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2023 ATI Paediatrics Proctored Exam With Answers (190 Solved Questions)

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    NGN ATI PEDS PROCTORED EXAM LATEST 2023 / PEDS ATI PROCTORED ACTUAL EXAM ALL 300+ QUESTIONS AND CORRECT DETAILED ANSWERS 1 / 45 1. A nurse is teaching the mother of a 5 - year - old child who has cystic fi - brosis about pancreat - ic enzymes. The nurse should understand that further teaching is nec - essary when the mother states which of the follow - ing? 2. . A nurse is admitting an infant who has severe de - hydration from acute gas - troenteritis. Which of the following findings should the nurse expect? 3. 2. A nurse is teach - ing a client about posi - tive signs of pregnancy. Which of the following findings should the nurse include? 4. . A nurse is caring for a child who is experiencing a seizure. Which of the fol - lowing actions should the nurse take? 5. . A nurse is assessing an 8 - month - old infant for cerebral palsy. Which of the following findings is a manifestation of the con - dition? "I will give my son the enzymes between meals." Rationale: The parent should give the child pan - creatic enzymes with every meal and snack. 13% weight loss Rationale:A weight loss greater than 10% is a manifestation of severe dehydration in an infant. Fetal heart tones detected by ultrasound Rationale: Fetal heart tones are a positive sign of pregnancy because the presence of fetal heart tones can only be explained by pregnancy Position the child laterally Sits with pillow props Rationale:Infants who have cerebral palsy re - quire support when sitting upright. 6.

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    2 / 45 A nurse is caring for a toddler who is having difficulty sleeping dur - ing hospitalization. Which of the following actions should the nurse take to promote sleep? 7. A nurse is caring for a child who is experiencing a seizure. Which of the fol - lowing actions should the nurse take? 8. . A nurse is caring for an infant who has gas - troesophageal reflux. The nurse should place the in - fant in which of the fol - lowing positions follow - ing feedings? 9. A nurse is caring for a child who is having a tonic - clonic seizure and vomiting. Which of the following actions is the nurse's priority? 10. A nurse is preparing to teach about communi - cable diseases. During which of the following stages is the period in which a disease is conta - gious? 11. A nurse is assessing a 3 - month - old infant. Which of the following findings Provide bedtime rituals. Rationale:Establishing a bedtime routine is im - portant. Reading a familiar book or providing a favorite stuffed toy or blanket will help decrease the child's insecurity and fears. Position the child laterally. Rationale:Positioning the child laterally facili - tates airway patency Place the infant in an infant seat. Rationale:An infant seat provides elevation and decreases the risk of aspiration. Position the child side - lying. Rationale: This is the priority nursing action. To prevent aspiration due to vomiting, the nurse should place the child in a side - lying position. Communicability period Rationale: The communicability period is the time when a disease is contagious and can be transmitted to others. Inability to raise head when in prone position Rationale:A 3 - month - old infant should be able

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    3 / 45 should the nurse report to the provider? 12. A nurse receives a call from a parent of a child who has von Willebrand disease and has having a nosebleed. Which of the following instructions should the nurse give to the parent? 13. A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply.) 14. A nurse is caring for an adolescent who was ad - mitted with anorexia ner - vosa. Which of the fol - lowing finding should the nurse expect? 15. A nurse is caring for a child who has been phys - ically abused by a family member. Which of the fol - lowing statements should the nurse to say to the child? 16. A nurse is caring for a child who has Legg - Calve - Perthes dis - ease and is in Buck exten - sion traction. Which of the to raise her head and shoulders from prone position; therefore, the nurse should report this finding to the provider "Have your child sit with her head tilted forward and hold pressure on her nose for 10 minutes." The preschooler mispronounces words. E. The preschooler speaks in a nasally tone Bloating Rationale: Bloating is a finding associated with anorexia nervosa. "It is not your fault that this happened." Rationale: The nurse should reinforce to the child that the abuse is not his fault Reposition the child every 2 hr. Rationale: The nurse should reposition the child should be repositioned every 2 hr to prevent skin breakdown

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    4 / 45 following actions should the nurse take? 17. A nurse is providing care to children on a gener - al pediatric unit. Which of the following children should the nurse identi - fy as a potential victim of abuse? A child whose parents answer questions for the child Rationale: Often the perpetrator of abuse is con - trolling and will talk for the child to avoid the risk of the child saying something that could expose the abuse. A school - age child should be able to answer most questions. The nurse should gath - er information when the parents are absent and to determine if the child interacts differently 18. A nurse is caring for a tod - instruct the parent to avoid pressing on the ab - dler whose parent states while bathing the child she noticed a mass in his abdominal area and that his urine is a pink color. Which of the following ac - tions is the nurse's priori - ty? 19. .A nurse is providing teaching to the parents of a child who has iron deficiency anemia and is taking iron supplements. Which of the following dominal area. Rationale: The priority action is to instruct the parent to avoid pressing on the child's abdomen. These symptoms are associated with Wilms' tu - mor, and trauma to the mass should be avoided to prevent movement of cancer cells into other sites. "Our child's blood count will need to be moni - tored routinely for several weeks." Rationale: The child's response to treatment will be determined by monitoring hemoglobin and hematocrit levels through routine blood tests. statements by the parents Treatment can take up to 3 months to be effec - indicates an understand - ing of the teaching? 20. .A nurse is planning care for a 4 - year - old child who requires airborne precau - tions. Which of the follow - ing activities should the nurse plan for child? tive. Putting a large - piece puzzle together Rationale:A child who requires airborne pre - cautions must remain in her room. Appropriate activities for a 4 - year old child include putting together large - piece puzzles, using paints and

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    5 / 45 21. A nurse is preparing to administer a vaccine into the deltoid muscle of a preschooler. Which of the following actions should the nurse take? 22. .A nurse is providing teaching to a parent of a preschooler who has eczema. Which of the following instructions should the nurse include in the teaching? 23. A nurse is providing teaching to a school - age child who has a new diag - nosis of type 1 diabetes mellitus. Which of the fol - lowing statements by the child indicates an under - standin g of the teaching? 24. A nurse is caring for a pre - school age child who has epiglottitis with a barking cough. Which of the following actions should the nurse take? 25. .A nurse is caring for a child on the oncolo - gy unit. The child's par - ents are asking the nurse about the cancer diagno - crayons, playing ball, riding tricycles, playing pretend and dress up, sewing cards and beads, and reading books. Apply a topical corticosteroid ointment to the affected area. Rationale: The child might require a topical cor - ticosteroid ointment to use during flare - ups to decrease inflammation "I should eat a snack half an hour before playing soccer." Rationale:Exercise lowers blood glucose levels. The child should eat a snack half an hour prior to physical act ivity. If the exercise is prolonged, the child might require a snack during the activity. Monitor oxygen saturation. Rationale: The nurse should monitor the child's oxygen saturation levels to check for indications of respiratory distress or a decline child's condi - tion. Wilms' tumor Rationale: Wilms' tumor, or nephroblastoma, is the most common malignant renal and intra - ab - dominal tumor of childhood. 28.A nurse is caring

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    6 / 45 sis. Which of the follow - ing information should the nurse provide the par - ents about the most com - mon malignant renal and intra - abdominal tumor of childhood? 26. A nurse is caring for a school - age child who has mild persistent asthma. Which of the following is an expected finding? (Se - lect all that apply. 27. A school nurse is assess - ing an adolescent who re - ports feeling shaky and is having difficulty speak - ing and concentrating on the questions the nurse is asking. The nurse checks the adolescent's blood glucose level and identi - fies a value of 55 mg/dL. Which of the following findings should the nurse expect? 28. A nurse is providing teaching to a parent of a child who has acute group A ß - hemolyt - ic streptococci. Which of the following information should the nurse include in the teaching? for a school - age child who has mild persistent asthma. Which of the following is an expecte Daytime symptoms occur more than twice a week. Minor limitations occur with normal activity Peak expiratory flow (PEF) is greater than or equal to 80% of the predicted value. Tachycardia Rationale:A blood glucose level of 55 mg/dL is below the expected reference range and an adolescent with this blood glucose level is likely to have tachycardia due to increased circulating catecholamines and increased adrenergic activ - ity. Replace the child's toothbrush after 24 hr on antibiotics. Rationale: The child's toothbrush should be re - placed after 24 hr on antibiotics to prevent the spread of infection or re - infection. 29.

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    7 / 45 A nurse is caring for a tod - Administer opioids for pain. dler who is 24 hr post - operative following a cleft palate repair. Which of the following actions should the nurse take? 30. A nurse is caring for an infant who has gas - troesophageal reflux. The nurse should recognize that which of the follow - ing findings are associ - ated with this condition? (Select all that apply. 31. A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the follow - ing actions should the nurse take? 32. A nurse is caring for a school - age child who has acute glomerulonephritis with peripheral edema and is producing 35 mL of urine per hour. The nurse should place the client on Rationale:Administering opioids for pain is an appropriate action by th e nurse. Opioids control pain in the immediate postoperative period are followed by administration of acetaminophen PRN. Vomiting Weight loss Wheezing . Wrap the arm of the child's doll or toy prior to the procedure. Rationale: The nurse should consider the de - velopmental age before the cast is applied. A preschooler might fear bodily harm and fanta - size about the loss of an extremity. Using a doll or stuffed animal helps to explain the procedure. During this stage of development, the child is a "magical thinker" and might believe stuffed animals are alive. This action shows the child that it does not hurt the doll or stuffed animal, and, in turn, will not hurt the child Low - sodium, fluid - restricted Rationale:A low - sodium, fluid - restricted diet will prevent complications.

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    8 / 45 which of the following di - ets? 33. A nurse is assessing a school - age child whose blood glucose level is 280 mg/dL. Which of the following findings should the nurse expect? 34. .A nurse is caring for a chi ld who has tinea pedis. The child's parent asks the nurse what this infection is commonly called. The nurse should respond with which of the following common names? 35. .A nurse in a clinic is as - sessing a 9 - month - old in - fant. Which of the follow - ing findings requires fur - ther intervention? 36. A nurse is caring for a child who has a suspect - ed diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority? 37. A nurse in an emergency department is assessing an infant who is dehydrat - Lethargy Rationale:A blood glucose of 280 mg/dL is above the expected reference range indicating hyperglycemia. The nurse should expect the child to appear lethargic, leading to a decreased level of consciousness and confusion Athlete's foot R ationale:Athlete's foot is the common name for tinea pedis Positive Moro reflex Rationale: The Moro reflex disappears at ap - proximately 3 to 4 months of age. Therefore, a 9 - month - old who has a positive Moro reflex is a finding that requires further i ntervention Administer antibiotics when available. Rationale: The priority nursing action is to administer antibiotics when available. Bacteri - al meningitis is an acute inflammation of the meninges and the CNS. Antibiotic therapy has a marked effect on the course and prognosis of the illness Irritability

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    9 / 45 ed. Which of the following findings should the nurse expect? 38. A nurse is providing dis - charge instructions to the parent of a 10 - year - old child following a cardiac catheterization. Which of the following instructions should the nurse include? 39. A nurse is assessing a child who is in sickle cell crisis. Which of the follow - ing findings should the nurse expect? 40. .A nurse is caring for a school - age child who has a systemic disor - der and is receiving antibiotics, immunosup - pressants, and corticos - teroids. Both of the child's parents have a smoking history. The child reports soreness in his mouth and refuses to eat. In - spection of his mouth reveals a white, milky plaque that does not come off with rubbing. The nurse should sus - pect which of the follow - ing conditions? 41. A nurse is reviewing data for four children. Which of the following children Rationale:An infant who is dehydrated will exhib - it irritability Give the child acetaminophen for discomfort. Rationale: The child might have minor discom - fort at the puncture site. The parent should offer either acetaminophen or ibuprofen due the risk of Reye syndrome associated with taking aspirin Pain Rationale:A client who is in sickle cell crisis has severe pain resulting from tissue hypoxia and necrosis. Candidiasis Rationale: Manifestations of oral candidiasis in - clude white patches that adhere to the inner cheeks, tongue, and palate that are painful and can c ause the child to refuse to eat. A 10 - year - old child who has sickle cell anemia who reports severe chest pain

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    10 / 45 should the nurse assess first 42. A nurse is caring for a 6 - week - old infant who has a pyloric steno - sis. Which of the fol - lowing clinical manifesta - tions should the nurse ex - pect? 43. A nurse is assess - ing a toddler who has acute nephrotic syn - drome. Which of the fol - lowing findings should the nurse report to the provider? 44. A nurse is caring for a 6 - month - old infant who has a prescription for clear liquids by mouth af - ter a repair of an intussus - ception. Which of the fol - lowing fluids should the nurse select for the in - fant? 45. .A nurse is planning care for a 5 - month - old infant who is scheduled for a lumbar puncture to Rationale: When using the urgent vs. nonurgent approach to client care, the nurse should deter - mine that the 10 - year - old child who has sick - le cell anemia and reports severe chest pain should be assessed first. This finding is a med - ical emergency because it is a manifestation of acute chest syndrome Projectile vomiting Rationale:Pyloric stenosis is a narrowing of the pylorus, the outlet from the stomach to the small intestine. The narrowing does not allow for emp - tying of the stomach contents. Vomiting, which is usually mild at first, becomes more forceful and progresses to projectile vomiting. A. Yellow nasal discharge Rationale:Yellow or green nasal discharge is an indication of an upper respiratory infection. Chil - dren who have nephrotic syndrome are at con - stant risk for infection. The nurse should report this manifestation to the provider so the child can receive appropriate and prompt treatment. Oral electrolyte solution Rationale:After gastrointestinal surgery, infants should receive clear liquids that contain glucose and electrolytes, such as an oral electrolyte or rehydration solution. They should then advance to formula or breast milk as they demonstrate tolerance. Hold the infant's chin to his chest and knees to his abdomen during the procedure. Rationale: During the procedure, the infant is

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    11 / 45 rule out meningitis. Which of the following actions should the nurse include in the plan of care 46. A nurse is caring for a 10 - month - old infant who is in a cast for de - velopmental dysplasia of the hip (DDH). Which of the following strategies should the nurse imple - ment to promote the in - fant's growth and devel - opment? 47. A nurse is reviewing the laboratory results of an adolescent who has chronic glomerul onephri - tis. Which of the following findings should the nurse expect? 48. .A nurse is caring for a child who is postoper - ative following ventricu - loperitoneal (VP) shunt placement. In which of the following positions should the nurse place the client? 49. A school nurse is assess - ing a child for pediculo - sis capitis. Which of the following manifestations should the nurse recog - nize as an indication of this condition? positioned on her side in a fetal position (knees curled to abdomen and chin tucked to ch est) to open up the subarachnoid space. Allow the infant to stand in the crib. Rationale:Allowing the child to participate in nor - mal developmental activities promotes growth and development. The infant can be held and allowed to walk in a cast or orthotic device. BUN 50 mg/dL Rationale: The nurse should expect the adoles - cent to have a BUN above the expected refer - ence range due to kidney injury and the inability to filter and excrete urea nitrogen from the blood. On the unoperated side Rationale: The nurse should position the child flat on the unoperated side to prevent a rapid reduction of intracranial fluid and to protect the child for injuring the operative site. Firmly attached white particles on the hair Rationale:Pediculus capitis, or head lice, are tiny parasitic insects that live on the scalp and can be spread by close contact with other people. Their eggs (nits) appear much like flakes of dandruff

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    12 / 45 50. A nurse is caring for a child who is having a se izure. Which of the fol - lowing actions should the nurse take? (Select all that apply. 51. A nurse is providing teaching to the parents of a child who has strepto - coccal pharyngitis about ways to prevent disease transmission. Which of the following responses by the parents indicates an understanding of the teaching? 52. A home health nurse is teaching a child's parents about endotra - cheal suctioning. Which of the following informa - tion should the nurse in - clude in the teaching 53. A nurse is providing care to a child who has an al - lergy to eggs. The nurse should question a pre - scription for which of the following immunizations? 54. A nurse is preparing to administer a vaccine to a 4 - year - old child. Which of the following vaccines but stick firmly to the hair shaft instead of flaking off of the scalp Assess the client's airway patency. Remove objects from the client's bed. Place the client in a side - lying position We'll discard his toothbrush and buy another." Rationale: Children who have positive throat cul - tures for streptococcal infection should replace their toothbrush after they have been taking an - tibiotics for 24 hr. Using a contaminated tooth - brush can re - introduce the bacteria and spread it to others if others handle the t oothbrush. Apply suction for less than 10 seconds. Rationale:Prolonged suctioning can cause dam - age to tissues and induce hypoxia. Hypoxia can interfere with stages of respiration, cellular ab - sorption, and blood transport Influenza, live attenuated (LAIV) Rationale:An egg allergy is a contraindication for receiving the LAIV vaccine. Severe anaphylactic reactions can occur and pose life - threatening conditions for the child. Varicella (VAR) Rationale: The child should have received the first dose between 12 to 15 months of age.

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    13 / 45 should the nurse adminis - ter? 55. A nurse is providing nu - tritional teaching to the mother of a preschool - er and is recommending food options to provide 1 oz of grains. Which of the follo wing foods should the nurse recommend 56. .A nurse is obtaining the length and weight of a 6 - month - old infant. Which of the following actions should the nurse take? (Select all that apply.) 57. A nurse is caring for a 4 - year - old child who has croup and wet the bed overnight. When the par - ents visit the next day, the nurse explains the sit - uation and one of the parents says, "She nev - er wets the bed at home. I am so embarrassed." Which of the following re - sponses should the nurse make 58. .A nurse is obtaining vital signs from 2 - month - old infant. The infant's heart rate is 190/min and his The child should then receive a second dose between 4 and 6 years of age. 1 cup ready - to - eat cereal flakes Rationale: The child should eat 1 cup of ready - to - eat cereal flakes to consume 1 oz of grains. Place a disposable covering on the scale. . Measure the infant from crown of the head to the heels of feet. Balance the scale to 0 prior to use. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." Rationale:A recently learned skill, such as toi - let training, is often temporarily lost due to the stress of hospitalization. The nurse should reas - sure the parents that regression is an expected beh avior in children who are hospitalized and that her child will regain bladder control when she is feeling better The fever is causing an increase in your baby's heart rate." Rationale: The expected reference range for the temperature is 40° C (104° temperature of an infant from birth to 1 year is F). The father asks the nurse why the infant's 36.5° C (97.7° F) to 37.2° C (98.9° F). This infant has a fever that is causing the infant's heart

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