(NGN)ATI PEDIATRIC PROCTORED EXAM ATI sd sd sd sd sd
PEDIATRIC PROCTORED EXAM/LATEST 70
sd sd sd sd
QUESTIONS WITH VERIFIED ANSWERS WITH
sd sd sd sd sd
RATIONALES/A+ GRADE sd sd
sd
ATI PEDIATRIC EXAM sd sd sd
1. A guardian calls the clinic nurse after his child has developed symptoms of varicella and
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
asks when his child will no longer be contagious. Which of the following responses should
d
s sd sd sd sd sd sd sd sd sd sd sd sd sd sd
the nurse make?
sd sd sd
a) “When your child no longer has a fever.” sd sd sd sd sd sd sd
b) “Three days after the rash started.” sd sd sd sd sd
c) “Six days after lesions appear if they are crusted.” (The nurse should inform the
sd sd sd sd sd sd sd sd sd sd sd sd sd
guardian that a child will stop being contagious around 6 days after the lesions
ds sd sd sd sd sd sd sd sd sd sd sd sd sd
appeared, as long as they are crusted over.)
sd sd sd sd sd sd sd sd
d) “When your child’s lesions disappear.” sd sd sd sd
2. A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
sd sd sd sd sd sd sd sd sd sd sd sd
parent of a 1-month-old infant. Which of the following statements by the parent
d
s sd sd sd sd sd sd sd sd sd sd sd sd
indicates an understanding of the teaching?
sd sd sd sd sd sd
a) “I will let my baby sleep with me in bed at night.”
sd sd sd sd sd sd sd sd sd sd sd
b) “I will allow my baby to have a pacifier while sleeping.” (The nurse should reinforce
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
with the parent that allowing the infant to fall asleep with a pacifier in his mouth
ds sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
decreases the risk for SIDS.)
sd sd sd sd sd
c) “I will place my baby on a soft mattress to sleep.”
sd sd sd sd sd sd sd sd sd sd
d) “I will cover my baby with a quilt while he sleeping.”
sd sd sd sd sd sd sd sd sd sd
3. A nurse is collecting date from a school-age child. The nurse should identify that whichof
sd sd sd sd sd sd sd sd sd sd sd sd sd sd d
s
the following findings is a manifestation of physical abuse?
sd sd sd sd sd sd sd sd sd
a) Multiple dental caries sd sd
b) Malnutrition
c) Recurrent urinary tract infections sd sd sd
d) Bruises at various stages of healing (The nurse should recognize that bruises at sd sd sd sd sd sd sd sd sd sd sd sd
various stages of healing are a clinical manifestation of physical abuse.)
ds sd sd sd sd sd sd sd sd sd sd
4. A nurse is reinforcing teaching with an adolescent who has an inflamed nonperforated
sd sd sd sd sd sd sd sd sd sd sd sd
appendix and is scheduled for a laparoscopic assisted appendectomy. Which of the
d
s sd sd sd sd sd sd sd sd sd sd sd
following instructions should the nurse include in the teaching?
sd sd sd sd sd sd sd sd sd
a) “You can begin drinking fluids again 2 days after your surgery.” sd sd sd sd sd sd sd sd sd sd
b) “You will need to ask for pain medication for the first 24 hours after surgery.”
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
c) “You will have your vital signs monitored every 8 hours after surgery.”
sd sd sd sd sd sd sd sd sd sd sd
, d) “You will sit in your chair at least twice a day after surgery.” (The nurse should
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
instruct the client that she will sit in a bedside chair at least twice a day and will be
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
encouraged to ambulate as soon as possible following surgery. This activity will
ds sd sd sd sd sd sd sd sd sd sd sd
enhance lung function and help prevent postoperative complications.)
sd sd sd sd sd sd sd sd
5. A nurse is assisting with the care of a child who is postoperative and received a
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
transfusion during a surgical procedure. Which of the following findings indicates the
sd sd sd sd sd sd sd sd sd sd sd sd
child is havig a hemolytic reaction?
d
s sd sd sd sd sd
a) Chills and flank pain (Chills and flank pain are findings that indicate ansd sd sd sd sd sd sd sd sd sd sd sd
incompatibility of the transfused blood product with the client's blood. The nurse
sd sd sd sd sd sd sd sd sd sd sd sd
should identify this finding as an indication that the child is having a hemolytic
ds sd sd sd sd sd sd sd sd sd sd sd sd sd
reaction.) sd
b) Pruritus and flushing sd sd
c) Rales and cyanosis sd sd
d) Bradycardia and diarrhea sd sd
6. A nurse is collecting date from a child during a well-child visit. The nurse should
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
recognize that which of the following findings places the child at a higher risk for abuse?
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
a) The child is 6 years old. sd sd sd sd sd
b) The child is male. sd sd sd
c) The child was born at 30 weeks of gestation. (The nurse should identify that children
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
who are born prematurely are at greater risk for abuse because of the potential for
ds sd sd sd sd sd sd sd sd sd sd sd sd sd sd
impaired bonding during early infancy.)
sd sd sd sd sd
d) The child was born via cesarean birth. sd sd sd sd sd sd
7. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
rheumatic fever. Which of the following statements by the guardian indicates an
d
s sd sd sd sd sd sd sd sd sd sd sd
understanding of the teaching?
sd sd sd sd
a) “I should not give my child aspirin for pain or fever.”
sd sd sd sd sd sd sd sd sd sd
b) “My child will take antibiotic for 6 months.” sd sd sd sd sd sd sd
c) “My child might have a period of irregular movement of the extremities.” (The nurse
sd sd sd sd sd sd sd sd sd sd sd sd sd
should instruct the guardian that the child might experience chorea weeks or months
ds sd sd sd sd sd sd sd sd sd sd sd sd
after the initial diagnosis. Chorea is a temporary lack of coordination and the
sd sd sd sd sd sd sd sd sd sd sd sd sd
presence of sudden, irregular movements or periods of clumsiness.)
sd sd sd sd sd sd sd sd sd
d) “I should expect there to be blood in my child’s urine.”
sd sd sd sd sd sd sd sd sd sd
8. A nurse is collecting data from an infant during a well-child visit. Which of the following
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
sites should the nurse use when obtaining the infant’s heart rate?
d
s sd sd sd sd sd sd sd sd sd sd
a) Apical (The nurse should use the apical pulse to obtain the infant's heart rate and
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
count it for a full minute, because it gives a reliable rate and rhythm and provides
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
accurate baseline assessment data. In an infant, the apical heart rate is auscultated at
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
the fourth intercostal space lateral to the midclavicular line.)
ds sd sd sd sd sd sd sd sd
b) Radial
c) Carotid
d) Femoral
9. A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
should place the toddler in which of the following restraints?
d
s sd sd sd sd sd sd sd sd sd
a) Mummy restraint (The nurse should use a mummy wrap when a short-term restraint sd sd sd sd sd sd sd sd sd sd sd sd
is needed for treatment of the toddler that involves the head and neck. The nurse
ds sd sd sd sd sd sd sd sd sd sd sd sd sd sd
should always use the least amount of restraint necessary.)
sd sd sd sd sd sd sd sd sd
b) Jacket restraint sd
c) Elbow restraint sd
PEDIATRIC PROCTORED EXAM/LATEST 70
sd sd sd sd
QUESTIONS WITH VERIFIED ANSWERS WITH
sd sd sd sd sd
RATIONALES/A+ GRADE sd sd
sd
ATI PEDIATRIC EXAM sd sd sd
1. A guardian calls the clinic nurse after his child has developed symptoms of varicella and
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
asks when his child will no longer be contagious. Which of the following responses should
d
s sd sd sd sd sd sd sd sd sd sd sd sd sd sd
the nurse make?
sd sd sd
a) “When your child no longer has a fever.” sd sd sd sd sd sd sd
b) “Three days after the rash started.” sd sd sd sd sd
c) “Six days after lesions appear if they are crusted.” (The nurse should inform the
sd sd sd sd sd sd sd sd sd sd sd sd sd
guardian that a child will stop being contagious around 6 days after the lesions
ds sd sd sd sd sd sd sd sd sd sd sd sd sd
appeared, as long as they are crusted over.)
sd sd sd sd sd sd sd sd
d) “When your child’s lesions disappear.” sd sd sd sd
2. A nurse is reinforcing teaching about sudden infant death syndrome (SIDS) with the
sd sd sd sd sd sd sd sd sd sd sd sd
parent of a 1-month-old infant. Which of the following statements by the parent
d
s sd sd sd sd sd sd sd sd sd sd sd sd
indicates an understanding of the teaching?
sd sd sd sd sd sd
a) “I will let my baby sleep with me in bed at night.”
sd sd sd sd sd sd sd sd sd sd sd
b) “I will allow my baby to have a pacifier while sleeping.” (The nurse should reinforce
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
with the parent that allowing the infant to fall asleep with a pacifier in his mouth
ds sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
decreases the risk for SIDS.)
sd sd sd sd sd
c) “I will place my baby on a soft mattress to sleep.”
sd sd sd sd sd sd sd sd sd sd
d) “I will cover my baby with a quilt while he sleeping.”
sd sd sd sd sd sd sd sd sd sd
3. A nurse is collecting date from a school-age child. The nurse should identify that whichof
sd sd sd sd sd sd sd sd sd sd sd sd sd sd d
s
the following findings is a manifestation of physical abuse?
sd sd sd sd sd sd sd sd sd
a) Multiple dental caries sd sd
b) Malnutrition
c) Recurrent urinary tract infections sd sd sd
d) Bruises at various stages of healing (The nurse should recognize that bruises at sd sd sd sd sd sd sd sd sd sd sd sd
various stages of healing are a clinical manifestation of physical abuse.)
ds sd sd sd sd sd sd sd sd sd sd
4. A nurse is reinforcing teaching with an adolescent who has an inflamed nonperforated
sd sd sd sd sd sd sd sd sd sd sd sd
appendix and is scheduled for a laparoscopic assisted appendectomy. Which of the
d
s sd sd sd sd sd sd sd sd sd sd sd
following instructions should the nurse include in the teaching?
sd sd sd sd sd sd sd sd sd
a) “You can begin drinking fluids again 2 days after your surgery.” sd sd sd sd sd sd sd sd sd sd
b) “You will need to ask for pain medication for the first 24 hours after surgery.”
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
c) “You will have your vital signs monitored every 8 hours after surgery.”
sd sd sd sd sd sd sd sd sd sd sd
, d) “You will sit in your chair at least twice a day after surgery.” (The nurse should
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
instruct the client that she will sit in a bedside chair at least twice a day and will be
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
encouraged to ambulate as soon as possible following surgery. This activity will
ds sd sd sd sd sd sd sd sd sd sd sd
enhance lung function and help prevent postoperative complications.)
sd sd sd sd sd sd sd sd
5. A nurse is assisting with the care of a child who is postoperative and received a
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
transfusion during a surgical procedure. Which of the following findings indicates the
sd sd sd sd sd sd sd sd sd sd sd sd
child is havig a hemolytic reaction?
d
s sd sd sd sd sd
a) Chills and flank pain (Chills and flank pain are findings that indicate ansd sd sd sd sd sd sd sd sd sd sd sd
incompatibility of the transfused blood product with the client's blood. The nurse
sd sd sd sd sd sd sd sd sd sd sd sd
should identify this finding as an indication that the child is having a hemolytic
ds sd sd sd sd sd sd sd sd sd sd sd sd sd
reaction.) sd
b) Pruritus and flushing sd sd
c) Rales and cyanosis sd sd
d) Bradycardia and diarrhea sd sd
6. A nurse is collecting date from a child during a well-child visit. The nurse should
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
recognize that which of the following findings places the child at a higher risk for abuse?
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
a) The child is 6 years old. sd sd sd sd sd
b) The child is male. sd sd sd
c) The child was born at 30 weeks of gestation. (The nurse should identify that children
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
who are born prematurely are at greater risk for abuse because of the potential for
ds sd sd sd sd sd sd sd sd sd sd sd sd sd sd
impaired bonding during early infancy.)
sd sd sd sd sd
d) The child was born via cesarean birth. sd sd sd sd sd sd
7. A nurse is reinforcing teaching with the guardian of a child who has a new diagnosis of
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
rheumatic fever. Which of the following statements by the guardian indicates an
d
s sd sd sd sd sd sd sd sd sd sd sd
understanding of the teaching?
sd sd sd sd
a) “I should not give my child aspirin for pain or fever.”
sd sd sd sd sd sd sd sd sd sd
b) “My child will take antibiotic for 6 months.” sd sd sd sd sd sd sd
c) “My child might have a period of irregular movement of the extremities.” (The nurse
sd sd sd sd sd sd sd sd sd sd sd sd sd
should instruct the guardian that the child might experience chorea weeks or months
ds sd sd sd sd sd sd sd sd sd sd sd sd
after the initial diagnosis. Chorea is a temporary lack of coordination and the
sd sd sd sd sd sd sd sd sd sd sd sd sd
presence of sudden, irregular movements or periods of clumsiness.)
sd sd sd sd sd sd sd sd sd
d) “I should expect there to be blood in my child’s urine.”
sd sd sd sd sd sd sd sd sd sd
8. A nurse is collecting data from an infant during a well-child visit. Which of the following
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
sites should the nurse use when obtaining the infant’s heart rate?
d
s sd sd sd sd sd sd sd sd sd sd
a) Apical (The nurse should use the apical pulse to obtain the infant's heart rate and
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
count it for a full minute, because it gives a reliable rate and rhythm and provides
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd
accurate baseline assessment data. In an infant, the apical heart rate is auscultated at
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
the fourth intercostal space lateral to the midclavicular line.)
ds sd sd sd sd sd sd sd sd
b) Radial
c) Carotid
d) Femoral
9. A nurse is preparing a toddler for suturing of a minor facial laceration. The nurse
sd sd sd sd sd sd sd sd sd sd sd sd sd sd
should place the toddler in which of the following restraints?
d
s sd sd sd sd sd sd sd sd sd
a) Mummy restraint (The nurse should use a mummy wrap when a short-term restraint sd sd sd sd sd sd sd sd sd sd sd sd
is needed for treatment of the toddler that involves the head and neck. The nurse
ds sd sd sd sd sd sd sd sd sd sd sd sd sd sd
should always use the least amount of restraint necessary.)
sd sd sd sd sd sd sd sd sd
b) Jacket restraint sd
c) Elbow restraint sd
