adrenergic agonist that stimulates the heart, causesvasoconstriction of blood vessels in the skin and mucous membranes, and triggers bronchodilationin the lungs.Question - 7

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A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks. Whichof the following statements by the parent indicates an understanding of the teaching?"I should keep my child indoors when I mow the yard’’. The nurse should instruct theparent to keep the preschooler indoors during lawn maintenance or when the pollen count isincreased. Guarding against exposure to known allergens found outdoors, such as grass, tree, andweed pollen, will decrease the frequency of the preschooler's asthma attacks.Question - 8A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease. Thenurse should recommend that the parent offer which of the following foods to the child?White rice. The nurse should recommend that the parent offer white rice to the childbecause it is a gluten-free food. The nurse should instruct the parent that the child will remain on alifelong gluten-free diet and the child should not consume oats, rye, barley, or wheat, and sometimeslactose deficiency can be secondary to this disease.Question - 9A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue. Which ofthe following findings should the nurse recognize as an indication of anemia?Hematocrit 28%. The nurse should recognize that this hematocrit level is below theexpected reference range of 32% to 44% for a school-age child. The child can exhibit fatigue,lightheadedness, tachycardia, dyspnea, and pallor due to the decreased oxygen-carrying capacity.Question - 10A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which of thefollowing actions should the nurse plan to take?Perform a finger stick. The nurse should perform a finger stick on a toddler as acomponent of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis is required todistinguish between children who have the genetic trait and children who have the disease.Question - 11A nurse is assessing a school-age child who has meningitis. Which of the following findings is thepriority for the nurse to report to the provider?Petechiae on the lower extremities. The presence of a petechial or purpuric rash on a childwho is ill can indicate the presence of meningococcemia. This type of rash indicates the greatest riskof serious rapid complications from sepsis and should be reported immediately to the provider.Question - 12A nurse is assessing an infant who has a ventricular septal defect. Which of the following findingsshould the nurse expect?Loud, harsh murmur. The nurse should expect to hear a loud, harsh murmur with aventricular septal defect due to the left-to-right shunting of blood, which contributes to hypertrophy ofthe infant's heart muscle.Question - 13A nurse is creating a plan of care for an infant who has an epidural hematoma from a head injury.Which of the following interventions should the nurse include in the plan?

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Implement seizure precautions for the infant. An infant who has an epidural hematoma isat great risk for seizure activity. Therefore, the nurse should implement seizure precautions for thechild.Question - 14A nurse is caring for an adolescent who received a kidney transplant. Which of the following findingsshould the nurse identify as an indication the adolescent is rejecting the kidney?Serum creatinine 3.0 mg/dL. Creatinine is a byproduct of protein metabolism and isexcreted from the body through the kidneys. An elevated serum creatinine level, therefore, can be anindication that the kidneys are not functioning. The nurse should identify that the adolescent's serumcreatinine level is higher than the expected reference range of 0.4 to 1.0 mg/dL for an adolescentand can indicate rejection of the kidney.Question - 15A nurse in an emergency department is performing an admission assessment on a 2 week-old malenewborn. Which of the following findings is the priority for the nurse to report to the provider?Substernal retractions. When using the airway, breathing, and circulation approach toclient care, the nurse should determine that the priority finding to report to the provider is substernalretractions. This finding indicates the newborn is experiencing increased respiratory effort, whichcould quickly progress to respiratory failure.Question - 16A hospice nurse is caring for a preschooler who has a terminal illness. The father tells the nurse thathe cannot cope anymore and has decided to move out of the house. Which of the followingstatements should the nurse make?"Let's talk about some of the ways you have handled previous stressors in your life”. Thisstatement offers a general lead to allow the parent to express their feelings and previous actionswhen faced with stressful situations. It also helps the parent to focus on ways that they can copewith the current situation.Question - 17A nurse in an emergency department is caring for an adolescent who has severe abdominal paindue to appendicitis. Which of the following locations should the nurse identify as McBurney's point?The nurse should identify this area of the client's abdomen as McBurney's point. This areaof the right lower quadrant located about two-thirds of the way between the umbilicus and the client'santerosuperior iliac spine is the area where a client who has appendicitis is most likely to report painand tenderness.Question - 18A nurse is reviewing the laboratory report of a 7 year-old child who is receiving chemotherapy. Whichof the following lab values should the nurse report to the provider?Hgb 8.5 g/dL. A child receiving chemotherapy is at risk for anemia due to thechemotherapy effects on the blood-forming cells of the bone marrow. The development of anemia isdiagnosed through laboratory testing of hemoglobin and hematocrit levels. The nurse shouldrecognize that a hemoglobin level of 8.5 g/dL is below the expected reference range of 10 to 15.5g/dL for a 7-year-old child and should be reported to the provider.Question- 19A nurse is caring for a 15 year-old client who is married and is scheduled for a surgical procedure.The client asks, "who should sign my surgical consent?" Which of the following responses shouldthe nurse make?

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