ATI RN PEDS PROCTORED EXAM 2022-STUDY
GUIDE
1. A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He
eats milk products but does not like beans. Which of the following items should the nurse
suggest the client order for lunch to provide nutrients most likely to be lacking in his diet?
a. Peanut butter and jelly sandwich
2. A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of
cephazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose?
3. A nurse is preforming a pre-college assessment on an adolescent. Which of the following
immunizations should the nurse anticipate administering?
a. Meningococcal polysaccharide vaccine
4. A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect?
a. Dependent edema
5. A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The
nurse should instruct the client that this medication can cause which of the following adverse
effects?
a. Body secretions turning a red-orange color
6. A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following
manifestations should the nurse expect?
a. Projectile vomiting
7. A nurse receives a call from a parent of a child who has von Willebrand disease and has having a
nosebleed. Which of the following instructions should the nurse give to the parents?
a. “have you child sit with their head tilted forward and hold pressure on her nose for 10
minutes.”
8. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the
nurse expect?
a. Pain
9. A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client
who is scheduled for surgery in the morning. Which of the following actions should the nurse
include in the demonstration?
a. Place both hands on the sides of her rib cage.
10. A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings
should the nurse expect? (select all that apply).
a. Most common: Murmur
b. weak pulses, HTN, dizziness, chest pain
11. A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of
the following manifestations is the most appropriate for the nurse to monitor?
a. Fever?
12. A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for
initial surgery. Which of the following statements indicates an understanding of the teaching?
a. “I’m glad that my child’s ostomy is only temporary.”
13. A school nurse identifies that a child has pediculosis capitis and educates the child’s parents
about the condition. Which of the following statements by the parents indicated an
understanding of the teaching?
, a. “all recently used clothes, bedding, and towels must be washed in hot water.”
14. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The
nurse should instruct that the transition to whole milk can occur at which of the following ages?
a. 12 months
15. A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings
should the nurse expect?
a. Closed posterior fontanel (8 weeks).
16. A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension
form. Which of the following actions should the nurse take before administering each dose?
a. Shake the suspension very well-give with food if stomach upset occurs
17. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for
acquiring urinary tract infections. Which of the following actions should the nurse include in the
client’s plan of care?
a. Encourage fluid intake at and between meals.
18. A nurse is planning care for a child who has suspected epiglottis. Which of the following actions
should the nurse take?
a. place the child in an upright position
19. A nurse is instructing a group of clients regarding calcium rich food. Which of the following
should the nurse include in the teaching as the best source of calcium?
a. 1 cup milk
20. A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The
parent begins to cry and says “ I don’t understand why my child is so upset. I’ve never seen my
child act this way around others before.” Which of the following statements should the nurse
make?
a. “This is a normal, expected reaction for a child of this age.”
21. A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the
following strategies should the nurse use to elicit the child’s cooperation?
a. Offer the child a choice of taking it with juice or water.
22. A nurse is caring for a client who requires droplet precautions. Which of the following personal
protective equipment should the nurse wear when setting up the meal tray?
a. Mask
23. A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the
following actions by the client indicates an understanding of the teaching?
a. The client holds his breath 10 seconds after inhaling the medication.
24. A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft
lip. Which of the following actions should the nurse take?
a. Administer ibuprofen as needed for pain.
25. A nurse is caring for a child who has Kawasaki disease. Which of the following systems should
the nurse monitor in response to this diagnosis?
a. Cardiovascular
26. A nurse is providing teaching to a client who has oral candidiasis and a new script for nystatin
suspension. Which of the following statements by the client indicates an understanding of the
teaching?
a. “I will store the medicine at room temp”
GUIDE
1. A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He
eats milk products but does not like beans. Which of the following items should the nurse
suggest the client order for lunch to provide nutrients most likely to be lacking in his diet?
a. Peanut butter and jelly sandwich
2. A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of
cephazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose?
3. A nurse is preforming a pre-college assessment on an adolescent. Which of the following
immunizations should the nurse anticipate administering?
a. Meningococcal polysaccharide vaccine
4. A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect?
a. Dependent edema
5. A nurse is caring for a client who has active TB and is to be started on IV rifampin therapy. The
nurse should instruct the client that this medication can cause which of the following adverse
effects?
a. Body secretions turning a red-orange color
6. A nurse is caring for a 6-week-old infant who as a pyloric stenosis. Which of the following
manifestations should the nurse expect?
a. Projectile vomiting
7. A nurse receives a call from a parent of a child who has von Willebrand disease and has having a
nosebleed. Which of the following instructions should the nurse give to the parents?
a. “have you child sit with their head tilted forward and hold pressure on her nose for 10
minutes.”
8. A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the
nurse expect?
a. Pain
9. A nurse is providing preoperative teaching by demonstrating diaphragmatic breathing to a client
who is scheduled for surgery in the morning. Which of the following actions should the nurse
include in the demonstration?
a. Place both hands on the sides of her rib cage.
10. A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings
should the nurse expect? (select all that apply).
a. Most common: Murmur
b. weak pulses, HTN, dizziness, chest pain
11. A nurse is planning care for a client who has idiopathic thrombocytopenic purpur (ITP). Which of
the following manifestations is the most appropriate for the nurse to monitor?
a. Fever?
12. A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for
initial surgery. Which of the following statements indicates an understanding of the teaching?
a. “I’m glad that my child’s ostomy is only temporary.”
13. A school nurse identifies that a child has pediculosis capitis and educates the child’s parents
about the condition. Which of the following statements by the parents indicated an
understanding of the teaching?
, a. “all recently used clothes, bedding, and towels must be washed in hot water.”
14. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The
nurse should instruct that the transition to whole milk can occur at which of the following ages?
a. 12 months
15. A nurse is assessing a 6-month old patient at a well-child visit. Which of the following findings
should the nurse expect?
a. Closed posterior fontanel (8 weeks).
16. A nurse is caring for a 2-year old child who has seizures and is receiving phenytoin in suspension
form. Which of the following actions should the nurse take before administering each dose?
a. Shake the suspension very well-give with food if stomach upset occurs
17. A nurse is planning care for a female client who has a T4 spinal cord injury and is at risk for
acquiring urinary tract infections. Which of the following actions should the nurse include in the
client’s plan of care?
a. Encourage fluid intake at and between meals.
18. A nurse is planning care for a child who has suspected epiglottis. Which of the following actions
should the nurse take?
a. place the child in an upright position
19. A nurse is instructing a group of clients regarding calcium rich food. Which of the following
should the nurse include in the teaching as the best source of calcium?
a. 1 cup milk
20. A nurse is caring for an 8-month-old infant who screams when the parent leaves the room. The
parent begins to cry and says “ I don’t understand why my child is so upset. I’ve never seen my
child act this way around others before.” Which of the following statements should the nurse
make?
a. “This is a normal, expected reaction for a child of this age.”
21. A nurse is caring for a 4-year-old child who is resistant to taking medication. Which of the
following strategies should the nurse use to elicit the child’s cooperation?
a. Offer the child a choice of taking it with juice or water.
22. A nurse is caring for a client who requires droplet precautions. Which of the following personal
protective equipment should the nurse wear when setting up the meal tray?
a. Mask
23. A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the
following actions by the client indicates an understanding of the teaching?
a. The client holds his breath 10 seconds after inhaling the medication.
24. A nurse is caring for a 2-month-old infant who is post-operative following surgical repair of a cleft
lip. Which of the following actions should the nurse take?
a. Administer ibuprofen as needed for pain.
25. A nurse is caring for a child who has Kawasaki disease. Which of the following systems should
the nurse monitor in response to this diagnosis?
a. Cardiovascular
26. A nurse is providing teaching to a client who has oral candidiasis and a new script for nystatin
suspension. Which of the following statements by the client indicates an understanding of the
teaching?
a. “I will store the medicine at room temp”
