ATI PEDIATRIC PROCTOR 2024-2025 ACTUAL
EXAM ALL 70 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A nurse in the emergency department is caring for a 2-yr old child who was found
by his parents crying and holding a container of toilet bowl cleaner. The child's
lips are edematous and inflamed, and he is drooling. Which of the following is the
following priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child. - Right Ansa -b. Check the child's respiratory
status.
Rationale: When applying the ABC priority setting framework, airway is always the
highest priority because the airway must be clear and open for oxygen exchange
to occur. Breathing is the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential in order for oxygen
change to occur.
A nurse is teaching a parent of a 12-month old child about development during
the toddler years. Which of the following statements should the nurse include?
a. Your child should be referring to himself using the appropriate pronoun by the
18 months of age
b. a toddler's interest in looking at pictures occurs at 20 months of age
c. a toddler should have daytime control of his bowel and bladder by 24 months
of age.
d. your child should be able to scribble spontaneously using a crayon at the age of
15 months - Right Ansa -d. your child should be able to scribble spontaneously
using a crayon at the age of 15 months
Rationale: The nurse should teach the parent that at the age of 15 months, the
toddler should be
,able to scribble spontaneously, and at the age of 18 months, the toddler should
be able to make
strokes imitatively
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride
100ml IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/ml.
The nurse should set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number) - Right Ansa -25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology
d. Stop the assessment if the child becomes uncooperative. - Right Ansa -b.
Minimize physical contact with the child initially.
Rationale: The nurse should initially minimize physical contact with the toddler,
and then
progress from the least traumatic to the most traumatic procedures.
A nurse is caring for an 18-yr old adolescent who is up to date on immunizations
and is planning to attend college. The nurse should inform the client that he
should receive which of the following immunizations prior to moving into a
campus dormitory.
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. rotavirus
d. Herpes zoster - Right Ansa -b. Meningococcal polysaccharide
Rationale: The meningococcal polysaccharide immunization is used to prevent
infection by
certain groups of meningococcal bacteria. Meningococcal infection can cause life-
threatening
, illnesses, such as meningococcal meningitis, which affects the brain, and
meningococcemia,
which affects the blood. Both of these conditions can be fatal. College freshmen,
particularly
those who live in dormitories, are at an increased risk for meningococcal disease
relative to other persons their age. Therefore, the Centers for Disease Control and
Prevention has issued a
recommendation that all incoming college students receive the meningococcal
immunization.
A nurse is teaching the parent of an infant about food allergens. Which of the
following foods should the nurse include as being the most common food allergy
in children.
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Eggs - Right Ansa -a. Cow's milk
Rationale: According to evidence-based practice, the nurse should instruct the
parent that cow's
milk is the most common food allergy in children. Some children are sensitive to
the protein,
called casein, found in cow's milk. They have difficulty metabolizing the casein
and are,
therefore, allergic to cow's milk.
A nurse is teaching the parent of a toddler about home safety. Which of the
following statements by the parent indicates an understanding of the teaching?
a. I lock my medications in the medicine cabinet
b. I keep my child's crib mattress at the highest level
c. I turn pot handles to the side of my stove while cooking.
d. I will give my child syrup of ipecac if she swallows something poisonous. - Right
Ansa -a. I lock my medications in the medicine cabinet
EXAM ALL 70 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
A nurse in the emergency department is caring for a 2-yr old child who was found
by his parents crying and holding a container of toilet bowl cleaner. The child's
lips are edematous and inflamed, and he is drooling. Which of the following is the
following priority action by the nurse?
a. Remove the child's contaminated clothing.
b. Check the child's respiratory status.
c. Administer an antidote to the child.
d. Establish IV access for the child. - Right Ansa -b. Check the child's respiratory
status.
Rationale: When applying the ABC priority setting framework, airway is always the
highest priority because the airway must be clear and open for oxygen exchange
to occur. Breathing is the second highest priority in the ABC priority setting
framework because adequate ventilatory effort is essential in order for oxygen
change to occur.
A nurse is teaching a parent of a 12-month old child about development during
the toddler years. Which of the following statements should the nurse include?
a. Your child should be referring to himself using the appropriate pronoun by the
18 months of age
b. a toddler's interest in looking at pictures occurs at 20 months of age
c. a toddler should have daytime control of his bowel and bladder by 24 months
of age.
d. your child should be able to scribble spontaneously using a crayon at the age of
15 months - Right Ansa -d. your child should be able to scribble spontaneously
using a crayon at the age of 15 months
Rationale: The nurse should teach the parent that at the age of 15 months, the
toddler should be
,able to scribble spontaneously, and at the age of 18 months, the toddler should
be able to make
strokes imitatively
A nurse is caring for a toddler and is preparing to administer 0.9% sodium chloride
100ml IV to infuse over 4 hr. The drop factor of the manual IV tubing is 60 gtt/ml.
The nurse should set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number) - Right Ansa -25 gtt
Rationale: 100ml/4 hr x 60gtt/1mlx 1 hr/60min= 6000/240= 25 gtt
A nurse in a pediatric clinic is assessing a toddler at a well-child visit. Which of the
following actions should the nurse take?
a. Perform the assessment in a head to toe sequence.
b. Minimize physical contact with the child initially.
c. Explain procedures using medical terminology
d. Stop the assessment if the child becomes uncooperative. - Right Ansa -b.
Minimize physical contact with the child initially.
Rationale: The nurse should initially minimize physical contact with the toddler,
and then
progress from the least traumatic to the most traumatic procedures.
A nurse is caring for an 18-yr old adolescent who is up to date on immunizations
and is planning to attend college. The nurse should inform the client that he
should receive which of the following immunizations prior to moving into a
campus dormitory.
a. Pneumococcal polysaccharide
b. Meningococcal polysaccharide
c. rotavirus
d. Herpes zoster - Right Ansa -b. Meningococcal polysaccharide
Rationale: The meningococcal polysaccharide immunization is used to prevent
infection by
certain groups of meningococcal bacteria. Meningococcal infection can cause life-
threatening
, illnesses, such as meningococcal meningitis, which affects the brain, and
meningococcemia,
which affects the blood. Both of these conditions can be fatal. College freshmen,
particularly
those who live in dormitories, are at an increased risk for meningococcal disease
relative to other persons their age. Therefore, the Centers for Disease Control and
Prevention has issued a
recommendation that all incoming college students receive the meningococcal
immunization.
A nurse is teaching the parent of an infant about food allergens. Which of the
following foods should the nurse include as being the most common food allergy
in children.
a. Cow's milk
b. Wheat bread
c. Corn syrup
d. Eggs - Right Ansa -a. Cow's milk
Rationale: According to evidence-based practice, the nurse should instruct the
parent that cow's
milk is the most common food allergy in children. Some children are sensitive to
the protein,
called casein, found in cow's milk. They have difficulty metabolizing the casein
and are,
therefore, allergic to cow's milk.
A nurse is teaching the parent of a toddler about home safety. Which of the
following statements by the parent indicates an understanding of the teaching?
a. I lock my medications in the medicine cabinet
b. I keep my child's crib mattress at the highest level
c. I turn pot handles to the side of my stove while cooking.
d. I will give my child syrup of ipecac if she swallows something poisonous. - Right
Ansa -a. I lock my medications in the medicine cabinet
