NGN ATI RN PEDIATRICS 2023 RETAKE / NEXT GEN
ATI PEDIATRICS PROCTORED EXAM 2023 RETAKE
60 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+||BRAND
NEW!!
1. A nurse in a provider’s office is preparing to administer immunizations to a
toddler during a well-child visit. Which of the following actions should the nurse
plan to take?
Provider Prescriptions:
Tuberculin skin test (TST) Measles, mumps, and rubella (MMR) vaccineInactivated
influenza vaccineDiphtheria, tetanus, and pertussis (DTaP) vaccine
Graphic Record:
Respiratory rate 24/minHeart rate 115/minTemperature 36.9° C
(98.4° F) History and Physical:
Age 15 months Height 71.1 cm (28 in) Allergies Neomycin (anaphylactic reaction)
Caregiver reports rhinitis with clear nasal drainage for 2 daysOccasional
nonproductive cough for 2 days History of asthma
ANSWER: Withhold the MMR Vaccine.
RATIONALE: The nurse should recognize that an allergy to neomycin with an
anaphylactic reaction is a contraindication for receiving the MMR Vaccine.
Clients who have severe allergy to eggs or gelatin should not receive this vaccine.
2. A nurse is providing teaching to a parent of a school age child who has a new
prescription for oral nystatin for the treatment of oral candidiasis. Which of the
following instructions should the nurse include?
ANSWER:” Shake the medication prior to administration"
RATIONALE: The nurse should instruct the parent to shake the medication prior to
administration to disperse the medication evenly within the suspension.
3. A nurse is reviewing the lumbar puncture results of a school age child who is
suspected of having bacterial meningitis. Which of the following findings should
the nurse identify as an indication of bacterial meningitis?
ANSWER: Increased protein concentration.
, RATIONALE: The nurse should identify that an increased protein concentration in
the spinal fluid is a finding that can indicate bacterial meningitis.
4. A nurse is caring for a preschooler whose father is going home for a few hours
while another relative stays with the child. Which of the following statements
should the nurse make to explain to the child when their father will return?
ANSWER: “Your daddy will be back after you eat"
RATIONALE: Preschoolers make sense of time best when they can associate it
with an expected daily routine, such as meals and bedtime.
5. A nurse is reviewing the lab report of a school age child who is experiencing
fatigue. Which of the following findings should the nurse recognize as an
indication of anemia?
ANSWER: Hematocrit 28%
RATIONALE: The nurse should recognize that this hematocrit level is below the
expected reference range of 32% to 44% for a school age child. Child can exhibit
fatigue, lightheadedness, tachycardia, dyspnea, & pallor due to decreased oxygen
carrying capacity
6. A nurse is reviewing the laboratory report of an infant who is receiving the
treatment for severe dehydration. The nurse should identify that which of the
following laboratory values indicates effectiveness of the current treatment?
ANSWER: sodium 140 mEq/L
RATIONALE: The nurse should identify that a sodium level of 140 is within the
expected reference range of 134 to 150 and indicates the current treatment for
dehydration is effective.
7. A nurse is reviewing the lab report of a 7year old who is reviving chemo. Which
of ht e following lab values should the nurse report to the provider?
ANSWER:HgB 8.5 g/dL
RATIONALE:A child receiving chemo is at risk for anemia due to the chemo
effects on the blood forming cells of the bone marrow. The development of anemia
is diagnosed through lab testing of hemoglobin and hematocrit levels. Expected
range is 10-15.5 g/dL for a 7year old.
ATI PEDIATRICS PROCTORED EXAM 2023 RETAKE
60 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |ALREADY GRADED A+||BRAND
NEW!!
1. A nurse in a provider’s office is preparing to administer immunizations to a
toddler during a well-child visit. Which of the following actions should the nurse
plan to take?
Provider Prescriptions:
Tuberculin skin test (TST) Measles, mumps, and rubella (MMR) vaccineInactivated
influenza vaccineDiphtheria, tetanus, and pertussis (DTaP) vaccine
Graphic Record:
Respiratory rate 24/minHeart rate 115/minTemperature 36.9° C
(98.4° F) History and Physical:
Age 15 months Height 71.1 cm (28 in) Allergies Neomycin (anaphylactic reaction)
Caregiver reports rhinitis with clear nasal drainage for 2 daysOccasional
nonproductive cough for 2 days History of asthma
ANSWER: Withhold the MMR Vaccine.
RATIONALE: The nurse should recognize that an allergy to neomycin with an
anaphylactic reaction is a contraindication for receiving the MMR Vaccine.
Clients who have severe allergy to eggs or gelatin should not receive this vaccine.
2. A nurse is providing teaching to a parent of a school age child who has a new
prescription for oral nystatin for the treatment of oral candidiasis. Which of the
following instructions should the nurse include?
ANSWER:” Shake the medication prior to administration"
RATIONALE: The nurse should instruct the parent to shake the medication prior to
administration to disperse the medication evenly within the suspension.
3. A nurse is reviewing the lumbar puncture results of a school age child who is
suspected of having bacterial meningitis. Which of the following findings should
the nurse identify as an indication of bacterial meningitis?
ANSWER: Increased protein concentration.
, RATIONALE: The nurse should identify that an increased protein concentration in
the spinal fluid is a finding that can indicate bacterial meningitis.
4. A nurse is caring for a preschooler whose father is going home for a few hours
while another relative stays with the child. Which of the following statements
should the nurse make to explain to the child when their father will return?
ANSWER: “Your daddy will be back after you eat"
RATIONALE: Preschoolers make sense of time best when they can associate it
with an expected daily routine, such as meals and bedtime.
5. A nurse is reviewing the lab report of a school age child who is experiencing
fatigue. Which of the following findings should the nurse recognize as an
indication of anemia?
ANSWER: Hematocrit 28%
RATIONALE: The nurse should recognize that this hematocrit level is below the
expected reference range of 32% to 44% for a school age child. Child can exhibit
fatigue, lightheadedness, tachycardia, dyspnea, & pallor due to decreased oxygen
carrying capacity
6. A nurse is reviewing the laboratory report of an infant who is receiving the
treatment for severe dehydration. The nurse should identify that which of the
following laboratory values indicates effectiveness of the current treatment?
ANSWER: sodium 140 mEq/L
RATIONALE: The nurse should identify that a sodium level of 140 is within the
expected reference range of 134 to 150 and indicates the current treatment for
dehydration is effective.
7. A nurse is reviewing the lab report of a 7year old who is reviving chemo. Which
of ht e following lab values should the nurse report to the provider?
ANSWER:HgB 8.5 g/dL
RATIONALE:A child receiving chemo is at risk for anemia due to the chemo
effects on the blood forming cells of the bone marrow. The development of anemia
is diagnosed through lab testing of hemoglobin and hematocrit levels. Expected
range is 10-15.5 g/dL for a 7year old.
