ATI Peds proctored exam
A nurse is planning care for a child who has severe diarrhea. Which of the following
actions is the nurse priority? - answer - assess fluid balance
A nurse is caring for a toddler who's parent states that the child has a mass in his
abdominal area and his urine is a pink color. Which of the following actions is the nurse's
priority? - answer - instruct the parent to avoid pressing on the abdominal area
A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions is the nurse's priority? - answer - check the childs weight daily
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which
of the following is the nurse's priority? - answer - administer antibiotics when available
A nurse is collecting data from an adolescent. Which of the following represents the
greatest risk for suicide? - answer - active psychiatric disorder (mark, mental problems,
patients mind is unstable)
A nurse is collecting data from an infant who has otitis media (middle ear infection). The
nurse should expect which of the following findings? - answer - tugging on the affected
ear lobe
A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo the
initial surgery to treat hirschsprung's disease (a ganglionic megacolon, part of the colon
isn't connected to the nerves or not functioning, so there will be an increase size of the
colon and stool gets stuck in there). Which of the following statements should indicate to
the nurse that the parent understanding the goal of surgery? - answer - "i'm glad that the
ostomy is only temporary " (1st there going to cut the nonfunctioning of the colon, and
then apply temporary colostomy, after a couple of months they will suture it together)
, A nurse is caring for an infant who is 1 day postoperative following surgical repair of a
cleft lip. Which of the following actions should the nurse take? - answer - apply an
antibiotic ointment to the suture site
A nurse is reinforcing discharge instructions with a parent of a child who has cystic
fibrosis. Which of the following statements by the parent indicates an understanding of
the teaching? - answer - "i will make sure my child washes her hands before eating"
A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant.
The parent tells the nurse that the infant has projectile vomiting followed by hunger after
meals. Which of the following response by the nurse is appropriate? - answer - "bring
your infant into the clinic today to be seen"
A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion
of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify
as the priority . (causes icp hydrocephalus) - answer - lethargy (high pitched cry,
respiratory changes, bradycardia, wide pulse pressure, irritability
A nurse is caring for a child following an open reduction and internal fixation of a fractured
femur and application of a cast. The cast has a window cut in it for viewing of the incision.
Which of the following actions should the nurse take first? - answer - perform
neurovascular checks of the affected extremity (check for infection, color, capillary refill,
redness)
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30
tablets of aspirin. Which of the following substances should the nurse administer to the
toddler? - answer - activated charcoal (can work with toxin, poison. Given through ng tube
absorbs toxins)
A nurse is caring for a 3 year old client who has persistent otitis media. To help identify
contributing factors, the nurse should ask the parents which of the following questions? -
A nurse is planning care for a child who has severe diarrhea. Which of the following
actions is the nurse priority? - answer - assess fluid balance
A nurse is caring for a toddler who's parent states that the child has a mass in his
abdominal area and his urine is a pink color. Which of the following actions is the nurse's
priority? - answer - instruct the parent to avoid pressing on the abdominal area
A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions is the nurse's priority? - answer - check the childs weight daily
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which
of the following is the nurse's priority? - answer - administer antibiotics when available
A nurse is collecting data from an adolescent. Which of the following represents the
greatest risk for suicide? - answer - active psychiatric disorder (mark, mental problems,
patients mind is unstable)
A nurse is collecting data from an infant who has otitis media (middle ear infection). The
nurse should expect which of the following findings? - answer - tugging on the affected
ear lobe
A nurse is reinforcing reaching with a parent of a 1 month old infant who is to undergo the
initial surgery to treat hirschsprung's disease (a ganglionic megacolon, part of the colon
isn't connected to the nerves or not functioning, so there will be an increase size of the
colon and stool gets stuck in there). Which of the following statements should indicate to
the nurse that the parent understanding the goal of surgery? - answer - "i'm glad that the
ostomy is only temporary " (1st there going to cut the nonfunctioning of the colon, and
then apply temporary colostomy, after a couple of months they will suture it together)
, A nurse is caring for an infant who is 1 day postoperative following surgical repair of a
cleft lip. Which of the following actions should the nurse take? - answer - apply an
antibiotic ointment to the suture site
A nurse is reinforcing discharge instructions with a parent of a child who has cystic
fibrosis. Which of the following statements by the parent indicates an understanding of
the teaching? - answer - "i will make sure my child washes her hands before eating"
A nurse working at a clinic speaks on the telephone with a parent of a 2-monthold infant.
The parent tells the nurse that the infant has projectile vomiting followed by hunger after
meals. Which of the following response by the nurse is appropriate? - answer - "bring
your infant into the clinic today to be seen"
A nurse is caring for a 4 year old child who is 2 days postoperative following the insertion
of a ventriculoperitoneal shunt. Which of the following findings should the nurse identify
as the priority . (causes icp hydrocephalus) - answer - lethargy (high pitched cry,
respiratory changes, bradycardia, wide pulse pressure, irritability
A nurse is caring for a child following an open reduction and internal fixation of a fractured
femur and application of a cast. The cast has a window cut in it for viewing of the incision.
Which of the following actions should the nurse take first? - answer - perform
neurovascular checks of the affected extremity (check for infection, color, capillary refill,
redness)
A nurse is an urgent care clinic is assisting with the care of a toddler who ingested 30
tablets of aspirin. Which of the following substances should the nurse administer to the
toddler? - answer - activated charcoal (can work with toxin, poison. Given through ng tube
absorbs toxins)
A nurse is caring for a 3 year old client who has persistent otitis media. To help identify
contributing factors, the nurse should ask the parents which of the following questions? -
