REAL ATI PEDIATRICS EXAM STUDY GUIDE AND
PRACTICE TEST.
. A nurse is contributing to the plan of care for a 10-month-old infant who is
postoperative following cleft palate repair. Which of the following actions
should the nurse include in the plan of care?
a) Place the infant in side-lying position.
b) Offer the infant liquids with a straw.
c) Prohibit the guardian from holding the infant for 8 hr.
d) Cleanse the suture line with a lemon glycerin swab - ANSWER a
A 10 month old infant has been hospitalized four times for a total of 42
days. The nurse notices that the infant does not seem upset when the parents
leave. Which of the following should the nurse recognize as an appropriate
explanation for this behavior - ANSWER Experiencing detachment
A charge nurse is preparing to make a room assignment for a newly
admitted school age child. Which of the following considerations is the
nurses priority?
,a. Length of stay
b. Treatment schedule
c. Disease process
d. Self-care ability - ANSWER c
A community health nurse is assessing an 18-month-old toddler in a
community day care. Which of the following findings should the nurse
identify as a potential indication of physical neglect?
a. Resists having an axillary temperature taken
b. Exhibits withdrawal behaviors when their parent leaves
c. Has multiple bruises on their knees
d. Poor personal hygiene - ANSWER d
A guardian calls the clinic nurse after his child has developed symptoms of
varicella and asks when his child will no longer be contagious. Which of the
following responses should the nurse make?
a) "When your child no longer has a fever."
b) "Three days after the rash started."
c) "Six days after lesions appear if they are crusted."
d) "When your child's lesions disappear." - ANSWER c
A hospice nurse is caring for a preschooler who has a terminal illness. The
father tells the nurse that he cannot cope anymore and has decided to move
out of the house. Which of the following statements should the nurse make?
- ANSWER "Let's talk about some of the ways you have handled previous
stressors in your life."
A nurse assessing a school-age child who has an infratentorial brain tumor.
Which of the following findings should the nurse identify as a manifestation
of increased intracranial pressure?
,a. Hypotension
b. Reports insomnia
c. Difficulty concentrating
d. Tachycardia - ANSWER c
A nurse at a pediatric clinic is assessing a 5-month-old infant during a well-
child visit. Which of the following findings should the nurse report to the
provider?
a. Head lags when pulled from a lying to a sitting position
b. Absence of startle and crawl reflexes
c. Inability to pick up a rattle after dropping it
d. Rolls from back to side - ANSWER A
A nurse in a health department is caring for an emancipated adolescent who
has an STI and is unaccompanied by a guardian. Which of the following
actions should the nurse take?
a. Have the adolescent sign a consent form for treatment.
b. Instruct the adolescent to return with a guardian.
c. Obtain consent from the adolescent's guardian over the phone.
d. Treat the adolescent without a consent form. - ANSWER a
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. - ANSWER b
A nurse in a pediatric clinic is caring for a 3-year-old child who has a blood
lead level of 3 mcg/dL. When teaching the toddler's parents about the
, correlation of nutrition with lead poisoning, which of the following
information is appropriate for the nurse to include in the teaching?
a. Decrease the child's vitamin C intake until the blood lead level decreases
to zero. b. Administer a folic acid supplement to the child each day.
c. Give pancreatic enzymes to the child with meals and snacks.
d. Ensure the child's dietary intake of calcium and iron is adequate. -
ANSWER d
A nurse in a pediatric clinic is caring for an infant who has heart failure and
a prescription for digoxin. Which of the following statements by the parent
indicates the desired therapeutic effect of the medication?
a) "My baby is breathing easier than she used to."
b) "My baby is taking longer naps."
c) "My baby is having fewer wet diapers."
d) "My baby's heart rate is faster than it used to be." - ANSWER a
A nurse in a pediatric clinic is talking on the telephone with the parent of a
6-month-old infant who has a urinary tract infection and started taking an
oral antibiotic the day before. Listen to the audio clip and determine which
of the following responses the nurse should make. (Audio says. "every time
I try to give a dose of this medicine to my baby, she either refuses it or takes
it and then spits it out. Is there anything I can try that might get her to take
it?"
a) "Mix the medicine with ¼ cup of juice before giving it to your baby."
b) "Mix the medicine with 1 teaspoon of honey before giving it to your
baby."
c) "Mix the medicine with ¼ cup of formula before giving it to your baby."
d) "Mix the medicine with 1 teaspoon of applesauce before giving it to your
baby." - ANSWER d