Past Exams
ATI Pediatric Retake Practice Exam with Answers (40 Solved Questions)
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ATI retake practice 11-A nurse in the emergency department is caring for a 2-year-old child whowas found by his parents crying and holding a container of toilet bowl cleaner.The child'slipsareedematousand inflamed, and he isdrooling. Which of thefollowing is thepriority actionby the nurse?Check the child's respiratory status.2-A nurse is teaching a parent of a12-month-old infantabout developmentduring the toddler years. Which of the following statements should thenurseinclude?"Your child should be able to scribble spontaneously using a crayon at the age of 15months."3-A nurse is caring for a toddler and is preparing to administer 0.9% sodiumchloride 100 mL IV to infuse over 4 hr. The drop factor of the manual IV tubingis60 gtt/mL. The nurse should set themanual IV infusionto deliver howmanygtt/min?STEP 1: What is the unit of measurement to calculate? gtt/minSTEP 2: What is the volume needed? 100 mLSTEP 3: What is the total infusion time? 4 hrSTEP 4: Should the nurse convert the units of measurement? Yes (min does not equalhr)STEP 5: Set up an equation and solve for X.X = Quantity / 1 mL x Conversion (hr) / Conversion (min) x Volume (mL) / Time (hr)X gtt/min = 60 gtt/1 mL x 1 hr/ 60 min x 100 mL/4 hrX = 25Volume (mL)/Time (min) = drop factor (gtt/mL) = X100 mL/240 min x 60 gtt/mL = X gtt/minX = 254-A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Whichof the followingactionsshould the nurse take?Minimize physical contact with the child initially.The nurse should initially minimize physical contact with the toddler, and then progressfrom the least traumatic to the most traumatic procedures.5-A nurse is caring for an 18-year-old adolescent who is up-to-date onimmunizations and is planning to attend college. The nurse should inform thelOMoARcPSD|13778330Page 2

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client that he should receive which of the following immunizations prior tomoving into a campus dormitory?Meningococcal polysaccharideThe meningococcal polysaccharide immunization is used to prevent infection by certaingroups of meningococcal bacteria. Meningococcal infection can cause life-threateningillnesses, such as meningococcal meningitis, which affects the brain, andmeningococcemia, which affects the blood. Both of these conditions can be fatal.College freshmen, particularly those who live in dormitories, are at an increased risk formeningococcal disease relative to other persons their age. Therefore, the Centers forDisease Control and Prevention has issued a recommendation that all incoming collegestudents receive the meningococcal immunization.6-A nurse is teaching the parent of an infant aboutfood allergens. Which ofthe following foods should the nurse include as being themostcommonfood allergy in children?Cow's milkAccording to evidence-based practice, the nurse should instruct the parent that cow’smilk is the most common food allergy in children. Some children are sensitive to theprotein, called casein, found in cow’s milk. They have difficulty metabolizing the caseinand are, therefore, allergic to cow’s milk.7-A nurse is teaching the parent of a toddler abouthome safety. Which of thefollowing statements by the parent indicates anunderstandingof theteaching?"I lock my medications in the medicine cabinet."8-A nurse is performing a physical assessment on a 6-month-old infant. Whichof the following highlight reflexes should the nurse expect to find?BabinskiThe Babinski reflex, which is elicited by stroking the bottom of the foot and causing thetoes to fan and the big toe to dorsiflex, should be present until the age of 1 year.Persistence of neonatal reflexes might indicate neurological deficits.9-A nurse is preparing toadministerrecommended highlight immunizations toa2-month-old infant. Which of the following immunizations should the nurseplan toadminister?Haemophilus influenzae type B(Hib) and inactivated polio virus (IPV)lOMoARcPSD|13778330Page 4
The recommended immunizations for a 2-month-old infant include Hib and IPV. The Hibimmunization series consists of 3 to 4 doses, depending on the immunization used, andat a minimum is administered at the ages of 2 months, 4 months, and 12 to 15 months.The IPV immunization series consists of 4 doses and is administered at the ages of 2months, 4 months, 6 to 18 months, and 4 to 6 years.10-A nurse is developing aplan of carefor a school-age child who underwent asurgical procedure that resulted in atemporary loss of vision. Which of thefollowing interventions should the nurse include in theplan of care?Explain sounds the child is hearing.The noises in a facility can be frightening to a child who is experiencing a sensory loss.It is important to explain these noises to allay the child’s fears.11-A nurse is assessing a3-year-old childwho is 1 day postoperative followinga tonsillectomy. Which of the following methods should the nurse usetodetermineif the child is experiencingpain?Use the FACES scale.12-A nurse is assessing a6-month-old infantat a well-child visit. Which of thefollowing findings indicates the need forfurther assessment?Legs remain crossed and extended when supineLegs crossed and extended when supine is an unexpected finding and requires furtherassessment. At 6 months of age, the legs flex at the knees when the infant is supine.Crossed and extended legs when supine is a finding associated with cerebral palsy.13-A nurse is observing a mother who is playing peek-a-boo with her 8-month-old child. The mother asks if this game has anydevelopmental significance.The nurse shouldinformthe mother that peek-a-boo helps develop which ofthe following concepts in the child?Object permanence14-A nurse is caring for a 15-month-old toddler who requires dropletprecautions. Which of the followingactionsshould the nurse take?Wear a mask when assisting the toddler with meals.The nurse should wear a mask when within 3 to 6 feet of the toddler to prevent thetransmission of infections that are spread via large droplet particles expelled in the air.lOMoARcPSD|13778330
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