PEDS ATI PROCTORED EXAM
1. The nurse is preparing to administer an immunization to a
four-year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during
the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3
seconds: C- administer the immunization using a 24-gauge
needle; The nurse should administer an immu- nization for a 4-year-
old child using a 24-
gauge needle to minimize the amount of pain experienced by the
toddler.
2. A nurse is reviewing the laboratory report of an infant who
is receiving treatment for severe dehydration. The nurse
should identify which of the following laboratory values
indicates effectiveness of the current treatment? A-
Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
,D- BUN 25 mg: B- sodium 140; The nurse should identify that a
sodium level of 140 mEq/L is within the
expected reference range and indicates the current treatment
regimen the infant is receiving for dehydration is effective.
3. The nurse is providing teaching about Social Development
to the parents of a
preschooler. Which of the following play activities should the
nurse recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up: D- playing dress-up; The nurse should
instruct the parents that at the preschool age, play should focus
on social, mental, and physical development. Therefore, playing
dress-up is a recommended play activity for this child.
4. A nurse is teaching the parents of a newborn about ways to
prevent sudden infant death syndrome SIDS. Which of the
following instructions should the nurse include?
A- Place the infant in a prone position to sleep. B- Allow the
infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.: D- Give the infant a
pacifier at bedtime; The nurse should inform the parent that
,protective factors against SIDS include breastfeeding and the use
of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a
supine
5. 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 11,300
C- diarrhea
D- abdominal distension: A- Nasal flaring; When using the
airway, breathing, circulation approach to client care, the nurse
should place the priority on nasal flaring. Nasal flaring indicates
that the infant is experiencing acute respiratory distress.
6. A school nurse is assessing a school-age child blood
pressure while he is seated
in a chair. The child starts to experience a tonic-clonic
seizure. Which of the following actions should the nurse take
first?
A- Clear the immediate area around the child of hazardous
objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
, D- apply an oxygen mask to the child: C- assist the child to a
side-lying position on the floor; The greatest risk to this child is
aspiration, occlusion of the airway, and bodily
injury from falling out of the chair. The nurse should ease the child
down to floor in a side-lying position immediately. This position
enables the child's secretions to drain from the mouth, preventing
aspiration, and maintaining a patent airway.
7. A nurse is receiving change-of-shift Report on for children.
Which of the following children should the nurse assesses
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 hour
ago and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and
brown colored urine: A- A toddler who has a concussion and an
episode of forceful vomiting; When using the urgent vs. no urgent
approach to client care, the nurse should assess
this child first. An episode of forceful vomiting is an indication of
increased intracranial pressure in a toddler who has a
concussion.
1. The nurse is preparing to administer an immunization to a
four-year-old child.
Which of the following actions should the nurse plan to take?
A- Place the child in a prone position for the immunization
B- request that the child's caregiver leave the room during
the immunization
C- administer the immunization using a 24-gauge needle
D- inject the immunization slowly after aspirating for 3
seconds: C- administer the immunization using a 24-gauge
needle; The nurse should administer an immu- nization for a 4-year-
old child using a 24-
gauge needle to minimize the amount of pain experienced by the
toddler.
2. A nurse is reviewing the laboratory report of an infant who
is receiving treatment for severe dehydration. The nurse
should identify which of the following laboratory values
indicates effectiveness of the current treatment? A-
Potassium 2.9 mEq/L
B- sodium 140
C- urine specific gravity 1.035
,D- BUN 25 mg: B- sodium 140; The nurse should identify that a
sodium level of 140 mEq/L is within the
expected reference range and indicates the current treatment
regimen the infant is receiving for dehydration is effective.
3. The nurse is providing teaching about Social Development
to the parents of a
preschooler. Which of the following play activities should the
nurse recommend for the child?
A- Play pat-a-cake
B- using a push pull toy
C- creating a scrapbook
D- playing dress-up: D- playing dress-up; The nurse should
instruct the parents that at the preschool age, play should focus
on social, mental, and physical development. Therefore, playing
dress-up is a recommended play activity for this child.
4. A nurse is teaching the parents of a newborn about ways to
prevent sudden infant death syndrome SIDS. Which of the
following instructions should the nurse include?
A- Place the infant in a prone position to sleep. B- Allow the
infant to sleep on a large pillow.
C- User soft mattress in the infant's crib.
D- Give the infant a pacifier at bedtime.: D- Give the infant a
pacifier at bedtime; The nurse should inform the parent that
,protective factors against SIDS include breastfeeding and the use
of a pacifier when the infant is sleeping.
A- The nurse should instruct the parent to place the infant in a
supine
5. 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 11,300
C- diarrhea
D- abdominal distension: A- Nasal flaring; When using the
airway, breathing, circulation approach to client care, the nurse
should place the priority on nasal flaring. Nasal flaring indicates
that the infant is experiencing acute respiratory distress.
6. A school nurse is assessing a school-age child blood
pressure while he is seated
in a chair. The child starts to experience a tonic-clonic
seizure. Which of the following actions should the nurse take
first?
A- Clear the immediate area around the child of hazardous
objects
B- loosen the child restrictive clothing
C- assist the child to a side-lying position on the floor
, D- apply an oxygen mask to the child: C- assist the child to a
side-lying position on the floor; The greatest risk to this child is
aspiration, occlusion of the airway, and bodily
injury from falling out of the chair. The nurse should ease the child
down to floor in a side-lying position immediately. This position
enables the child's secretions to drain from the mouth, preventing
aspiration, and maintaining a patent airway.
7. A nurse is receiving change-of-shift Report on for children.
Which of the following children should the nurse assesses
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 hour
ago and rates his pain
at a 6 on a 0-10 scale
D- school-age child who has acute glomerulonephritis and
brown colored urine: A- A toddler who has a concussion and an
episode of forceful vomiting; When using the urgent vs. no urgent
approach to client care, the nurse should assess
this child first. An episode of forceful vomiting is an indication of
increased intracranial pressure in a toddler who has a
concussion.
