(100%) PEDIATRICS PROCTORED ATI EXAM
WITH THE CORRECT MARKING SCHEME
PEDIATRICS PROCTORED ATI EXAM WITH THE
CORRECT MARKING SCHEME
1. A nurse is assessing a child who has multiple Close fractures of the lower extremities due to
a motor vehicle crash. The nurse should monitor the child for which of the following
complications during the first 24 hours after the injury occurred?
A. Compartment syndrome
B. Osteomyelitis
C. Renal calculi
D. Volkmann ischemic contracture.
2. A nurse in an emergency department is caring for a preschool-age child who has a cute
acetylsalicylic acid poisoning. Which of the following should the nurse expect?
A. Neck vein distention
B. Jaundice
C. Polyuria
D. Hyperpyrexia
3. A nurse is assessing a toddler who has a history of lead poisoning. Which of the following
actions should the nurse take?
A. Inspect the skin for discoloration
B. Initiate a low diet for lead absorption
C. Obtain a stool specimen for lead levels
D. Perform development testing for delays
4. A nurse teaches about growth and development to a parent of 12- years old child. The nurse
should instruct the parent to expect the child to exhibit the following characteristics during early
adolescence?
A. Emotional separation from parents
B. Decelerating growth rate.
C. Mood swings
D. Increased self-esteem.
5. A nurse preparing to administer ondansetron 0.15mg/kg IV to a child receiving
chemotherapy and weighs 29.4 kg. Available is ondansetron 4mg/2 ml solution. How many mL
should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero). mL
6. A nurse reviews the laboratory result of a preschooler who has gastroenteritis and notes the
client's potassium level is 3.2 mEq/L. Which of the following assessment findings should the
nurse expect?
A. Hypertension
B. Oliguria
C. Hyporeflexia
D. Hyperactive bowel sounds.
7. A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization
procedure. Which of the following finding should the nurse report to the provider?
A. Bilateral extremities
B. Weak pedal pulse distal to the site
, (100%) PEDIATRICS PROCTORED ATI EXAM
WITH THE CORRECT MARKING SCHEME
C. Serum glucose 90 mg/dl
D. Blood pressure 102/58 mm Hg.
8. A school nurse is assessing a 7 years old student. The nurse should identify which of the
following finding is a potential indicator of physical abuse?
A. Abrasions on the knees
B. Front deciduous teeth missing
C. Weight in 45th percentile
D. Bruising around the wrists.
9. A nurse is teaching the parents of a school-age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
A. Your child should walk the bicycle through intersections
B. Your child should keep the bicycle at least 3 feet from the curb while riding in the street.
C. Your child should ride the bicycle against the flow of traffic
D. Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle.
10. A charge nurse is teaching a group of nurses about identifying child abuse. Which of the
following findings should the nurse identify as a potential indicator of child abuse?
A. A toddler repeatedly refuses to let a nurse auscultate his lungs
B. A toddler has bruises on his knees.
C. An 8-month-old infant cries when his parent levels the room.
D. A mother is hesitant to comfort her 6-month-old infant.
11. A nurse is teaching the guardian of 5- years old child who has encopresis about managing the
condition. Which of the following statements by the guardian indicates an understanding of the
teaching?
A. I will limit my child's fluid intakes
B. I will increase my child's diary intakes
C. I will have my child try to defecate 15 minutes after each meal
D. I will have my child sit on the toilet for 20 minutes at a time.
12. A nurse is preparing to initiate IV antibiotics therapy for a newly admitted 12-month-old
infant. Which of the following actions should the nurse plan to take?
A. Cover the insertion site with an opaque dressing.
B. Use a 24-gauge catheter to start the IV.
C. Start the IV in the infant's foot.
D. Change the IV site every 3 days.
13. A nurse is caring for a postoperative client following placement of a halo vest to manage a
cervical vertebral fracture. Which of the following actions should the nurse take?
A. Tighten the screw s on the halo device one quarter turn every 48 hr
B. Reposition the client using a turning sheet
C. Assess the pin sites for infection once every other day.
D. Encourage flexion and extension of the neck.
14. A nurse is planning care for an adolescent following repair of the Meckel diverticulum.
Which of the following actions should the nurse include in the plan of care?
A. Teach the client about ostomy care
B. Indicate long-term antibiotic therapy.
C. Administer total parenteral nutrition.
D. Maintain an NG tube for decompression.
WITH THE CORRECT MARKING SCHEME
PEDIATRICS PROCTORED ATI EXAM WITH THE
CORRECT MARKING SCHEME
1. A nurse is assessing a child who has multiple Close fractures of the lower extremities due to
a motor vehicle crash. The nurse should monitor the child for which of the following
complications during the first 24 hours after the injury occurred?
A. Compartment syndrome
B. Osteomyelitis
C. Renal calculi
D. Volkmann ischemic contracture.
2. A nurse in an emergency department is caring for a preschool-age child who has a cute
acetylsalicylic acid poisoning. Which of the following should the nurse expect?
A. Neck vein distention
B. Jaundice
C. Polyuria
D. Hyperpyrexia
3. A nurse is assessing a toddler who has a history of lead poisoning. Which of the following
actions should the nurse take?
A. Inspect the skin for discoloration
B. Initiate a low diet for lead absorption
C. Obtain a stool specimen for lead levels
D. Perform development testing for delays
4. A nurse teaches about growth and development to a parent of 12- years old child. The nurse
should instruct the parent to expect the child to exhibit the following characteristics during early
adolescence?
A. Emotional separation from parents
B. Decelerating growth rate.
C. Mood swings
D. Increased self-esteem.
5. A nurse preparing to administer ondansetron 0.15mg/kg IV to a child receiving
chemotherapy and weighs 29.4 kg. Available is ondansetron 4mg/2 ml solution. How many mL
should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero). mL
6. A nurse reviews the laboratory result of a preschooler who has gastroenteritis and notes the
client's potassium level is 3.2 mEq/L. Which of the following assessment findings should the
nurse expect?
A. Hypertension
B. Oliguria
C. Hyporeflexia
D. Hyperactive bowel sounds.
7. A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization
procedure. Which of the following finding should the nurse report to the provider?
A. Bilateral extremities
B. Weak pedal pulse distal to the site
, (100%) PEDIATRICS PROCTORED ATI EXAM
WITH THE CORRECT MARKING SCHEME
C. Serum glucose 90 mg/dl
D. Blood pressure 102/58 mm Hg.
8. A school nurse is assessing a 7 years old student. The nurse should identify which of the
following finding is a potential indicator of physical abuse?
A. Abrasions on the knees
B. Front deciduous teeth missing
C. Weight in 45th percentile
D. Bruising around the wrists.
9. A nurse is teaching the parents of a school-age child about bicycle safety. Which of the
following instructions should the nurse include in the teaching?
A. Your child should walk the bicycle through intersections
B. Your child should keep the bicycle at least 3 feet from the curb while riding in the street.
C. Your child should ride the bicycle against the flow of traffic
D. Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle.
10. A charge nurse is teaching a group of nurses about identifying child abuse. Which of the
following findings should the nurse identify as a potential indicator of child abuse?
A. A toddler repeatedly refuses to let a nurse auscultate his lungs
B. A toddler has bruises on his knees.
C. An 8-month-old infant cries when his parent levels the room.
D. A mother is hesitant to comfort her 6-month-old infant.
11. A nurse is teaching the guardian of 5- years old child who has encopresis about managing the
condition. Which of the following statements by the guardian indicates an understanding of the
teaching?
A. I will limit my child's fluid intakes
B. I will increase my child's diary intakes
C. I will have my child try to defecate 15 minutes after each meal
D. I will have my child sit on the toilet for 20 minutes at a time.
12. A nurse is preparing to initiate IV antibiotics therapy for a newly admitted 12-month-old
infant. Which of the following actions should the nurse plan to take?
A. Cover the insertion site with an opaque dressing.
B. Use a 24-gauge catheter to start the IV.
C. Start the IV in the infant's foot.
D. Change the IV site every 3 days.
13. A nurse is caring for a postoperative client following placement of a halo vest to manage a
cervical vertebral fracture. Which of the following actions should the nurse take?
A. Tighten the screw s on the halo device one quarter turn every 48 hr
B. Reposition the client using a turning sheet
C. Assess the pin sites for infection once every other day.
D. Encourage flexion and extension of the neck.
14. A nurse is planning care for an adolescent following repair of the Meckel diverticulum.
Which of the following actions should the nurse include in the plan of care?
A. Teach the client about ostomy care
B. Indicate long-term antibiotic therapy.
C. Administer total parenteral nutrition.
D. Maintain an NG tube for decompression.
