ATI PEDIATRIC PROCTORED EXAM 2024 NEWEST 3 VERSIONS
EACH VERSION WITH 70 QUESTIONS WITH 100% CORRECT
ANSWERSAND RATIONALES /A+ GRADE ASSURED
A nurse on a pediatric unit is caring for a school-age child?
° Arterial blood gas
° Cardiovascular assessment
° WBC count
° Hemoglobin
° Oxygen saturation
° Respiratory assessment - ANSWER: ° arterial blood gas
° WBC count
° oxygen saturation
° respiratory assessment
A nurse is receiving change of shift report for four children. Which of the following
children should the nurse assess first? A) a toddler who has a concussion and an
episode of forceful vomiting B) an adolescent who has infective endocarditis and
reports having a headache C) an adolescent who was placed into halo traction 1 hr
ago and reports pain as 6 on a scale of 0-10 D) a school age child who has acute
glomerulonephritis and brown-colored urine - ANSWER: A
A nurse is caring for a preschool-age child. For each assessment finding, click to
specify if the finding is consistent with nightmares or sleep terrors. Each finding may
support more than 1 disease process: - ANSWER: Sleep terrors: impaired
concentration, daytime fatigue, and impulsive behaviors.
Nightmares: impaired concentration, daytime fatigue, and
When analyzing cues, the nurse should recognize that manifestations of nightmares
include awakening during the night after a scary dream.
Nightmares are a sleep disturbance that cause distress after the dream is over. The
child might be crying, fearful of returning to sleep, and believe the dream is real.
Sleep disturbances cause interruptions in the sleep-wake cycle and can cause
impaired concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that manifestations of sleep terrors
include a partial awakening during a deep sleep .
Sleep terrors are sleep disturbances that cause a child to exhibit behaviors such as
thrashing, screaming, moaning, and diaphoresis that disappear once the child
awakens. The child does not remember the episode and is not controlled by others
during the disturbance. The child usually falls asleep easily afterwards. Sleep terrors
cause interruptions in the sleep-wake cycle and can cause impaired concentration,
daytime fatigue, and impulsive behaviors.
, A nurse is providing discharge teaching to the guardians of a toddler who had a
lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report
which of the following findings to the provider?
A) capillary refill time less than 2 seconds
B) restricted ability to move the toes
C) swelling of the casted foot when the leg is dependent
D) pedal pulse is + bilateral - ANSWER: B) restricted ability to move the toes
A nurse is providing discharge teaching to the parent of a school-age child who has
moderate persistent asthma. Which of the following instructions should the nurse
include?
A) "you should give your child their salmeterol inhaler every 4 hours when they are
having an acute episode of wheezing"
B) "you should monitor your child's weight weekly while they are recieving inhaled
corticosteroid therapy."
C) " Pulmonary function tests will be performed every 12 to 24 months to evaluate
how your child is responding to therapy."
D) "When using peak expiratory flow meter, record your child's average of three
readings" - ANSWER: C) " Pulmonary function tests will be performed every 12 to 24
months to evaluate how your child is responding to therapy."
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider?
A) Nasal flaring
B) WBC count 18,000/mm3
C) Diarrhea
D) Abdominal distention - ANSWER: A) Nasal flaring
A nurse is planning developmental activities for a newly admitted 10-year-old child
who has neutropenia. Which of the following actions should the nurse plan to take?
A) Provide the child with a book about adventure
B) Arrange frequent visits from family members and peers
C) Give the child a large-piece puzzle
D) Use puppet to entertain the child - ANSWER: A) Provide the child with a book
about adventure
A school nurse is caring for a child following a tonic-clonic seizure. Which of the
following actions should the nurse take first?
A) check the child for a head injury
B) observe for oral bleeding
C) check the child's respiratory rate
D) observe for extremity weakness - ANSWER: C) check the child's respiratory rate
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of
the following manifestations should alert the nurse to a possible hemolytic
transfusion reaction?
EACH VERSION WITH 70 QUESTIONS WITH 100% CORRECT
ANSWERSAND RATIONALES /A+ GRADE ASSURED
A nurse on a pediatric unit is caring for a school-age child?
° Arterial blood gas
° Cardiovascular assessment
° WBC count
° Hemoglobin
° Oxygen saturation
° Respiratory assessment - ANSWER: ° arterial blood gas
° WBC count
° oxygen saturation
° respiratory assessment
A nurse is receiving change of shift report for four children. Which of the following
children should the nurse assess first? A) a toddler who has a concussion and an
episode of forceful vomiting B) an adolescent who has infective endocarditis and
reports having a headache C) an adolescent who was placed into halo traction 1 hr
ago and reports pain as 6 on a scale of 0-10 D) a school age child who has acute
glomerulonephritis and brown-colored urine - ANSWER: A
A nurse is caring for a preschool-age child. For each assessment finding, click to
specify if the finding is consistent with nightmares or sleep terrors. Each finding may
support more than 1 disease process: - ANSWER: Sleep terrors: impaired
concentration, daytime fatigue, and impulsive behaviors.
Nightmares: impaired concentration, daytime fatigue, and
When analyzing cues, the nurse should recognize that manifestations of nightmares
include awakening during the night after a scary dream.
Nightmares are a sleep disturbance that cause distress after the dream is over. The
child might be crying, fearful of returning to sleep, and believe the dream is real.
Sleep disturbances cause interruptions in the sleep-wake cycle and can cause
impaired concentration, daytime fatigue, and impulsive behaviors.
When analyzing cues, the nurse should recognize that manifestations of sleep terrors
include a partial awakening during a deep sleep .
Sleep terrors are sleep disturbances that cause a child to exhibit behaviors such as
thrashing, screaming, moaning, and diaphoresis that disappear once the child
awakens. The child does not remember the episode and is not controlled by others
during the disturbance. The child usually falls asleep easily afterwards. Sleep terrors
cause interruptions in the sleep-wake cycle and can cause impaired concentration,
daytime fatigue, and impulsive behaviors.
, A nurse is providing discharge teaching to the guardians of a toddler who had a
lower leg cast applied 24 hr ago. The nurse should instruct the guardians to report
which of the following findings to the provider?
A) capillary refill time less than 2 seconds
B) restricted ability to move the toes
C) swelling of the casted foot when the leg is dependent
D) pedal pulse is + bilateral - ANSWER: B) restricted ability to move the toes
A nurse is providing discharge teaching to the parent of a school-age child who has
moderate persistent asthma. Which of the following instructions should the nurse
include?
A) "you should give your child their salmeterol inhaler every 4 hours when they are
having an acute episode of wheezing"
B) "you should monitor your child's weight weekly while they are recieving inhaled
corticosteroid therapy."
C) " Pulmonary function tests will be performed every 12 to 24 months to evaluate
how your child is responding to therapy."
D) "When using peak expiratory flow meter, record your child's average of three
readings" - ANSWER: C) " Pulmonary function tests will be performed every 12 to 24
months to evaluate how your child is responding to therapy."
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider?
A) Nasal flaring
B) WBC count 18,000/mm3
C) Diarrhea
D) Abdominal distention - ANSWER: A) Nasal flaring
A nurse is planning developmental activities for a newly admitted 10-year-old child
who has neutropenia. Which of the following actions should the nurse plan to take?
A) Provide the child with a book about adventure
B) Arrange frequent visits from family members and peers
C) Give the child a large-piece puzzle
D) Use puppet to entertain the child - ANSWER: A) Provide the child with a book
about adventure
A school nurse is caring for a child following a tonic-clonic seizure. Which of the
following actions should the nurse take first?
A) check the child for a head injury
B) observe for oral bleeding
C) check the child's respiratory rate
D) observe for extremity weakness - ANSWER: C) check the child's respiratory rate
A nurse is caring for a school-age child who is receiving a blood transfusion. Which of
the following manifestations should alert the nurse to a possible hemolytic
transfusion reaction?
