A.T.I Pediatric
Version-1
5) A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse assess first?
, a. A toddler who has a concussion and an episode of forceful vomiting
b. An adolescent who has infective endocarditis and reports having a headache
c. An adolescent who was placed into halo traction 1 hr ago and reports pain as 6
on a scale of 0 to 10
d. A school-age child who has acute glomerulonephritis and brown-colored urine
6) A nurse is providing dietary teaching to the guardian of a school-age child who has
cystic fibrosis. Which of the following statements should the nurse make?
a. "You should offer your child high-protein meals and snacks throughout
the day."
b. "You should decrease your child's dietary fat intake to less than 10% of
their caloric intake."
c. "You should restrict your child's calorie intake to 1,200 per day."
d. "You should give your child a multivitamin once weekly."
7) A nurse is providing discharge teaching to the guardians of a toddler who had lower leg
cast applied 24 hr ago. The nurse should instruct the guardians to report which of the
following finding to the provider?
a. Capillary refill time less than 2 seconds
b. Restricted ability to move the toes
c. Swelling of the casted foot when the leg is dependent
d. Pedal pulse +3 bilateral
8) A nurse in an emergency department is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of the following?
a. Wheezes
b. Crackles
c. Pleural friction rub
, d. Rhonchi
9) A nurse is caring for a preschooler who has congestive heart failure. The nurse observes
wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following
prescriptions should the nurse clarify with the provider?
a. Furosemide
b. Captopril
c. Regular insulin
d. Potassium chloride
10) A nurse is planning an educational program for school-age children and their parents
about bicycle safety. Which of the following information should the nurse plan to
include?
a. The child should be able to stand on the balls of their feet when sitting on
the bike.
b. The child should ride their bike 2 feet to the side of other bike riders.
c. The child should wear dark-colored clothing with a fluorescent stripe when
riding at night.
d. The child should ride the bike facing traffic when it is necessary to ride in
the street.
11) A nurse is an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take?
a. Obtain a throat culture from the child.
b. Monitor the child's oxygen saturation.
c. Put a warm mist humidifier in the child's room.
d. Place the child in the supine position
12) A nurse in an emergency department is caring for a school-age child who has
, sustained a minor superficial burn from fireworks on their forearm. Which of the
following actions should the nurse take?
a. Administer the tetanus toxoid vaccine if more than 1 year since the prior dose.
b. Apply an antimicrobial ointment to the affected area.
c. Leave the burn area open to air.
d. Place an ice pack on the affected area.
13) A nurse in a providers office is caring for a school-age child who has varicella. The
parents asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
a. "When your child no longer has an increased temperature."
b. "Three days after you first noticed the rash appear on your child."
c. "When your child's lesions are crusted, usually 6 days after they appear."
d. "Two to three weeks, when your child's lesions completely disappear."
14) A nurse is providing discharge teaching to the parent of a school-age child who has
moderate persistant asthma. Which of the following instructions should the nurse
include?
a. "You should give your child their salmeterol inhaler every 4 hours when they
are having an acute episode of wheezing."
b. "You should monitor your child's weight weekly while they are receiving
inhaled corticosteroid therapy."
c. "Pulmonary function tests will be performed every 12 to 24 months
to evaluate how your child is responding to therapy."
d. "When using the peak expiratory flow meter, record your child's average of
three readings."
15) A nurse is admitting an infant who has intussusception. Which of the following
findings should the nurse expect? (Select all that apply.)
Version-1
5) A nurse is receiving change-of-shift report for four children. Which of the following
children should the nurse assess first?
, a. A toddler who has a concussion and an episode of forceful vomiting
b. An adolescent who has infective endocarditis and reports having a headache
c. An adolescent who was placed into halo traction 1 hr ago and reports pain as 6
on a scale of 0 to 10
d. A school-age child who has acute glomerulonephritis and brown-colored urine
6) A nurse is providing dietary teaching to the guardian of a school-age child who has
cystic fibrosis. Which of the following statements should the nurse make?
a. "You should offer your child high-protein meals and snacks throughout
the day."
b. "You should decrease your child's dietary fat intake to less than 10% of
their caloric intake."
c. "You should restrict your child's calorie intake to 1,200 per day."
d. "You should give your child a multivitamin once weekly."
7) A nurse is providing discharge teaching to the guardians of a toddler who had lower leg
cast applied 24 hr ago. The nurse should instruct the guardians to report which of the
following finding to the provider?
a. Capillary refill time less than 2 seconds
b. Restricted ability to move the toes
c. Swelling of the casted foot when the leg is dependent
d. Pedal pulse +3 bilateral
8) A nurse in an emergency department is auscultating the lungs of an adolescent who is
experiencing dyspnea. The nurse should identify the sound as which of the following?
a. Wheezes
b. Crackles
c. Pleural friction rub
, d. Rhonchi
9) A nurse is caring for a preschooler who has congestive heart failure. The nurse observes
wide QRS complexes and peaked T waves on the cardiac monitor. Which of the following
prescriptions should the nurse clarify with the provider?
a. Furosemide
b. Captopril
c. Regular insulin
d. Potassium chloride
10) A nurse is planning an educational program for school-age children and their parents
about bicycle safety. Which of the following information should the nurse plan to
include?
a. The child should be able to stand on the balls of their feet when sitting on
the bike.
b. The child should ride their bike 2 feet to the side of other bike riders.
c. The child should wear dark-colored clothing with a fluorescent stripe when
riding at night.
d. The child should ride the bike facing traffic when it is necessary to ride in
the street.
11) A nurse is an emergency department is caring for a school-age child who has
epiglottitis. Which of the following actions should the nurse take?
a. Obtain a throat culture from the child.
b. Monitor the child's oxygen saturation.
c. Put a warm mist humidifier in the child's room.
d. Place the child in the supine position
12) A nurse in an emergency department is caring for a school-age child who has
, sustained a minor superficial burn from fireworks on their forearm. Which of the
following actions should the nurse take?
a. Administer the tetanus toxoid vaccine if more than 1 year since the prior dose.
b. Apply an antimicrobial ointment to the affected area.
c. Leave the burn area open to air.
d. Place an ice pack on the affected area.
13) A nurse in a providers office is caring for a school-age child who has varicella. The
parents asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
a. "When your child no longer has an increased temperature."
b. "Three days after you first noticed the rash appear on your child."
c. "When your child's lesions are crusted, usually 6 days after they appear."
d. "Two to three weeks, when your child's lesions completely disappear."
14) A nurse is providing discharge teaching to the parent of a school-age child who has
moderate persistant asthma. Which of the following instructions should the nurse
include?
a. "You should give your child their salmeterol inhaler every 4 hours when they
are having an acute episode of wheezing."
b. "You should monitor your child's weight weekly while they are receiving
inhaled corticosteroid therapy."
c. "Pulmonary function tests will be performed every 12 to 24 months
to evaluate how your child is responding to therapy."
d. "When using the peak expiratory flow meter, record your child's average of
three readings."
15) A nurse is admitting an infant who has intussusception. Which of the following
findings should the nurse expect? (Select all that apply.)
