ATI PEDIATRIC EXAM TEST BANK 2023
EVERYTHING ON ATI PEDIATRICS INCLUDING
NCLEX 300+ QUESTIONS AND CORRECT ANSWERS
(BEST DOCUMENT FOR ATI PEDS)AGRADE
A nurse is reinforcing teaching about baclofen with the guardian of a toddler who has
cerebral palsy. Which of the following adverse effects should the nurse include? -
ANSWERS-Muscle weakness is a common adverse effect of baclofen. Other common
adverse effects include dizziness, drowsiness, and nausea
A nurse is reinforcing teaching with a school-aged child who has a new diagnosis of
type 1 diabetes mellitus. Which of the following statements should the nurse make? -
ANSWERS-The child can use an opened vial of insulin for 28 to 30 days stored at room
temperature or in the refrigerator
A nurse is assisting with the care of a school-aged child who has skeletal traction
applied to repair a pelvic fracture. Which of the following actions should the nurse take?
- ANSWERS-Placing the child on a pressure-reduction mattress will reduce the
pressure on bony prominences, which decreases the risk of skin breakdown.
A nurse is reinforcing teaching about exercise with an adolescent client who has type 1
diabetes mellitus. Which of the following points should the nurse reinforce? -
ANSWERS-Eating additional carbohydrates or decreasing the regular insulin injection
according to an established protocol before exercise is sometimes necessary to prevent
hypoglycemia.
A nurse is reinforcing teaching with the guardian of a child who has Kawasaki disease.
Which of the following statements by the guardian indicate an understanding of the
teaching?(Select all that apply.) - ANSWERS-A child who is diagnosed with Kawasaki
disease will likely be irritable for up to 2 months. Clients with this condition receive high
doses of gamma globulin during the initial phase, which might result in the inability to
produce adequate antibodies in response to a live vaccine; therefore, these vaccines
should be delayed for 11 months. The temperature of a child with Kawasaki disease
should be recorded until she has been afebrile for several days
A nurse is caring for a 4-month-old child who has acute otitis media and a fever of
38.3°C (101°F). Which of the following medications should the nurse administer? -
ANSWERS-A child who has acute otitis media should take an antibiotic to help alleviate
the infection.
A nurse is collecting data from a toddler who has AIDS. The nurse should identify which
of the following ndings as an indication of an opportunistic infection? - ANSWERS-
Candidiasis (oral thrush) results from the overgrowth of Candida albicans, an
opportunistic fungus that commonly infects the oral cavity of clients who have immature
,or compromised immune systems. Candidiasis appears as a cheesy, white plaque that
looks like milk curds on the buccal mucosa and tongue. Thrush is often the initial
opportunistic infection in an HIV-positive child who is developing AIDS
A nurse is reinforcing teaching with a 12-year-old child who is recovering from an acute
bleeding episode of hemophilia A. Which of the following statements should the nurse
make? - ANSWERS-Although the child still needs to be seen by a health care provider,
applying pressure and ice to the site of the bleeding can help control the bleeding and
prevent the need for hospitalization.
A hospice nurse is assisting with a support group for parents of toddlers who have a
terminal illness. Which of the following pieces of information should the nurse reinforce
in the teaching? - ANSWERS-The nurse should identify that toddlers have very little
understanding of death. Their reaction is related to changes in routine and parents'
emotions.
A nurse in a provider's ofce is collecting data from a client. The nurse determines the
client's body mass index (BMI) is 21.2. This nding is classied as which of the following?
- ANSWERS-Body mass index is a measure of an individual's weight relative to height.
A BMI from 18.5 to 24.9 is in the healthy range. Therefore, this client's weight is
considered healthy.
A nurse is assisting the provider with a preschooler's annual exam. The parent
expresses concern about the child's 1.8 kg (4 lb) weight gain over the past year. Which
of the following responses should the nurse make? - ANSWERS-The preschooler
should gain about 2 to 3 kg (4.4 to 6.6 lb) each year. Therefore, the nurse should
reassure the parent that this child's weight gain is an expected nding for the age group
A school nurse is caring for a school-aged child who has hemophilia and fell on the
playground. The child reports a pain level of 4 on a scale of 0 to 10. Which of the
following actions should the nurse take? - ANSWERS-Immediately following an injury, a
joint should be rested, elevated, and have ice applied to minimize bleeding into the joint.
A nurse is reinforcing teaching with an adolescent client who has type 1 diabetes
mellitus about managing hypoglycemia. Which of the following statements should the
nurse include in the teaching? - ANSWERS-The nurse should tell the client to drink 4 oz
of orange juice if hypoglycemia occurs
Results of enzyme-linked immunosorbent assay (ELISA) testing for an 18-month-old
infant who has Pneumocystis carinii pneumonia indicate that she is HIV-positive. When
assisting with planning care, the nurse should consider which of the following factors? -
ANSWERS-Transmission of HIV from a woman to her infant can occur during
pregnancy, delivery, or through breastfeeding. Although it is possible for the infant to
acquire HIV from sexual abuse, mother-to-child transmission accounts for the majority
of HIV/AIDS cases in infants.
,A nurse is reinforcing teaching about home care with the guardian of an adolescent who
has hemophilia. Which of the following pieces of information should the nurse provide? -
ANSWERS-The nurse should instruct the guardian that the adolescent should be
allowed to participate in noncontact sports such as walking, bowling, and golf. Contact
sports may be allowed if the adolescent wears protective gear and receives routine
recombinant factor VIII infusions.
A nurse is reinforcing teaching about injury prevention with the parent of an infant.
Which of the following statements by the parent indicates an understanding of the
teaching? - ANSWERS-The nurse should instruct the parent to avoid clothing with
buttons to reduce the risk of choking and aspiration
A nurse is reinforcing discharge teaching with the guardian of an adolescent who is
postoperative following a tonsillectomy. Which of the following manifestations should the
guardian report to the provider? - ANSWERS-manifestation of hemorrhage following a
tonsillectomy is the constant clearing of blood that is draining in the back of the throat.
Therefore, the provider should be notied if the adolescent begins constantly clearing her
throat following a tonsillectomy
A nurse is collecting data from a 4-year-old preschooler about his gross motor skills.
The nurse should expect the preschooler to perform which of the following activities? -
ANSWERS-The nurse should expect to nd that a 4-year-old preschooler is able to hop
on 1 foot
A nurse is reinforcing teaching with the parents of a 1-year-old infant regarding
appropriate play activities for this age group. Which of the following activities should the
nurse include? - ANSWERS-This is an appropriate toy for a 12-month-old infant. Beads
that are too large to pass through a toilet paper tube do not present a choking hazard.
This toy would provide visual and tactile stimulation for a 1-year-old infant
A nurse in a pediatric clinic is collecting data from a preschooler during a well-child visit.
Which of the following ndings should the nurse report to the provider? - ANSWERS-The
nurse should identify that this blood pressure measurement indicates signicant
hypertension, which requires further assessment to conrm. Therefore, the nurse should
report this nding to the provider immediately
A nurse is reinforcing teaching with the guardian of a schoolaged child who has
diabetes mellitus about how to recognize diabetic ketoacidosis (DKA). Which of the
following ndings should the nurse describe as a manifestation of this complication? . . -
ANSWERS-The nurse should identify that deep and rapid respirations are Kussmaul
respirations, which is a manifestation of DKA. This respiratory pattern results from the
body's attempt to rid itself of the excess carbon dioxide that results from the presence of
ketones. The child's breath can be sweet-smelling due to the body's attempt to eliminate
ketones through the respiratory system
, A nurse is discussing the causes of chronic diarrhea with a client. Which of the following
conditions is caused by malabsorption? - ANSWERS-The nurse should recognize that
celiac disease causes chronic diarrhea due to malabsorption. Other malabsorption
conditions include short-bowel syndrome, lactose intolerance, and congenital enzyme
deciency
A nurse in a pediatric clinic is preparing to assist with a sweat chloride test for a toddler
who is suspected to have cystic brosis. Which of the following actions should the nurse
plan to take? - ANSWERS-The nurse should ensure that the examination room is warm.
A warm environment promotes the toddler's ability to produce sweat for the sweat
chloride test. To further promote sweating, the nurse should apply blankets to maintain
the toddler's body heat during the test.
A nurse is collecting data during a well-child assessment of a 7- year-old child who
takes great pride in bringing school papers home. This behavior demonstrates which of
the following of Erikson's stages of psychosocial development? B. - ANSWERS-The
developmental task of industry vs. inferiority is reected by a child's level of motivation in
relation to personal achievements that build good character during the school-aged
years (6 to 12 years)
During a well-child visit, the guardian of a toddler expresses a concern that the toddler
takes several hours to fall asleep at night. Which of the following recommendations
should the nurse make? - ANSWERS-Providing the toddler with a favorite toy at
bedtime can help the toddler to feel more secure and facilitate sleep
A nurse on a pediatric unit is assisting with the plan of care for a preschooler who will be
having a surgical procedure in the morning. The child has been crying despite his
parents' presence at his bedside. The nurse should recommend engaging the child in
therapeutic play for the care plan due to which of the following benets? - ANSWERS-A
major function of play therapy is making potentially unmanageable situations
manageable through symbolic representation, which provides children with
opportunities to learn to cope. A preschooler does not have the language development
to express fear of the unfamiliar medical equipment in the hospital. By encouraging the
child to touch the equipment, the nurse will help decrease the child's fear and
intimidation in a safe environment using age-appropriate vocabulary. The use of toys
enables children to transfer anxieties, fears, fantasies, and guilt to objects rather than
people
A nurse is reinforcing teaching with a 12-year-old client who is recovering from an acute
episode of hemophilia A. Which of the following statements should the nurse include in
the teaching?. - ANSWERS-Physical exercise is important for the maintenance of joint
mobility and muscle strengthening. Participation in non-contact sports and the use of
protective equipment such as knee pads are encouraged, although high-impact athletic
activities such as karate should be avoided.
EVERYTHING ON ATI PEDIATRICS INCLUDING
NCLEX 300+ QUESTIONS AND CORRECT ANSWERS
(BEST DOCUMENT FOR ATI PEDS)AGRADE
A nurse is reinforcing teaching about baclofen with the guardian of a toddler who has
cerebral palsy. Which of the following adverse effects should the nurse include? -
ANSWERS-Muscle weakness is a common adverse effect of baclofen. Other common
adverse effects include dizziness, drowsiness, and nausea
A nurse is reinforcing teaching with a school-aged child who has a new diagnosis of
type 1 diabetes mellitus. Which of the following statements should the nurse make? -
ANSWERS-The child can use an opened vial of insulin for 28 to 30 days stored at room
temperature or in the refrigerator
A nurse is assisting with the care of a school-aged child who has skeletal traction
applied to repair a pelvic fracture. Which of the following actions should the nurse take?
- ANSWERS-Placing the child on a pressure-reduction mattress will reduce the
pressure on bony prominences, which decreases the risk of skin breakdown.
A nurse is reinforcing teaching about exercise with an adolescent client who has type 1
diabetes mellitus. Which of the following points should the nurse reinforce? -
ANSWERS-Eating additional carbohydrates or decreasing the regular insulin injection
according to an established protocol before exercise is sometimes necessary to prevent
hypoglycemia.
A nurse is reinforcing teaching with the guardian of a child who has Kawasaki disease.
Which of the following statements by the guardian indicate an understanding of the
teaching?(Select all that apply.) - ANSWERS-A child who is diagnosed with Kawasaki
disease will likely be irritable for up to 2 months. Clients with this condition receive high
doses of gamma globulin during the initial phase, which might result in the inability to
produce adequate antibodies in response to a live vaccine; therefore, these vaccines
should be delayed for 11 months. The temperature of a child with Kawasaki disease
should be recorded until she has been afebrile for several days
A nurse is caring for a 4-month-old child who has acute otitis media and a fever of
38.3°C (101°F). Which of the following medications should the nurse administer? -
ANSWERS-A child who has acute otitis media should take an antibiotic to help alleviate
the infection.
A nurse is collecting data from a toddler who has AIDS. The nurse should identify which
of the following ndings as an indication of an opportunistic infection? - ANSWERS-
Candidiasis (oral thrush) results from the overgrowth of Candida albicans, an
opportunistic fungus that commonly infects the oral cavity of clients who have immature
,or compromised immune systems. Candidiasis appears as a cheesy, white plaque that
looks like milk curds on the buccal mucosa and tongue. Thrush is often the initial
opportunistic infection in an HIV-positive child who is developing AIDS
A nurse is reinforcing teaching with a 12-year-old child who is recovering from an acute
bleeding episode of hemophilia A. Which of the following statements should the nurse
make? - ANSWERS-Although the child still needs to be seen by a health care provider,
applying pressure and ice to the site of the bleeding can help control the bleeding and
prevent the need for hospitalization.
A hospice nurse is assisting with a support group for parents of toddlers who have a
terminal illness. Which of the following pieces of information should the nurse reinforce
in the teaching? - ANSWERS-The nurse should identify that toddlers have very little
understanding of death. Their reaction is related to changes in routine and parents'
emotions.
A nurse in a provider's ofce is collecting data from a client. The nurse determines the
client's body mass index (BMI) is 21.2. This nding is classied as which of the following?
- ANSWERS-Body mass index is a measure of an individual's weight relative to height.
A BMI from 18.5 to 24.9 is in the healthy range. Therefore, this client's weight is
considered healthy.
A nurse is assisting the provider with a preschooler's annual exam. The parent
expresses concern about the child's 1.8 kg (4 lb) weight gain over the past year. Which
of the following responses should the nurse make? - ANSWERS-The preschooler
should gain about 2 to 3 kg (4.4 to 6.6 lb) each year. Therefore, the nurse should
reassure the parent that this child's weight gain is an expected nding for the age group
A school nurse is caring for a school-aged child who has hemophilia and fell on the
playground. The child reports a pain level of 4 on a scale of 0 to 10. Which of the
following actions should the nurse take? - ANSWERS-Immediately following an injury, a
joint should be rested, elevated, and have ice applied to minimize bleeding into the joint.
A nurse is reinforcing teaching with an adolescent client who has type 1 diabetes
mellitus about managing hypoglycemia. Which of the following statements should the
nurse include in the teaching? - ANSWERS-The nurse should tell the client to drink 4 oz
of orange juice if hypoglycemia occurs
Results of enzyme-linked immunosorbent assay (ELISA) testing for an 18-month-old
infant who has Pneumocystis carinii pneumonia indicate that she is HIV-positive. When
assisting with planning care, the nurse should consider which of the following factors? -
ANSWERS-Transmission of HIV from a woman to her infant can occur during
pregnancy, delivery, or through breastfeeding. Although it is possible for the infant to
acquire HIV from sexual abuse, mother-to-child transmission accounts for the majority
of HIV/AIDS cases in infants.
,A nurse is reinforcing teaching about home care with the guardian of an adolescent who
has hemophilia. Which of the following pieces of information should the nurse provide? -
ANSWERS-The nurse should instruct the guardian that the adolescent should be
allowed to participate in noncontact sports such as walking, bowling, and golf. Contact
sports may be allowed if the adolescent wears protective gear and receives routine
recombinant factor VIII infusions.
A nurse is reinforcing teaching about injury prevention with the parent of an infant.
Which of the following statements by the parent indicates an understanding of the
teaching? - ANSWERS-The nurse should instruct the parent to avoid clothing with
buttons to reduce the risk of choking and aspiration
A nurse is reinforcing discharge teaching with the guardian of an adolescent who is
postoperative following a tonsillectomy. Which of the following manifestations should the
guardian report to the provider? - ANSWERS-manifestation of hemorrhage following a
tonsillectomy is the constant clearing of blood that is draining in the back of the throat.
Therefore, the provider should be notied if the adolescent begins constantly clearing her
throat following a tonsillectomy
A nurse is collecting data from a 4-year-old preschooler about his gross motor skills.
The nurse should expect the preschooler to perform which of the following activities? -
ANSWERS-The nurse should expect to nd that a 4-year-old preschooler is able to hop
on 1 foot
A nurse is reinforcing teaching with the parents of a 1-year-old infant regarding
appropriate play activities for this age group. Which of the following activities should the
nurse include? - ANSWERS-This is an appropriate toy for a 12-month-old infant. Beads
that are too large to pass through a toilet paper tube do not present a choking hazard.
This toy would provide visual and tactile stimulation for a 1-year-old infant
A nurse in a pediatric clinic is collecting data from a preschooler during a well-child visit.
Which of the following ndings should the nurse report to the provider? - ANSWERS-The
nurse should identify that this blood pressure measurement indicates signicant
hypertension, which requires further assessment to conrm. Therefore, the nurse should
report this nding to the provider immediately
A nurse is reinforcing teaching with the guardian of a schoolaged child who has
diabetes mellitus about how to recognize diabetic ketoacidosis (DKA). Which of the
following ndings should the nurse describe as a manifestation of this complication? . . -
ANSWERS-The nurse should identify that deep and rapid respirations are Kussmaul
respirations, which is a manifestation of DKA. This respiratory pattern results from the
body's attempt to rid itself of the excess carbon dioxide that results from the presence of
ketones. The child's breath can be sweet-smelling due to the body's attempt to eliminate
ketones through the respiratory system
, A nurse is discussing the causes of chronic diarrhea with a client. Which of the following
conditions is caused by malabsorption? - ANSWERS-The nurse should recognize that
celiac disease causes chronic diarrhea due to malabsorption. Other malabsorption
conditions include short-bowel syndrome, lactose intolerance, and congenital enzyme
deciency
A nurse in a pediatric clinic is preparing to assist with a sweat chloride test for a toddler
who is suspected to have cystic brosis. Which of the following actions should the nurse
plan to take? - ANSWERS-The nurse should ensure that the examination room is warm.
A warm environment promotes the toddler's ability to produce sweat for the sweat
chloride test. To further promote sweating, the nurse should apply blankets to maintain
the toddler's body heat during the test.
A nurse is collecting data during a well-child assessment of a 7- year-old child who
takes great pride in bringing school papers home. This behavior demonstrates which of
the following of Erikson's stages of psychosocial development? B. - ANSWERS-The
developmental task of industry vs. inferiority is reected by a child's level of motivation in
relation to personal achievements that build good character during the school-aged
years (6 to 12 years)
During a well-child visit, the guardian of a toddler expresses a concern that the toddler
takes several hours to fall asleep at night. Which of the following recommendations
should the nurse make? - ANSWERS-Providing the toddler with a favorite toy at
bedtime can help the toddler to feel more secure and facilitate sleep
A nurse on a pediatric unit is assisting with the plan of care for a preschooler who will be
having a surgical procedure in the morning. The child has been crying despite his
parents' presence at his bedside. The nurse should recommend engaging the child in
therapeutic play for the care plan due to which of the following benets? - ANSWERS-A
major function of play therapy is making potentially unmanageable situations
manageable through symbolic representation, which provides children with
opportunities to learn to cope. A preschooler does not have the language development
to express fear of the unfamiliar medical equipment in the hospital. By encouraging the
child to touch the equipment, the nurse will help decrease the child's fear and
intimidation in a safe environment using age-appropriate vocabulary. The use of toys
enables children to transfer anxieties, fears, fantasies, and guilt to objects rather than
people
A nurse is reinforcing teaching with a 12-year-old client who is recovering from an acute
episode of hemophilia A. Which of the following statements should the nurse include in
the teaching?. - ANSWERS-Physical exercise is important for the maintenance of joint
mobility and muscle strengthening. Participation in non-contact sports and the use of
protective equipment such as knee pads are encouraged, although high-impact athletic
activities such as karate should be avoided.
