RN PEDIATRIC NURSING ONLINE PRACTICE
REAL ATI PEDIATRICS EXAM STUDY GUIDE
AND PRACTICE TEST.
1. A nurse is teaching the parent of a preschooler about ways to prevent
acute asthma attacks. Which of the following statements by the parents
indicates and understanding of the teaching?
a. "I will use a humidifier in my child's room at night"
b. "I will give my child a cough suppressant every 6 hours if he has a
cough."
c. "I should avoid using a wet mop on my floors when I am
cleaning."
d. "I should keep my child indoors when I mow the yard." -
ANSWER d. "I should keep my child indoors when I mow the
yard."
2. The nurse should instruct the parent to keep the preschooler indoors
during lawn maintenance or when the pollen count is increased.
Guarding against exposure to known allergens found outdoors, such as
grass, tree, and weed pollen, will decrease the frequency of the
preschooler's asthma attacks.
,3. A nurse is assessing a 6-year-old child immediately following surgery
for a perforated appendix. Which of the following findings should the
nurse expect?
a. Purulent drainage from the NG tube
b. Hypoactive bowel sounds
c. Passage of dark-red stool with mucus
d. Urine output of 20 mL/hr - ANSWER b. Hypoactive bowel
sounds
4. The nurse should expect hypoactive bowel sounds following
appendiceal rupture or if the child has developed peritonitis.
Additionally, hypoactive bowel sounds are an expected finding
immediately following abdominal surgery, until full peristalsis resumes.
5. The nurse is assessing a school-age 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 biceps reflex. - ANSWER A is correct. The nurse
should identify that this is the location to tap to elicit the biceps reflex.
6. B is incorrect. The nurse should tap this location to elicit the triceps
reflex.
7. C is incorrect. The nurse should tap this location to elicit the
brachioradialis reflex.
8. A nurse on a pediatric unit is caring for a toddler.
9. Which of the following potential provider prescriptions should the nurse
identify as anticipated or contraindicated?
,10. Potential Provider's Prescription: (Anticipated or Contraindicated)
11. Administer factor VIII
12. Apply ice packs to the infected joints
13. Administer morphine PRN pain
14. Perform passive range-of-motion (ROM) exercises during the first
12 hr following injury
15. Elevate the affected joints - ANSWER Administer factor VIII is
anticipated. The child is experiencing an acute episode of hemophilia
due to a recent fall. During this acute episode, there is potential for
internal bleeding into the joint spaces. Therefore, administering factor
VIII is anticipated to control bleeding.
16. Apply ice packs to the affected joints is anticipated. The child is
experiencing an acute episode of hemarthrosis due to a recent fall, as
evidenced by the bruising and swelling of the knee joint. Therefore,
applying ice packs to the affected joints is anticipated to manage
discomfort and decrease bleeding into the joint.
17. Administer morphine PRN pain is anticipated. The child is
experiencing severe pain. Opioids can be administered in the inpatient
setting to relieve pain. Otherwise, acetaminophen can be given at home
for pain. Aspirin and NSAIDs should be avoided because they inhibit
platelet function and might increase bleeding.
18. Perform passive range-of-motion (ROM) exercises during the first
12 hr following injury is contraindicated. The child is experiencing an
acute episode of hemarthrosis. Passive ROM exercises can increase
bleeding into the joint for the first 48 hr following injury. The toddler
should be encouraged to exercise the joint as tolerated.
, 19. Elevate the affected joints is anticipated. The child is experiencing
an acute episode of hemarthrosis due to a recent fall, as evidenced by the
bruising and swelling of the knee joint. Elevation of the joint, along with
the application of ice, is anticipated to help decrease bleeding and
swelling in the joint.
20. A nurse is providing discharge teaching to the parent of an 18-
month-old toddler who has dehydration due to acute diarrhea. Which of
the following statements by the parent indicates an understanding of the
teaching?
a. "I will offer my child small amounts of fruit juice frequently.."
b. "I will avoid giving my child solid foods until the diarrhea has
stopped,"
c. "I will monitor my child's number of wet diapers."
d. "I will give my child polyethylene glycol daily for 7 days." -
ANSWER c. "I will monitor my child's number of wet diapers."
21. The nurse should teach the parent to closely monitor the child's
number of wet diapers. Monitoring the number of wet diapers per day is
an effective way for the parent to monitor adequate output and hydration
status.
22. A nurse on a pediatric unit is caring for a school-age child.
23. After reviewing the information in the child's medical record,
which of the following findings should the nurse address first?
24. The nurse should address the child's (oxygen saturation/joint
REAL ATI PEDIATRICS EXAM STUDY GUIDE
AND PRACTICE TEST.
1. A nurse is teaching the parent of a preschooler about ways to prevent
acute asthma attacks. Which of the following statements by the parents
indicates and understanding of the teaching?
a. "I will use a humidifier in my child's room at night"
b. "I will give my child a cough suppressant every 6 hours if he has a
cough."
c. "I should avoid using a wet mop on my floors when I am
cleaning."
d. "I should keep my child indoors when I mow the yard." -
ANSWER d. "I should keep my child indoors when I mow the
yard."
2. The nurse should instruct the parent to keep the preschooler indoors
during lawn maintenance or when the pollen count is increased.
Guarding against exposure to known allergens found outdoors, such as
grass, tree, and weed pollen, will decrease the frequency of the
preschooler's asthma attacks.
,3. A nurse is assessing a 6-year-old child immediately following surgery
for a perforated appendix. Which of the following findings should the
nurse expect?
a. Purulent drainage from the NG tube
b. Hypoactive bowel sounds
c. Passage of dark-red stool with mucus
d. Urine output of 20 mL/hr - ANSWER b. Hypoactive bowel
sounds
4. The nurse should expect hypoactive bowel sounds following
appendiceal rupture or if the child has developed peritonitis.
Additionally, hypoactive bowel sounds are an expected finding
immediately following abdominal surgery, until full peristalsis resumes.
5. The nurse is assessing a school-age 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 biceps reflex. - ANSWER A is correct. The nurse
should identify that this is the location to tap to elicit the biceps reflex.
6. B is incorrect. The nurse should tap this location to elicit the triceps
reflex.
7. C is incorrect. The nurse should tap this location to elicit the
brachioradialis reflex.
8. A nurse on a pediatric unit is caring for a toddler.
9. Which of the following potential provider prescriptions should the nurse
identify as anticipated or contraindicated?
,10. Potential Provider's Prescription: (Anticipated or Contraindicated)
11. Administer factor VIII
12. Apply ice packs to the infected joints
13. Administer morphine PRN pain
14. Perform passive range-of-motion (ROM) exercises during the first
12 hr following injury
15. Elevate the affected joints - ANSWER Administer factor VIII is
anticipated. The child is experiencing an acute episode of hemophilia
due to a recent fall. During this acute episode, there is potential for
internal bleeding into the joint spaces. Therefore, administering factor
VIII is anticipated to control bleeding.
16. Apply ice packs to the affected joints is anticipated. The child is
experiencing an acute episode of hemarthrosis due to a recent fall, as
evidenced by the bruising and swelling of the knee joint. Therefore,
applying ice packs to the affected joints is anticipated to manage
discomfort and decrease bleeding into the joint.
17. Administer morphine PRN pain is anticipated. The child is
experiencing severe pain. Opioids can be administered in the inpatient
setting to relieve pain. Otherwise, acetaminophen can be given at home
for pain. Aspirin and NSAIDs should be avoided because they inhibit
platelet function and might increase bleeding.
18. Perform passive range-of-motion (ROM) exercises during the first
12 hr following injury is contraindicated. The child is experiencing an
acute episode of hemarthrosis. Passive ROM exercises can increase
bleeding into the joint for the first 48 hr following injury. The toddler
should be encouraged to exercise the joint as tolerated.
, 19. Elevate the affected joints is anticipated. The child is experiencing
an acute episode of hemarthrosis due to a recent fall, as evidenced by the
bruising and swelling of the knee joint. Elevation of the joint, along with
the application of ice, is anticipated to help decrease bleeding and
swelling in the joint.
20. A nurse is providing discharge teaching to the parent of an 18-
month-old toddler who has dehydration due to acute diarrhea. Which of
the following statements by the parent indicates an understanding of the
teaching?
a. "I will offer my child small amounts of fruit juice frequently.."
b. "I will avoid giving my child solid foods until the diarrhea has
stopped,"
c. "I will monitor my child's number of wet diapers."
d. "I will give my child polyethylene glycol daily for 7 days." -
ANSWER c. "I will monitor my child's number of wet diapers."
21. The nurse should teach the parent to closely monitor the child's
number of wet diapers. Monitoring the number of wet diapers per day is
an effective way for the parent to monitor adequate output and hydration
status.
22. A nurse on a pediatric unit is caring for a school-age child.
23. After reviewing the information in the child's medical record,
which of the following findings should the nurse address first?
24. The nurse should address the child's (oxygen saturation/joint
