NURS 403 Pediatric Unit 1 & 2 Custom ATI Assessment |
Questions & Answers | Latest Update 2026 | Exam Prep |
Graded A+
1. If a nurse encounters a toddler who is visibly upset during a vital signs check,
what should the nurse do to effectively manage the situation?
Ask the parent to hold the child tightly.
Explain the procedure in detail to the child.
Use distraction techniques and a calm voice.
Ignore the child's distress and proceed quickly.
2. Describe the significance of the technique used when administering
medication to the ear.
The technique is significant because it prevents earwax buildup.
The technique is significant because it allows for a quicker recovery
from colds.
The technique is significant because it ensures that the medication
effectively reaches the inner ear region.
The technique is significant because it helps to diagnose ear
infections.
3. Describe how to calculate the total fluid intake for a child on a clear liquid
diet based on the provided food items.
The nurse should not include ice pops in the fluid intake calculation.
Only solid foods should be counted in fluid intake.
To calculate total fluid intake, convert all food items to milliliters
, and sum them up.
Fluid intake is only recorded for liquids consumed at breakfast.
4. What is the recommended technique for positioning the auricle when
administering ear drops to a toddler?
Pull the auricle up and back.
Pull the auricle down and back.
Pull the auricle down and forward.
Pull the auricle straight out.
5. What is a common sign of infiltration at an IV site in infants?
Increased redness around the site
Presence of a blood return
Swelling at the infusion site
Warmth of the skin
6. Describe the rationale behind the sequence of steps in an abdominal
assessment for pediatric patients.
The sequence starts with inspection to observe any abnormalities
before proceeding to palpation and auscultation.
Auscultation is performed first to listen for bowel sounds before any
physical examination.
Palpation is done first to assess tenderness before visual inspection.
Inspection is not necessary if the child is in pain.
7. The parent of a four old tells you that the child believes that there are
monsters hiding monsters hidings in the closet at bedtime. What is
appropriate?
, "Let your child sleep with you"
"Stay with your child until the child falls asleep."
"Keep a night light on in your child's room."
"Tell your child the monsters are not real."
8. If a nurse observes that a 6-month-old infant is showing signs of increased
irritability and crying after surgery, how should the nurse proceed with pain
assessment?
Ask the parents to describe the infant's pain.
Use a numeric scale to assess the infant's pain level.
Wait for the infant to calm down before assessing pain.
Use the FLACC scale to assess the infant's pain level.
9. What is the purpose of pulling the ear in a specific way during medication
administration?
To clean the outer ear.
To open the ear canal for medication delivery.
To relieve ear pressure.
To assess hearing ability.
10. What is the first step a nurse should take when conducting an abdominal
assessment on a child?
Percussion
Palpation
Inspection
Auscultation
, 11. What type of play activity is recommended for a child to cope with the
distress of an insulin injection?
A coloring book and crayons
A needleless syringe and a doll
A video game and a toy car
A puzzle and blocks
12. What is the expected minimum urinary output for a 6-month-old infant to
indicate adequate hydration?
At least 1-2 mL/kg/hour
At least 10 mL/kg/hour
At least 0.5 mL/kg/hour
At least 5 mL/kg/hour
13. If the child also drank an additional 50 mL of broth later in the day, what
would be the new total fluid intake for the child?
240 mL
290 mL
250 mL
300 mL
14. In a scenario where a child is experiencing ear pain and requires medication,
how should the nurse demonstrate the ear-pulling technique to ensure
effective treatment?
By pulling the ear downward and forward to close the ear canal.
By pulling the ear upward and backward to open the ear canal.
Questions & Answers | Latest Update 2026 | Exam Prep |
Graded A+
1. If a nurse encounters a toddler who is visibly upset during a vital signs check,
what should the nurse do to effectively manage the situation?
Ask the parent to hold the child tightly.
Explain the procedure in detail to the child.
Use distraction techniques and a calm voice.
Ignore the child's distress and proceed quickly.
2. Describe the significance of the technique used when administering
medication to the ear.
The technique is significant because it prevents earwax buildup.
The technique is significant because it allows for a quicker recovery
from colds.
The technique is significant because it ensures that the medication
effectively reaches the inner ear region.
The technique is significant because it helps to diagnose ear
infections.
3. Describe how to calculate the total fluid intake for a child on a clear liquid
diet based on the provided food items.
The nurse should not include ice pops in the fluid intake calculation.
Only solid foods should be counted in fluid intake.
To calculate total fluid intake, convert all food items to milliliters
, and sum them up.
Fluid intake is only recorded for liquids consumed at breakfast.
4. What is the recommended technique for positioning the auricle when
administering ear drops to a toddler?
Pull the auricle up and back.
Pull the auricle down and back.
Pull the auricle down and forward.
Pull the auricle straight out.
5. What is a common sign of infiltration at an IV site in infants?
Increased redness around the site
Presence of a blood return
Swelling at the infusion site
Warmth of the skin
6. Describe the rationale behind the sequence of steps in an abdominal
assessment for pediatric patients.
The sequence starts with inspection to observe any abnormalities
before proceeding to palpation and auscultation.
Auscultation is performed first to listen for bowel sounds before any
physical examination.
Palpation is done first to assess tenderness before visual inspection.
Inspection is not necessary if the child is in pain.
7. The parent of a four old tells you that the child believes that there are
monsters hiding monsters hidings in the closet at bedtime. What is
appropriate?
, "Let your child sleep with you"
"Stay with your child until the child falls asleep."
"Keep a night light on in your child's room."
"Tell your child the monsters are not real."
8. If a nurse observes that a 6-month-old infant is showing signs of increased
irritability and crying after surgery, how should the nurse proceed with pain
assessment?
Ask the parents to describe the infant's pain.
Use a numeric scale to assess the infant's pain level.
Wait for the infant to calm down before assessing pain.
Use the FLACC scale to assess the infant's pain level.
9. What is the purpose of pulling the ear in a specific way during medication
administration?
To clean the outer ear.
To open the ear canal for medication delivery.
To relieve ear pressure.
To assess hearing ability.
10. What is the first step a nurse should take when conducting an abdominal
assessment on a child?
Percussion
Palpation
Inspection
Auscultation
, 11. What type of play activity is recommended for a child to cope with the
distress of an insulin injection?
A coloring book and crayons
A needleless syringe and a doll
A video game and a toy car
A puzzle and blocks
12. What is the expected minimum urinary output for a 6-month-old infant to
indicate adequate hydration?
At least 1-2 mL/kg/hour
At least 10 mL/kg/hour
At least 0.5 mL/kg/hour
At least 5 mL/kg/hour
13. If the child also drank an additional 50 mL of broth later in the day, what
would be the new total fluid intake for the child?
240 mL
290 mL
250 mL
300 mL
14. In a scenario where a child is experiencing ear pain and requires medication,
how should the nurse demonstrate the ear-pulling technique to ensure
effective treatment?
By pulling the ear downward and forward to close the ear canal.
By pulling the ear upward and backward to open the ear canal.
