ATI Peds proctored exam
1. a nurse is planning care for a child who has severe diarrhea. which of the following
actions is the nurse priority?: Assess fluid balance
2. 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?: Instruct the parent to avoid pressing on the abdominal area
3. A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions is the nurse's priority?: Check the Childs weight daily
4. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis.
Which of the following is the nurse's priority?: Administer antibiotics when available
5. A nurse is collecting data from an adolescent. Which of the following repre-
sents the greatest risk for suicide?: Active psychiatric disorder (Mark, mental problems,
patients mind is unstable)
6. A nurse is collecting data from an infant who has otitis media (middle ear infection).
The nurse should expect which of the following findings?: Tugging on the affected ear
lobe
7. 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?: "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)
, 8. 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?: Apply an antibiotic
ointment to the suture site
9. 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?: "I will make sure my child washes her hands before
eating"
10. 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?: "Bring your infant into the clinic today to be seen"
11. 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): lethargy (high
pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability
12. 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?: Perform neurovascular checks of the affected extremity (check for infection, color,
capillary refill, redness)
13. 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?: Activated charcoal (can work with toxin, poison. Given
through ng tube absorbs toxins)
1. a nurse is planning care for a child who has severe diarrhea. which of the following
actions is the nurse priority?: Assess fluid balance
2. 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?: Instruct the parent to avoid pressing on the abdominal area
3. A nurse is caring for a child who has acute glomerulonephritis. Which of the following
actions is the nurse's priority?: Check the Childs weight daily
4. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis.
Which of the following is the nurse's priority?: Administer antibiotics when available
5. A nurse is collecting data from an adolescent. Which of the following repre-
sents the greatest risk for suicide?: Active psychiatric disorder (Mark, mental problems,
patients mind is unstable)
6. A nurse is collecting data from an infant who has otitis media (middle ear infection).
The nurse should expect which of the following findings?: Tugging on the affected ear
lobe
7. 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?: "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)
, 8. 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?: Apply an antibiotic
ointment to the suture site
9. 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?: "I will make sure my child washes her hands before
eating"
10. 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?: "Bring your infant into the clinic today to be seen"
11. 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): lethargy (high
pitched cry, respiratory changes, bradycardia, wide pulse pressure, irritability
12. 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?: Perform neurovascular checks of the affected extremity (check for infection, color,
capillary refill, redness)
13. 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?: Activated charcoal (can work with toxin, poison. Given
through ng tube absorbs toxins)
