ATI PEDIATRIC PROCTORED EXAM: Book &
Assessments A & B
1.: Assessment A
2.Restrict the child's sodium intake: A nurse is contributing to the plan of care
for a school-age child who has acute poststreptococcal glomerulonephritis
(APSGN) and is mildly hypertensive. Which of the following actions should
the nurse include in the plan of care?
A. Restrict the child's sodium intake
B. Weigh the child every other day
C.Monitor the child's blood pressure every 12 hourD. Place the child on bed rest
3. laceration on the side of the torso: A nurse is collecting data from a toddler at a well-
child visit. Which of the following findings should the nurse identify as a possible
indication of child maltreatment?
A. diaper dermatitis
B.bruise on the front of the lower leg
C. inflamed unilateral conjunctiva
D. laceration on the side of the torso
4. "A decrease in urine protein indicates that treatment is effective.": A nurse is
reinforcing discharge teaching with the parent of a school-age child who is being treated
for nephrotic syndrome. The parents asks the nurse why it is necessary to check the
child's urine for protein. Which of the following explanations should the nurse offer?
A. "A decrease in urine protein indicates that treatment is effective."
B."Protein in the urine indicates your child's protein intake is adequate."
C. "Protein in the urine indicates a need to begin dialysis."
D. "An increase in urine protein indicates your child has a secondary infection."
5. "We will purchase a toy storage box with a lightweight lid.": A nurse is reinforcing
home
safety instructions with the parents of a toddler. Which of the following parent
statements indicates an understanding of the teaching?
,ATI PEDIATRIC PROCTORED EXAM: Book &
Assessments A & B
A. "We will keep our child out of the sun between 3 p.m. and 5 p.m."
B. "We will transition our child to a toddler bed when he is 2 feet tall."
C."We will purchase a toy storage box with a lightweight lid."D. "We will provide a healthy
snack of peanuts."
6. promote oxygen utilization: A nurse is contributing to the plan of care for a child who
has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following
is the priority intervention for the nurse to recommend to include in the plan?
A. promote oxygen utilization
B.Administer antibiotics
C. encourage fluid intake
D. apply a warm compress to the joints
7. 1. hypothyroidism
2. cannabis use
3. oral contraceptive use
4. emotional stress: A nurse is reviewing the medical record of a female adolescent
client who has primary amenorrhea. Which of the following findings should the
nurse identify as a risk factor for this disorder? (select all that apply)
A. hypothyroidism
B. obesity
C.cannabis use
D. oral contraceptive useE. emotional stress
8. Platelet count 70,000: A nurse is reviewing the laboratory report of a preschooler
who has Wilms' tumor and is scheduled to begin treatment with an antineoplastic
medication regimen. Which of the following laboratory results should the nurse report
to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C.serum glucose 98 mg/dLD. Platelet count 70,000
,ATI PEDIATRIC PROCTORED EXAM: Book &
Assessments A & B
9. Sodium level 145 mEq/L: A nurse is collecting data from an infant who is receiving IV
therapy for fluid replacement. Which of the following findings indicates the infant's
status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C.Capillary refill greater than 3 secondsD. Dry mucous membranes
10. birth weight doubled: A nurse is collecting data from a 12 month old infant during a
well-child visit. The nurse should identify which of the following findings as a deviation
from expected growth and development?
A. vocabulary of three words
B.negative Babinski reflex
C. birth weight doubled
D. unable to build a two-block tower
11. Stands on one foot for several seconds: A nurse is assisting the provider with a
developmental assessment of a toddler. Which of the following behaviors should the
nurse recognize as an expected finding?
A. Walks backwards with heel to toe
B.Stands on one foot for several seconds
C. Uses scissors to cut out shapes
D. Prints letters with a pencil
12. 690 ml # of oz x 30=mL: A nurse is caring for a school-age child who has been
admitted to the facility in sickle cell crisis. The nurse is measuring the child's oral
intake for the shift. The child consumed 4 oz of juice at breakfast. For lunch, the child
consumed 6 oz of milk, 6 z of gelatin, and drank 7 oz of water. What is the child's oral
intake for this shift in milliliters? (round to the nearest whole number)
, ATI PEDIATRIC PROCTORED EXAM: Book &
Assessments A & B
13. apples: A nurse is reinforcing dietary teaching about a low-sodium diet with the
parents of a child who is recovering from acute glomerulonephritis. Which of the
following food choices by the parents indicates an understanding of the teaching?
A. pretzels
B.apples
C. canned corn
D. peanut butter
14. weight loss of 10%: A nurse is collecting data from an infant who has severe
dehydration. Which of the following findings should the nurse expect?
A. capillary refill of 2 seconds
B.flushed skin
C. weight loss of 10%
D. bulging anterior fonanel
15. "I will have my child sleep in knee, wrist, and hand splints.": A nurse is reinforcing
discharge teaching with the guardian of a child who has juvenile idiopathic arthritis (JIA).
Which of the following statements by the guardian indicates an understanding of the
teaching?
A. "I will have my child sleep in knee, wrist, and hand splints."
B."I will encourage my child to take an afternoon nap."
C. "I will apply topical hydrocortisone to my child's joints as needed."
D. "I will administer opioids to my child for the next several months to control the pain."
16. Levalbuterol: A nurse is caring for a preschooler who has a new diagnosis of asthma.
Which of the following medications should the nurse instruct the parent to administer
for an acute asthma attack?
A. Levalbuterol
B. Fluticasone
C.OmalizumabD. Montelukast
Assessments A & B
1.: Assessment A
2.Restrict the child's sodium intake: A nurse is contributing to the plan of care
for a school-age child who has acute poststreptococcal glomerulonephritis
(APSGN) and is mildly hypertensive. Which of the following actions should
the nurse include in the plan of care?
A. Restrict the child's sodium intake
B. Weigh the child every other day
C.Monitor the child's blood pressure every 12 hourD. Place the child on bed rest
3. laceration on the side of the torso: A nurse is collecting data from a toddler at a well-
child visit. Which of the following findings should the nurse identify as a possible
indication of child maltreatment?
A. diaper dermatitis
B.bruise on the front of the lower leg
C. inflamed unilateral conjunctiva
D. laceration on the side of the torso
4. "A decrease in urine protein indicates that treatment is effective.": A nurse is
reinforcing discharge teaching with the parent of a school-age child who is being treated
for nephrotic syndrome. The parents asks the nurse why it is necessary to check the
child's urine for protein. Which of the following explanations should the nurse offer?
A. "A decrease in urine protein indicates that treatment is effective."
B."Protein in the urine indicates your child's protein intake is adequate."
C. "Protein in the urine indicates a need to begin dialysis."
D. "An increase in urine protein indicates your child has a secondary infection."
5. "We will purchase a toy storage box with a lightweight lid.": A nurse is reinforcing
home
safety instructions with the parents of a toddler. Which of the following parent
statements indicates an understanding of the teaching?
,ATI PEDIATRIC PROCTORED EXAM: Book &
Assessments A & B
A. "We will keep our child out of the sun between 3 p.m. and 5 p.m."
B. "We will transition our child to a toddler bed when he is 2 feet tall."
C."We will purchase a toy storage box with a lightweight lid."D. "We will provide a healthy
snack of peanuts."
6. promote oxygen utilization: A nurse is contributing to the plan of care for a child who
has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following
is the priority intervention for the nurse to recommend to include in the plan?
A. promote oxygen utilization
B.Administer antibiotics
C. encourage fluid intake
D. apply a warm compress to the joints
7. 1. hypothyroidism
2. cannabis use
3. oral contraceptive use
4. emotional stress: A nurse is reviewing the medical record of a female adolescent
client who has primary amenorrhea. Which of the following findings should the
nurse identify as a risk factor for this disorder? (select all that apply)
A. hypothyroidism
B. obesity
C.cannabis use
D. oral contraceptive useE. emotional stress
8. Platelet count 70,000: A nurse is reviewing the laboratory report of a preschooler
who has Wilms' tumor and is scheduled to begin treatment with an antineoplastic
medication regimen. Which of the following laboratory results should the nurse report
to the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C.serum glucose 98 mg/dLD. Platelet count 70,000
,ATI PEDIATRIC PROCTORED EXAM: Book &
Assessments A & B
9. Sodium level 145 mEq/L: A nurse is collecting data from an infant who is receiving IV
therapy for fluid replacement. Which of the following findings indicates the infant's
status is improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C.Capillary refill greater than 3 secondsD. Dry mucous membranes
10. birth weight doubled: A nurse is collecting data from a 12 month old infant during a
well-child visit. The nurse should identify which of the following findings as a deviation
from expected growth and development?
A. vocabulary of three words
B.negative Babinski reflex
C. birth weight doubled
D. unable to build a two-block tower
11. Stands on one foot for several seconds: A nurse is assisting the provider with a
developmental assessment of a toddler. Which of the following behaviors should the
nurse recognize as an expected finding?
A. Walks backwards with heel to toe
B.Stands on one foot for several seconds
C. Uses scissors to cut out shapes
D. Prints letters with a pencil
12. 690 ml # of oz x 30=mL: A nurse is caring for a school-age child who has been
admitted to the facility in sickle cell crisis. The nurse is measuring the child's oral
intake for the shift. The child consumed 4 oz of juice at breakfast. For lunch, the child
consumed 6 oz of milk, 6 z of gelatin, and drank 7 oz of water. What is the child's oral
intake for this shift in milliliters? (round to the nearest whole number)
, ATI PEDIATRIC PROCTORED EXAM: Book &
Assessments A & B
13. apples: A nurse is reinforcing dietary teaching about a low-sodium diet with the
parents of a child who is recovering from acute glomerulonephritis. Which of the
following food choices by the parents indicates an understanding of the teaching?
A. pretzels
B.apples
C. canned corn
D. peanut butter
14. weight loss of 10%: A nurse is collecting data from an infant who has severe
dehydration. Which of the following findings should the nurse expect?
A. capillary refill of 2 seconds
B.flushed skin
C. weight loss of 10%
D. bulging anterior fonanel
15. "I will have my child sleep in knee, wrist, and hand splints.": A nurse is reinforcing
discharge teaching with the guardian of a child who has juvenile idiopathic arthritis (JIA).
Which of the following statements by the guardian indicates an understanding of the
teaching?
A. "I will have my child sleep in knee, wrist, and hand splints."
B."I will encourage my child to take an afternoon nap."
C. "I will apply topical hydrocortisone to my child's joints as needed."
D. "I will administer opioids to my child for the next several months to control the pain."
16. Levalbuterol: A nurse is caring for a preschooler who has a new diagnosis of asthma.
Which of the following medications should the nurse instruct the parent to administer
for an acute asthma attack?
A. Levalbuterol
B. Fluticasone
C.OmalizumabD. Montelukast
