ATI Pediatrics A & B.
A nurse is monitoring the oxygen saturation rate of an infant using pulse oximetery. The nurse should
secure the sensor to which of the following areas on the infant?
A. Wrist
B. Great Toe
C. Index Finger
D. Heel ANS: B. Great Toe
Rationale: The nurse should secure the sensor to the great toe of the infant and then place a snug-fitting
sock on the foot to hold the sensor in place. The nurse should also check the skin under the sensor site
frequently for temperature, color, and the presence of a pulse.
A nurse is assessing a school-aged child who has an acute spinal cord injury following a sports injury 1
week ago. Identify the area the nurse should tap to elicit the bicep reflex. ANS: A - The nurse should
identify that this is the location to tap to elicit the biceps reflex.
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hours PRN for a temperature above 100.5
F to an infant who weights 17.6 lbs. Available is IV ibuprofen oral suspension 100mg/5mL. How many mL
should the nurse administer to the infant per dose? (round to nearest whole number) ANS: 2 mL
A school nurse is providing an in-service for faculty about improving education for students who has
ADHD. Which of the following statements by a faculty member indicates an understanding of the
teaching?
A. "I will plan to increase the amount of homework I assign to students who have ADHD."
B. "I will give students who have ADHD the same amount of time as other students to complete tests."
C. "I will allow students who have ADHD one rest break throughout the day."
D. "I will teach challenging academic subjects to students who have ADHD in the morning." ANS: D. "I
will teach challenging academic subjects to students who have ADHD in the morning."
Rationale: Faculty should plan to teach challenging academic subjects in the morning when students
who have ADHD are most able to focus and their medication is most likely to be effective.
,A nurse is caring for a newly admitting school-aged child who has hypopituitarism. Which of the
following medications should the nurse expect the provider to prescribe?
A. Desmopressin
B. Luteinizing hormone-releasing hormone
C. Recombinant growth hormone
D. Levothyroxine ANS: C. Recombinant growth hormone
Rationale: Recombinant growth hormone injections are used to treat hypopituitarism, which inhibits cell
growth and results in growth failure. The nurse should expect the provider to prescribe this treatment.
A nurse is assessing an adolescent who received sodium polystyrene sulfonate enema. Which of the
following findings indicates effectiveness of this medication?
A. Reports an absence of nausea and vomiting
B. Reports experiencing an onset of loose stools within 15 min of administration
C. Serum potassium level 4.1 mEq/L
D. Blood pressure 86/52 mm Hg ANS: C. Serum potassium level 4.1 mEq/L
Rationale: The nurse should monitor the adolescent's serum potassium level following the
administration of sodium polystyrene sulfonate. This medication is used to treat hyperkalemia by
exchanging sodium ions for potassium ions in the intestine. Therefore, a potassium level within the
expected reference range of 3.4 to 4.7 mEq/L indicates the effectiveness of the medication.
A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot syndrome
and begins to have a hyper-cyanotic spell. which of the following actions should the nurse take?
A. Place the infant in a knee-chest position.
B. Administer a dose of meperidine IV.
C. Discontinue administration of IV fluids.
D. Apply oxygen at 2 L/min via nasal cannula. ANS: A. Place the infant in a knee-chest position.
Rationale: The nurse should place the infant in a knee-chest position during a hypercyanotic spell to
decrease the return of desaturated venous blood from the legs and to direct more blood into the
pulmonary artery by increasing systemic vascular resistance.
,A nurse is caring for a school-aged child who has peripheral edema. The nurse should identify that which
of the following assessments should be performed to confirm peripheral edema?
A. Palpate the dorsum of the child's feet.
B. Weigh the child daily using the same scale.
C. Assess the child's skin turgor.
D. Observe the child for periorbital swelling. ANS: A. Palpate the dorsum of the child's feet.
Rationale: The nurse should palpate the dorsum of the feet by pressing the fingertip against a bony
prominence for 5 seconds to assess for peripheral edema.
A nurse is planning care for a school-aged child who has a tunneled central venous access device. Which
of the following interventions should the nurse include in the plan of care?
A. Use sterile scissors to remove the dressing from the site.
B. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use.
C. Access the site using a noncoring angled needle.
D. Use a semipermeable transparent dressing to cover the site. ANS: D. Use a semipermeable
transparent dressing to cover the site.
Rationale: The nurse should cover the site with a semipermeable transparent dressing to reduce the risk
of infection.
A nurse is providing teaching to an adolescent patient about how to manage tinea pedis. Which of the
following statements by the patient indicates an understanding of the teaching?
A. "I should buy plastic shoes to wear at the swimming pool."
B. "I should wear sandals as much as possible."
C. "I should place the permethrin cream between my toes twice daily."
D. "I should seal my nonwashable shoes in plastic bags for a couple of weeks." ANS: B. "I should wear
sandals as much as possible."
, Rationale: Sandals allow air to circulate around the feet, decreasing perspiration and eliminating the
medium for bacteria and fungus to grow. The nurse should inform the adolescent that wearing sandals,
open-toed, or well-ventilated shoes will promote healing of the fungal infection.
A charge nurse is preparing to make a room assignment for a newly admitted school-aged child. Which
of the following consideration's is the charge nurses priority?
A. Length of stay
B. Treatment schedule
C. Disease process
D. Self-care ability ANS: C. Disease process
Rationale: The transmission of infectious diseases is the greatest risk to this child and other children on
the unit. Therefore, the child's disease process is the nurse's priority consideration.
A nurse is providing teaching to the family of a school-aged child who has juvenile idiopathic arthritis.
Which of the following should the nurse include in the teaching?
A. "Limit movement of the child's large joints."
B. "Encourage the child to perform independent self-care."
C. "Provide the child with a soft mattress for sleeping."
D. "Schedule a 2-hour daily nap for the child in the afternoon." ANS: B. "Encourage the child to perform
independent self-care."
Rationale: The nurse should teach the family the importance of encouraging the child to perform
independent self-care. This will minimize the child's pain while maximizing mobility. Encouraging and
praising the child's efforts for independence will also increase their self-esteem.
A nurse is caring for a toddler who has acute otitis media and a temperature of 104 F. After
administering acetaminophen, which of the following actions should the nurse plan to take to lower the
toddler's temperature?
A. Apply a cooling blanket to the toddler.
B. Dress the toddler in minimal clothing.
A nurse is monitoring the oxygen saturation rate of an infant using pulse oximetery. The nurse should
secure the sensor to which of the following areas on the infant?
A. Wrist
B. Great Toe
C. Index Finger
D. Heel ANS: B. Great Toe
Rationale: The nurse should secure the sensor to the great toe of the infant and then place a snug-fitting
sock on the foot to hold the sensor in place. The nurse should also check the skin under the sensor site
frequently for temperature, color, and the presence of a pulse.
A nurse is assessing a school-aged child who has an acute spinal cord injury following a sports injury 1
week ago. Identify the area the nurse should tap to elicit the bicep reflex. ANS: A - The nurse should
identify that this is the location to tap to elicit the biceps reflex.
A nurse is preparing to administer ibuprofen 5 mg/kg every 6 hours PRN for a temperature above 100.5
F to an infant who weights 17.6 lbs. Available is IV ibuprofen oral suspension 100mg/5mL. How many mL
should the nurse administer to the infant per dose? (round to nearest whole number) ANS: 2 mL
A school nurse is providing an in-service for faculty about improving education for students who has
ADHD. Which of the following statements by a faculty member indicates an understanding of the
teaching?
A. "I will plan to increase the amount of homework I assign to students who have ADHD."
B. "I will give students who have ADHD the same amount of time as other students to complete tests."
C. "I will allow students who have ADHD one rest break throughout the day."
D. "I will teach challenging academic subjects to students who have ADHD in the morning." ANS: D. "I
will teach challenging academic subjects to students who have ADHD in the morning."
Rationale: Faculty should plan to teach challenging academic subjects in the morning when students
who have ADHD are most able to focus and their medication is most likely to be effective.
,A nurse is caring for a newly admitting school-aged child who has hypopituitarism. Which of the
following medications should the nurse expect the provider to prescribe?
A. Desmopressin
B. Luteinizing hormone-releasing hormone
C. Recombinant growth hormone
D. Levothyroxine ANS: C. Recombinant growth hormone
Rationale: Recombinant growth hormone injections are used to treat hypopituitarism, which inhibits cell
growth and results in growth failure. The nurse should expect the provider to prescribe this treatment.
A nurse is assessing an adolescent who received sodium polystyrene sulfonate enema. Which of the
following findings indicates effectiveness of this medication?
A. Reports an absence of nausea and vomiting
B. Reports experiencing an onset of loose stools within 15 min of administration
C. Serum potassium level 4.1 mEq/L
D. Blood pressure 86/52 mm Hg ANS: C. Serum potassium level 4.1 mEq/L
Rationale: The nurse should monitor the adolescent's serum potassium level following the
administration of sodium polystyrene sulfonate. This medication is used to treat hyperkalemia by
exchanging sodium ions for potassium ions in the intestine. Therefore, a potassium level within the
expected reference range of 3.4 to 4.7 mEq/L indicates the effectiveness of the medication.
A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot syndrome
and begins to have a hyper-cyanotic spell. which of the following actions should the nurse take?
A. Place the infant in a knee-chest position.
B. Administer a dose of meperidine IV.
C. Discontinue administration of IV fluids.
D. Apply oxygen at 2 L/min via nasal cannula. ANS: A. Place the infant in a knee-chest position.
Rationale: The nurse should place the infant in a knee-chest position during a hypercyanotic spell to
decrease the return of desaturated venous blood from the legs and to direct more blood into the
pulmonary artery by increasing systemic vascular resistance.
,A nurse is caring for a school-aged child who has peripheral edema. The nurse should identify that which
of the following assessments should be performed to confirm peripheral edema?
A. Palpate the dorsum of the child's feet.
B. Weigh the child daily using the same scale.
C. Assess the child's skin turgor.
D. Observe the child for periorbital swelling. ANS: A. Palpate the dorsum of the child's feet.
Rationale: The nurse should palpate the dorsum of the feet by pressing the fingertip against a bony
prominence for 5 seconds to assess for peripheral edema.
A nurse is planning care for a school-aged child who has a tunneled central venous access device. Which
of the following interventions should the nurse include in the plan of care?
A. Use sterile scissors to remove the dressing from the site.
B. Irrigate each lumen weekly with 10 mL of 0.9% sodium chloride solution when not in use.
C. Access the site using a noncoring angled needle.
D. Use a semipermeable transparent dressing to cover the site. ANS: D. Use a semipermeable
transparent dressing to cover the site.
Rationale: The nurse should cover the site with a semipermeable transparent dressing to reduce the risk
of infection.
A nurse is providing teaching to an adolescent patient about how to manage tinea pedis. Which of the
following statements by the patient indicates an understanding of the teaching?
A. "I should buy plastic shoes to wear at the swimming pool."
B. "I should wear sandals as much as possible."
C. "I should place the permethrin cream between my toes twice daily."
D. "I should seal my nonwashable shoes in plastic bags for a couple of weeks." ANS: B. "I should wear
sandals as much as possible."
, Rationale: Sandals allow air to circulate around the feet, decreasing perspiration and eliminating the
medium for bacteria and fungus to grow. The nurse should inform the adolescent that wearing sandals,
open-toed, or well-ventilated shoes will promote healing of the fungal infection.
A charge nurse is preparing to make a room assignment for a newly admitted school-aged child. Which
of the following consideration's is the charge nurses priority?
A. Length of stay
B. Treatment schedule
C. Disease process
D. Self-care ability ANS: C. Disease process
Rationale: The transmission of infectious diseases is the greatest risk to this child and other children on
the unit. Therefore, the child's disease process is the nurse's priority consideration.
A nurse is providing teaching to the family of a school-aged child who has juvenile idiopathic arthritis.
Which of the following should the nurse include in the teaching?
A. "Limit movement of the child's large joints."
B. "Encourage the child to perform independent self-care."
C. "Provide the child with a soft mattress for sleeping."
D. "Schedule a 2-hour daily nap for the child in the afternoon." ANS: B. "Encourage the child to perform
independent self-care."
Rationale: The nurse should teach the family the importance of encouraging the child to perform
independent self-care. This will minimize the child's pain while maximizing mobility. Encouraging and
praising the child's efforts for independence will also increase their self-esteem.
A nurse is caring for a toddler who has acute otitis media and a temperature of 104 F. After
administering acetaminophen, which of the following actions should the nurse plan to take to lower the
toddler's temperature?
A. Apply a cooling blanket to the toddler.
B. Dress the toddler in minimal clothing.
