ATI Pediatrics Proctored Exam With NGN New Edition Actual Questions
And Correct Verified Answers
4. A nurse in a pediatric clinic is assessing a toddlerat a b. Minimize physical contact with the child initially.
well-child visit. Which of the following actions should the nurse take?
a.Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d.Stop the assessment if the child becomes
uncooperative.
4.A nurse is caring for an 18-year-old adolescent who is up-to-date on b. Meningococcal polysaccharide
immunizations and is planning to attend
college.The nurse should inform the client that he should receive which
of the following immunizations prior to
moving into a campus dormitory?
a.Pneumococcal polysaccharide
b.Meningococcal polysaccharide
c.Rotavirus
d.Herpes zoster
,4. A nurse is performing a physical assessment on a 6-month-old b.Babinski
infant. Which of the following reflexes should the nurse expect to
find?
a.Stepping
b.Babinski
C.Extrusion
d.Moro
4.A nurse is teaching the parent of an infant about food allergens. a. Cow's milk
Which of the following foods should the nurse
include as being the most common food allergy in
children?
a.Cow's milk
b.Wheat bread
c.Corn syrup
d.Eggs
4. A nurse is teaching the parent of a toddler about home safety.Which a. "I lock my medications in the medicine cabinet."
of the following statements by the parent indicates an understanding of
the teaching?
a."I lock my medications in the medicine cabinet."
b."I keep my child's crib mattress at the highest level."
C. "I turn pot handles to the side of my stove while
cooking."
d."I will give my child syrup of ipecac if she swallows
something poisonous."
5.A guardian calls the clinic nurse after his child has developed "Six days after lesions appear if they are crusted." (The nurse should inform the guardian that a
symptoms of varicella and asks when his child will no longer be child will stop being contagious around 6 days after the lesions appeared,as long as they are
contagious. Which of the crusted over.)
following responses should the nurse make?
a)"When your child no longer has a fever."
b) "Three days after the rash started."
c) "Six days after lesions appear if they are crusted."
d)"When your child's lesions disappear."
5.A nurse in a pediatric clinic is caring for an infant who has heart failure a) "My baby is breathing easier than she used to." (The nurse should identify that the desired effect
and a prescription for digoxin. Which of the following statements by the of digoxin is to increase cardiac output and decrease venous pressure and pulmonary edema, which
parent indicates the will reduce respiratory demands.)
desired therapeutic effect of the medication?
a) "My baby is breathing easier than she used to."
b) "My baby is taking longer naps."
c) "My baby is having fewer wet diapers."
d) "My baby's heart rate is faster than it used to be."
, 5.A nurse in a pediatric clinic is talking on the telephone with the d) "Mix the medicine with I teaspoon of applesauce before giving it to your baby."(To enhance
acceptance of an oral medication, the parent can mix the medication with a small amount of a sweet,
parent of a 6-month-old infant who has a urinary tract infection and
nonessential food item.)
started taking an oral antibiotic the day before. Listen to the audio
clip and determine which of the following responses the nurse should
make. (Audio says. "every time I try to give a dose of this medicine
to my baby, she either refuses it or takes it and then spits it out. Is
there anything I can try that might get her to take it?"
a) "Mix the medicine with 'V cup of juice before giving it to your
baby."
b) "Mix the medicine with I teaspoon of honey before giving it to your
baby."
c) "Mix the medicine with '/ cup of formula before giving it to
your baby."
d) "Mix the medicine with I teaspoon of applesauce before
giving it to your baby."
a) "My child has refused to drink any fluids for the past 8 hours." (An inadequate fluid intake
5.A nurse in a provider's office is caring for a preschooler who has indicates the child is at greatest risk for dehydration and electrolyte imbalance.
findings of croup. Which of the following statements by the parent
Therefore, this statement by the parent requires immediate intervention by the a) "My child has
requires immediate intervention by the nurse?
refused to drink any fluids for the past 8 nurse.)hours."
b) "My child has been coughing throughout the night."
c) "My child is very hoarse and has a fever of 100.4degrees
Fahrenheit."
d) "My child recently had the flu."
5.A nurse is administering an injection of epinephrine to a child who
c) Increased systolic blood pressure (Epinephrine is an adrenergic agonist used to treat anaphylaxis by
is experiencing manifestations of anaphylaxis.The nurse should
activating the sympathetic nervous system. The nurse should expect the child to have an increased
monitor for which of the following adverse effects?
systolic blood pressure following administration of epinephrine.)
a) Pinpoint pupils
b) Decreased heart rate
c) Increased systolic blood pressure
d)Dry skin
5.A nurse is assisting with the admission of a toddler who has
bacterial meningitis caused by Haemophilus influenza type B. d) Droplet precautions (The nurse should plan to initiate droplet precautions for this child,because
bacterial meningitis caused by Haemophilusinfluenzae type B is transmitted through the air via
which of the following isolation guidelines should the nurse plan
large-particle droplets)
to initiate?
a) Protective environment
b) Contact precautions
c) Airborne precautions
d) Droplet precautions
, 5.A nurse is assisting withthe care for a 7-month-old infant who has
c) Burp the infant frequently during feedings. (Infants with a cleft palate have difficulty creating a
a cleft palate. Which of the following actions should the nurse take
seal around a bottle. Burping the infant frequently,following every ounce of fluid consumed,
to decrease the infant's
dissipates swallowed air and helps to prevent aspiration.)
risk for aspiration?
a) Feed the infant in supine position.
b) Encourage the mother to breastfeed the infant
exclusively.
c) Burp the infant frequently during feedings.
d)Perform nasotracheal suctioning if coughing occurs
5.A nurse is assisting with the care of plan of a 4-year-old child who is a) Discuss benefits of the procedure.(The nurse should discuss the benefits of the procedure with
prescribed an IV medication thechild, because this action is an age-appropriate actvity that will decrease the child's anxiety about
preoperatively.Which of the following techniques should the nurse use the procedure. It will also provide an opportunity for the nurse to clarify any misconceptions the child
to assist the child to cope with this might have about the procedure.)
procedure? (Select all that apply) d) Give the child needleless IV supplies to play with. (The nurse should allow the child to see, hold,
a) Discuss benefits of the procedure. and collect the supplies to familiarize the child with the potentially frightening aspects of the
procedure, which will decrease the child's anxiety.)
b) Provide the child with a detailed explanation of the procedure. e) Allow the child to perform the procedure with a doll.(The nurse should allow the child to mimic
the procedure with a doll to alleviate anxiety. It will also provide an opportunity for the nurse to
c) Implement interactive sessions of 30min.
clarify any misconceptions the child might have about the procedure.)
d) Give the child needleless IV supplies to play with.
e) Allow the child to perform the procedure with a doll.
5.A nurse is assisting with the development of a health promotion c) The leading cause of death in adolescents is physical injury. (The nurse should recommend
program for the guardians of adolescents. including this information, because injuries from motor-vehicle crashes are the leading cause of
death in the adolescent population.)
Which of the following information about adolescents should the
nurse recommend to include in the program?
a) The sleep patterns of adolescents are well established.
b) The percentage of adolescents that consider suicide is higher for
males than for females.
c) The leading cause of death in adolescents is physical injury.
d) The caloric intake needs of adolescents are less than that of school-
age children.
And Correct Verified Answers
4. A nurse in a pediatric clinic is assessing a toddlerat a b. Minimize physical contact with the child initially.
well-child visit. Which of the following actions should the nurse take?
a.Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology.
d.Stop the assessment if the child becomes
uncooperative.
4.A nurse is caring for an 18-year-old adolescent who is up-to-date on b. Meningococcal polysaccharide
immunizations and is planning to attend
college.The nurse should inform the client that he should receive which
of the following immunizations prior to
moving into a campus dormitory?
a.Pneumococcal polysaccharide
b.Meningococcal polysaccharide
c.Rotavirus
d.Herpes zoster
,4. A nurse is performing a physical assessment on a 6-month-old b.Babinski
infant. Which of the following reflexes should the nurse expect to
find?
a.Stepping
b.Babinski
C.Extrusion
d.Moro
4.A nurse is teaching the parent of an infant about food allergens. a. Cow's milk
Which of the following foods should the nurse
include as being the most common food allergy in
children?
a.Cow's milk
b.Wheat bread
c.Corn syrup
d.Eggs
4. A nurse is teaching the parent of a toddler about home safety.Which a. "I lock my medications in the medicine cabinet."
of the following statements by the parent indicates an understanding of
the teaching?
a."I lock my medications in the medicine cabinet."
b."I keep my child's crib mattress at the highest level."
C. "I turn pot handles to the side of my stove while
cooking."
d."I will give my child syrup of ipecac if she swallows
something poisonous."
5.A guardian calls the clinic nurse after his child has developed "Six days after lesions appear if they are crusted." (The nurse should inform the guardian that a
symptoms of varicella and asks when his child will no longer be child will stop being contagious around 6 days after the lesions appeared,as long as they are
contagious. Which of the crusted over.)
following responses should the nurse make?
a)"When your child no longer has a fever."
b) "Three days after the rash started."
c) "Six days after lesions appear if they are crusted."
d)"When your child's lesions disappear."
5.A nurse in a pediatric clinic is caring for an infant who has heart failure a) "My baby is breathing easier than she used to." (The nurse should identify that the desired effect
and a prescription for digoxin. Which of the following statements by the of digoxin is to increase cardiac output and decrease venous pressure and pulmonary edema, which
parent indicates the will reduce respiratory demands.)
desired therapeutic effect of the medication?
a) "My baby is breathing easier than she used to."
b) "My baby is taking longer naps."
c) "My baby is having fewer wet diapers."
d) "My baby's heart rate is faster than it used to be."
, 5.A nurse in a pediatric clinic is talking on the telephone with the d) "Mix the medicine with I teaspoon of applesauce before giving it to your baby."(To enhance
acceptance of an oral medication, the parent can mix the medication with a small amount of a sweet,
parent of a 6-month-old infant who has a urinary tract infection and
nonessential food item.)
started taking an oral antibiotic the day before. Listen to the audio
clip and determine which of the following responses the nurse should
make. (Audio says. "every time I try to give a dose of this medicine
to my baby, she either refuses it or takes it and then spits it out. Is
there anything I can try that might get her to take it?"
a) "Mix the medicine with 'V cup of juice before giving it to your
baby."
b) "Mix the medicine with I teaspoon of honey before giving it to your
baby."
c) "Mix the medicine with '/ cup of formula before giving it to
your baby."
d) "Mix the medicine with I teaspoon of applesauce before
giving it to your baby."
a) "My child has refused to drink any fluids for the past 8 hours." (An inadequate fluid intake
5.A nurse in a provider's office is caring for a preschooler who has indicates the child is at greatest risk for dehydration and electrolyte imbalance.
findings of croup. Which of the following statements by the parent
Therefore, this statement by the parent requires immediate intervention by the a) "My child has
requires immediate intervention by the nurse?
refused to drink any fluids for the past 8 nurse.)hours."
b) "My child has been coughing throughout the night."
c) "My child is very hoarse and has a fever of 100.4degrees
Fahrenheit."
d) "My child recently had the flu."
5.A nurse is administering an injection of epinephrine to a child who
c) Increased systolic blood pressure (Epinephrine is an adrenergic agonist used to treat anaphylaxis by
is experiencing manifestations of anaphylaxis.The nurse should
activating the sympathetic nervous system. The nurse should expect the child to have an increased
monitor for which of the following adverse effects?
systolic blood pressure following administration of epinephrine.)
a) Pinpoint pupils
b) Decreased heart rate
c) Increased systolic blood pressure
d)Dry skin
5.A nurse is assisting with the admission of a toddler who has
bacterial meningitis caused by Haemophilus influenza type B. d) Droplet precautions (The nurse should plan to initiate droplet precautions for this child,because
bacterial meningitis caused by Haemophilusinfluenzae type B is transmitted through the air via
which of the following isolation guidelines should the nurse plan
large-particle droplets)
to initiate?
a) Protective environment
b) Contact precautions
c) Airborne precautions
d) Droplet precautions
, 5.A nurse is assisting withthe care for a 7-month-old infant who has
c) Burp the infant frequently during feedings. (Infants with a cleft palate have difficulty creating a
a cleft palate. Which of the following actions should the nurse take
seal around a bottle. Burping the infant frequently,following every ounce of fluid consumed,
to decrease the infant's
dissipates swallowed air and helps to prevent aspiration.)
risk for aspiration?
a) Feed the infant in supine position.
b) Encourage the mother to breastfeed the infant
exclusively.
c) Burp the infant frequently during feedings.
d)Perform nasotracheal suctioning if coughing occurs
5.A nurse is assisting with the care of plan of a 4-year-old child who is a) Discuss benefits of the procedure.(The nurse should discuss the benefits of the procedure with
prescribed an IV medication thechild, because this action is an age-appropriate actvity that will decrease the child's anxiety about
preoperatively.Which of the following techniques should the nurse use the procedure. It will also provide an opportunity for the nurse to clarify any misconceptions the child
to assist the child to cope with this might have about the procedure.)
procedure? (Select all that apply) d) Give the child needleless IV supplies to play with. (The nurse should allow the child to see, hold,
a) Discuss benefits of the procedure. and collect the supplies to familiarize the child with the potentially frightening aspects of the
procedure, which will decrease the child's anxiety.)
b) Provide the child with a detailed explanation of the procedure. e) Allow the child to perform the procedure with a doll.(The nurse should allow the child to mimic
the procedure with a doll to alleviate anxiety. It will also provide an opportunity for the nurse to
c) Implement interactive sessions of 30min.
clarify any misconceptions the child might have about the procedure.)
d) Give the child needleless IV supplies to play with.
e) Allow the child to perform the procedure with a doll.
5.A nurse is assisting with the development of a health promotion c) The leading cause of death in adolescents is physical injury. (The nurse should recommend
program for the guardians of adolescents. including this information, because injuries from motor-vehicle crashes are the leading cause of
death in the adolescent population.)
Which of the following information about adolescents should the
nurse recommend to include in the program?
a) The sleep patterns of adolescents are well established.
b) The percentage of adolescents that consider suicide is higher for
males than for females.
c) The leading cause of death in adolescents is physical injury.
d) The caloric intake needs of adolescents are less than that of school-
age children.
