ATI PEDS PROCTORED EXAM STUDY GUIDE
2021/2022
Question - 1
A nurse is creating a plan of care for a school-age child who has heart disease and has
developed heart failure. Which of the following interventions should the nurse include in
the plan?
Provide small, frequent meals for the child. The metabolic rate of a child who
has heart failure is hight because of poor cardiac function. Therefore, the nurse should
provide small, frequent meals for the child because it helps to conserve energy.
Question - 2
A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of
developmental dysplasia of the hip. The nurse should identify that which of the
following statements by the parent indicates an understanding of the teaching?
"I will place my infant's diapers under the harness straps". To prevent soiling
of the harness, the parent should apply the infant's diaper under the straps.
Question - 3
A nurse is planning care for a school-age child who is in the oliguric phase of acute
kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following
interventions should the nurse include in the plan?
Initiate seizure precautions for the child. A sodium level of 129 mEq/L indicates
hyponatremia and places the child at increased risk for neurological deficits and seizure
activity. The nurse should complete a neurologic assessment and implement seizure
precautions to maintain the child's safety.
Question - 4
A nurse is assessing a school-age child immediately following a perforated appendix
repair. Which of the following findings should the nurse expect?
Absence of peristalsis. The nurse should expect absence of peristalsis
immediately following a perforated appendix repair, until the bowel resumes
functioning.
Question - 5
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions
should the nurse take?
Apply topical analgesic cream to the site 1 hr prior to the procedure. The nurse
should apply a topical analgesic to the lumbar site 1 hr prior to the procedure to
decrease the adolescent's pain while the lumbar needle is inserted.
Question - 6
A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV
bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medications should the
nurse administer first?
Epinephrine. This child is most likely experiencing an anaphylactic reaction to
the cefazolin. According to evidence-based practice, the nurse should first administer
epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that
stimulates the heart, causes vasoconstriction of blood vessels in the skin and mucous
,membranes, and triggers bronchodilation in the lungs.
Question - 7
, A nurse is teaching the parent of a preschooler about ways to prevent acute asthma
attacks. Which of the following statements by the parent indicates an understanding of
the teaching?
"I should keep my child indoors when I mow the yard’’. The nurse should
instruct the parent to keep the preschooler indoors during lawn maintenance or when
the pollen count is increased. Guarding against exposure to known allergens found
outdoors, such as grass, tree, and weed pollen, will decrease the frequency of the
preschooler's asthma attacks.
Question - 8
A nurse is proving dietary teaching to the parent of a school-age child who has celiac
disease. The nurse should recommend that the parent offer which of the following foods
to the child?
White rice. The nurse should recommend that the parent offer white rice to the
child because it is a gluten-free food. The nurse should instruct the parent that the child
will remain on a lifelong gluten-free diet and the child should not consume oats, rye,
barley, or wheat, and sometimes lactose deficiency can be secondary to this disease.
Question - 9
A nurse is reviewing the laboratory report of a school-age child who is experiencing
fatigue. Which of the following findings should the nurse recognize as an indication of
anemia?
Hematocrit 28%. The nurse should recognize that this hematocrit level is
below the expected reference range of 32% to 44% for a school-age child. The child
can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the
decreased oxygen-carrying capacity.
Question - 10
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which
of the following actions should the nurse plan to take?
Perform a finger stick. The nurse should perform a finger stick on a toddler as a
component of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis
is required to distinguish between children who have the genetic trait and children who
have the disease.
Question - 11
A nurse is assessing a school-age child who has meningitis. Which of the following
findings is the priority for the nurse to report to the provider?
Petechiae on the lower extremities. The presence of a petechial or purpuric
rash on a child who is ill can indicate the presence of meningococcemia. This type of
rash indicates the greatest risk of serious rapid complications from sepsis and should be
reported immediately to the provider.
Question - 12
A nurse is assessing an infant who has a ventricular septal defect. Which of the following
findings should the nurse expect?
Loud, harsh murmur. The nurse should expect to hear a loud, harsh murmur
with a ventricular septal defect due to the left-to-right shunting of blood, which
contributes to hypertrophy of the infant's heart muscle.
Question - 13
A nurse is creating a plan of care for an infant who has an epidural hematoma from a
head injury. Which of the following interventions should the nurse include in the plan?
2021/2022
Question - 1
A nurse is creating a plan of care for a school-age child who has heart disease and has
developed heart failure. Which of the following interventions should the nurse include in
the plan?
Provide small, frequent meals for the child. The metabolic rate of a child who
has heart failure is hight because of poor cardiac function. Therefore, the nurse should
provide small, frequent meals for the child because it helps to conserve energy.
Question - 2
A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of
developmental dysplasia of the hip. The nurse should identify that which of the
following statements by the parent indicates an understanding of the teaching?
"I will place my infant's diapers under the harness straps". To prevent soiling
of the harness, the parent should apply the infant's diaper under the straps.
Question - 3
A nurse is planning care for a school-age child who is in the oliguric phase of acute
kidney injury (AKI) and has a sodium level of 129 mEq/L. Which of the following
interventions should the nurse include in the plan?
Initiate seizure precautions for the child. A sodium level of 129 mEq/L indicates
hyponatremia and places the child at increased risk for neurological deficits and seizure
activity. The nurse should complete a neurologic assessment and implement seizure
precautions to maintain the child's safety.
Question - 4
A nurse is assessing a school-age child immediately following a perforated appendix
repair. Which of the following findings should the nurse expect?
Absence of peristalsis. The nurse should expect absence of peristalsis
immediately following a perforated appendix repair, until the bowel resumes
functioning.
Question - 5
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions
should the nurse take?
Apply topical analgesic cream to the site 1 hr prior to the procedure. The nurse
should apply a topical analgesic to the lumbar site 1 hr prior to the procedure to
decrease the adolescent's pain while the lumbar needle is inserted.
Question - 6
A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV
bolus. The child suddenly develops diffuse flushing of the skin and angioedema. After
discontinuing the medication infusion, which of the following medications should the
nurse administer first?
Epinephrine. This child is most likely experiencing an anaphylactic reaction to
the cefazolin. According to evidence-based practice, the nurse should first administer
epinephrine to treat the anaphylaxis. Epinephrine is a beta adrenergic agonist that
stimulates the heart, causes vasoconstriction of blood vessels in the skin and mucous
,membranes, and triggers bronchodilation in the lungs.
Question - 7
, A nurse is teaching the parent of a preschooler about ways to prevent acute asthma
attacks. Which of the following statements by the parent indicates an understanding of
the teaching?
"I should keep my child indoors when I mow the yard’’. The nurse should
instruct the parent to keep the preschooler indoors during lawn maintenance or when
the pollen count is increased. Guarding against exposure to known allergens found
outdoors, such as grass, tree, and weed pollen, will decrease the frequency of the
preschooler's asthma attacks.
Question - 8
A nurse is proving dietary teaching to the parent of a school-age child who has celiac
disease. The nurse should recommend that the parent offer which of the following foods
to the child?
White rice. The nurse should recommend that the parent offer white rice to the
child because it is a gluten-free food. The nurse should instruct the parent that the child
will remain on a lifelong gluten-free diet and the child should not consume oats, rye,
barley, or wheat, and sometimes lactose deficiency can be secondary to this disease.
Question - 9
A nurse is reviewing the laboratory report of a school-age child who is experiencing
fatigue. Which of the following findings should the nurse recognize as an indication of
anemia?
Hematocrit 28%. The nurse should recognize that this hematocrit level is
below the expected reference range of 32% to 44% for a school-age child. The child
can exhibit fatigue, lightheadedness, tachycardia, dyspnea, and pallor due to the
decreased oxygen-carrying capacity.
Question - 10
A nurse is preparing to collect a sample from a toddler for a sickle-turbidity test. Which
of the following actions should the nurse plan to take?
Perform a finger stick. The nurse should perform a finger stick on a toddler as a
component of the sickle-turbidity test. If the test is positive, hemoglobin electrophoresis
is required to distinguish between children who have the genetic trait and children who
have the disease.
Question - 11
A nurse is assessing a school-age child who has meningitis. Which of the following
findings is the priority for the nurse to report to the provider?
Petechiae on the lower extremities. The presence of a petechial or purpuric
rash on a child who is ill can indicate the presence of meningococcemia. This type of
rash indicates the greatest risk of serious rapid complications from sepsis and should be
reported immediately to the provider.
Question - 12
A nurse is assessing an infant who has a ventricular septal defect. Which of the following
findings should the nurse expect?
Loud, harsh murmur. The nurse should expect to hear a loud, harsh murmur
with a ventricular septal defect due to the left-to-right shunting of blood, which
contributes to hypertrophy of the infant's heart muscle.
Question - 13
A nurse is creating a plan of care for an infant who has an epidural hematoma from a
head injury. Which of the following interventions should the nurse include in the plan?
