ATI PEDS NURSING CARE OF CHILDREN PROCTORED EXAM
2023/2024 NEXT GEN FORMAT NGN VERIFIED AND ACCURATE WITH
DETAILED ANSWERS FOR GUARANTEED PASS
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?
• Hypertension
• Oliguria
• Hyporeflexia
• Hyperactive bowel sounds.
B. Oliguria
A nurse is assessing a toddler who is 8 hr postoperative following a cardiac
catheterizationprocedure. Which of the following findings should the nurse
report to the provider?
• Bilateral extremities
• Weak pedal pulse distal to the site
• Serum glucose 90 mg/dl
• Blood pressure 102/58 mm Hg.
B. Weak pedal pulse distal to the site
A school nurse is assessing a 7 year old student. The nurse should
identify which of the following findings is a potential indicator of
physical abuse?
• Abrasions on the knees
• Front deciduous teeth missing
• Weight in 45th percentile
• Bruising around the wrists
D. Bruising around the wrists
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?
• Your child should walk the bicycle through intersections
• Your child should keep the bicycle at least 3 feet from the curb while riding in
the street.
• Your child should ride the bicycle against the flow of traffic
,• Your child's feet should be 3 to 6 inches off the ground when seated
on the bicycle.
• Your child should walk the bicycle through intersections
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 toddler repeatedly refuses to let a nurse auscultate his lungs
• A toddler has bruises on his knees.
• An 8-month-old infant cries when his parent levels the room.
• A mother is hesitant to comfort her 6-month-old infant.
D. A mother is hesitant to comfort her 6-month-old infant.
A nurse is teaching the guardian of 5- years old child who has encopresis
(fecal incontinence) about managing the condition. Which of the following
statements by the guardian indicates an understanding of the teaching?
• I will limit my child's fluid intakes
• I will increase my child's diary intakes
• I will have my child try to defecate 15 minutes after each meal
• I will have my child sit on the toilet for 20 minutes at a time.
C. I will have my child try to defecate 15 minutes after each meal
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?
• Cover the insertion site with an opaque dressing.
• Use a 24-gauge catheter to start the IV.
• Start the IV in the infant's foot.
• Change the IV site every 3 days.
B. Use a 24-gauge catheter to start the IV.
A nurse is caring for a postoperative client following placement of a halo
vest to manage acervical vertebral fracture. Which of the following actions
should the nurse take?
,• Tighten the screws on the halo device one quarter turn every 48 hr
• Reposition the client using a turning sheet
• Assess the pin sites for infection once every other day. (suppose to be everyday)
• Encourage flexion and extension of the neck.
B. Reposition the client using a turning sheet
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?
• Teach the client about ostomy care
• Indicate long-term antibiotic therapy.
• Administer total parenteral nutrition.
• Maintain an NG tube for decompression.
D. Maintain an NG tube for decompression.
A nurse is caring for a school-age child who has pertussis. Which of the
following actionsshould the nurse take?
• Restrict oral fluids to 500 mL per day.
• Administer the pertussis vaccine.
• Report the diagnosis to the public health department. (CDC)
• Place the child in a protected environment for 48 hr.
C. Report the diagnosis to the public health department. (CDC)
A nurse in the emergency department cares for a school-age child who has
developed respiratory stridor, wheezing, and urticaria after receiving an IV
medication. Which of the following actions should the nurse take first?
• Administer oxygen.
• Administer epinephrine
• Administer methylprednisolone.
• Administer a nebulizer bronchodilator.
B. Administer epinephrine
A nurse is teaching a group of female adolescents about healthy
eating. Which of thefollowing instructions should the nurse include in
the teaching?
, • Increase the amount of your dietary iron intake
• limit your sodium intake to 3000 mg per day
• consumer 1,500 to 1700 calories per day
• decrease your vitamin D intake once you start to menstruate Increase the
amount of your dietary iron intake
A nurse is assessing a child who has multiple Closed 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?
• Compartment syndrome
• Osteomyelitis
• Renal calculi
• Volkmann ischemic contracture.
• Compartment syndrome
A nurse in an emergency department is caring for a preschool-age child
who has acuteacetylsalicylic acid poisoning. Which of the following
should the nurse expect?
• Neck vein distention
• Jaundice
• Polyuria
• Hyperpyrexia
D. Hyperpyrexia
A nurse is assessing a toddler who has a history of lead poisoning. Which
of the followingactions should the nurse take?
• Inspect the skin for discoloration
• Initiate a low diet for lead absorption
• Obtain a stool specimen for lead levels
• Perform development testing for delays
D. Perform development testing for delays
2023/2024 NEXT GEN FORMAT NGN VERIFIED AND ACCURATE WITH
DETAILED ANSWERS FOR GUARANTEED PASS
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?
• Hypertension
• Oliguria
• Hyporeflexia
• Hyperactive bowel sounds.
B. Oliguria
A nurse is assessing a toddler who is 8 hr postoperative following a cardiac
catheterizationprocedure. Which of the following findings should the nurse
report to the provider?
• Bilateral extremities
• Weak pedal pulse distal to the site
• Serum glucose 90 mg/dl
• Blood pressure 102/58 mm Hg.
B. Weak pedal pulse distal to the site
A school nurse is assessing a 7 year old student. The nurse should
identify which of the following findings is a potential indicator of
physical abuse?
• Abrasions on the knees
• Front deciduous teeth missing
• Weight in 45th percentile
• Bruising around the wrists
D. Bruising around the wrists
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?
• Your child should walk the bicycle through intersections
• Your child should keep the bicycle at least 3 feet from the curb while riding in
the street.
• Your child should ride the bicycle against the flow of traffic
,• Your child's feet should be 3 to 6 inches off the ground when seated
on the bicycle.
• Your child should walk the bicycle through intersections
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 toddler repeatedly refuses to let a nurse auscultate his lungs
• A toddler has bruises on his knees.
• An 8-month-old infant cries when his parent levels the room.
• A mother is hesitant to comfort her 6-month-old infant.
D. A mother is hesitant to comfort her 6-month-old infant.
A nurse is teaching the guardian of 5- years old child who has encopresis
(fecal incontinence) about managing the condition. Which of the following
statements by the guardian indicates an understanding of the teaching?
• I will limit my child's fluid intakes
• I will increase my child's diary intakes
• I will have my child try to defecate 15 minutes after each meal
• I will have my child sit on the toilet for 20 minutes at a time.
C. I will have my child try to defecate 15 minutes after each meal
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?
• Cover the insertion site with an opaque dressing.
• Use a 24-gauge catheter to start the IV.
• Start the IV in the infant's foot.
• Change the IV site every 3 days.
B. Use a 24-gauge catheter to start the IV.
A nurse is caring for a postoperative client following placement of a halo
vest to manage acervical vertebral fracture. Which of the following actions
should the nurse take?
,• Tighten the screws on the halo device one quarter turn every 48 hr
• Reposition the client using a turning sheet
• Assess the pin sites for infection once every other day. (suppose to be everyday)
• Encourage flexion and extension of the neck.
B. Reposition the client using a turning sheet
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?
• Teach the client about ostomy care
• Indicate long-term antibiotic therapy.
• Administer total parenteral nutrition.
• Maintain an NG tube for decompression.
D. Maintain an NG tube for decompression.
A nurse is caring for a school-age child who has pertussis. Which of the
following actionsshould the nurse take?
• Restrict oral fluids to 500 mL per day.
• Administer the pertussis vaccine.
• Report the diagnosis to the public health department. (CDC)
• Place the child in a protected environment for 48 hr.
C. Report the diagnosis to the public health department. (CDC)
A nurse in the emergency department cares for a school-age child who has
developed respiratory stridor, wheezing, and urticaria after receiving an IV
medication. Which of the following actions should the nurse take first?
• Administer oxygen.
• Administer epinephrine
• Administer methylprednisolone.
• Administer a nebulizer bronchodilator.
B. Administer epinephrine
A nurse is teaching a group of female adolescents about healthy
eating. Which of thefollowing instructions should the nurse include in
the teaching?
, • Increase the amount of your dietary iron intake
• limit your sodium intake to 3000 mg per day
• consumer 1,500 to 1700 calories per day
• decrease your vitamin D intake once you start to menstruate Increase the
amount of your dietary iron intake
A nurse is assessing a child who has multiple Closed 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?
• Compartment syndrome
• Osteomyelitis
• Renal calculi
• Volkmann ischemic contracture.
• Compartment syndrome
A nurse in an emergency department is caring for a preschool-age child
who has acuteacetylsalicylic acid poisoning. Which of the following
should the nurse expect?
• Neck vein distention
• Jaundice
• Polyuria
• Hyperpyrexia
D. Hyperpyrexia
A nurse is assessing a toddler who has a history of lead poisoning. Which
of the followingactions should the nurse take?
• Inspect the skin for discoloration
• Initiate a low diet for lead absorption
• Obtain a stool specimen for lead levels
• Perform development testing for delays
D. Perform development testing for delays
