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ATI Child Proctored Focus Exam NEW UPDATE 2022
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ATI Child Proctored Focus Exam NEWUPDATE 2022
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A child must be NPO for how many hours prior to a cardiac cathertization? –
Answer 4-6 hrs
A nurse is caring for a 10 yr old child who has acute glomerulonephritis (AGN). Which of the
following findings should the nurse report to the provider?
A. Serum BUN 8 mg/dL
B. Serum creatinine 1.3 mg/dL
C. Blood pressure 100/74 mmHg
D. urine output 550 mL over 24 hr –
Answer B. Serum creatinine 1.3 is out of range for a 10 yr old child
A nurse is caring for a child. Which of the following are clinical manifestations of
poststreptococcal glomerulonephritis (APSGN)? Select all.
A. Frothy urine
B. Periorbital edema
C. Ill appearance
D. Decreased creatinine
E. Hypertension –
Answer B, C, E
A nurse is caring for an adolescent who has sustained a closed head injury. Which of the
following are clinical manifestations of increased intracranial pressure (ICP)? Select all.
A. Report of headache
B. Alteration in pupillary response
C. Increased motor response
D. Increased sleeping
E. Increased sensory response –
Answer A, B, D
Not C-decreased motor response is a sign of ICP, Not E-decreased sensory response is a sign of
ICP
A nurse is performing a developmental screening on an 18 month old. Which of the following
skills should the toddler be able to perform? Select all.
,A. Build a tower w/6 blocks
B. Throw a ball overhand
C. Walk up & down stairs
D. Draw circles
E. Use a spoon w/out rotation –
Answer B, E
A-the toddler should be able to build a tower w/6 blocks by 2 yrs
C-also at 2 years
D-this is done at 2 1/2 yrs
A nurse is planning to administer immunizations to a 2-month-old infant. Which of the following
should the nurse anticipate giving? Select all.
A. Rotavirus (RV)
B. DTaP
C. Hib
D. HepA
E. PCV
F. IPV –
Answer A, B, C, E
D-starts at 12 mos
F-starts at 2 mos
A nurse is planning to perform a peripheral vision test on a child. Which of the following is an
appropriate action for the nurse to take?
A. Place the child 10 ft away from the chart
B. Show a set of cards to the child one at a time
C. Cover the child's eye while performing the test on the other eye
D. Have the child focus on an object while performing the test –
Answer D. When performing a peripheral vision test, the nurse asks the child to focus on an
object while bringing the pencil into the child's peripheral vision
A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following
should the nurse include? Select all.
A. Develop food habits that will prevent dental caries
B. Meeting caloric needs results in an increased appetite
C. Expression of bedtime fears is common
D. Expect behaviors associated w/negativism & ritualism
E. Annual screenings for phenylketouria are important –
Answer A, C, D
, Not B because toddlers often experience physiologic anorexia & become fussy eaters because of
a decreased appetite
Not E because screening for this is for the newborn.
A nurse is providing teaching to the mother of an infant who is to start taking digoxin. Which of
the following instructions should the nurse include?
A. Do not offeer your baby fluids after giving the med
B. Digoxin increases your baby's heart rate
C. Give the correct dose of medication at regularly scheduled times
D. If your baby vomits a dose, you should repeat the dose to ensure he gets the correct amount –
Answer C. The correct amount of digoxin should be administered at regularly scheduled times
to maintain therapeutic blood levels
A nurse is providing teaching to the parent's of a child who has a new prescription for liquid oral
iron supplements. Which of the following statements by the parent indicates an understanding of
the teaching?
A. "I should take my child to the ER if his stools become dark."
B. "My child should avoid eating citrus fruits while taking the supplements."
C. "I should give the iron w/milk to help prevent an upset stomach."
D. "My child should take the supplement through a straw." –
Answer D. The child should take the supplement through a straw to prevent/minimize teeth
staining
A nurse is teaching a parent of a child who has pediculosis capitis. Which of the following
should the nurse include in the teaching?
A. Apply mayonnaise to the affected area at night
B. Treat all household pets
C. Use an over-the-counter medication containing 1% permethrin
D. Discard the child's stuffed animals –
Answer C. Pediculosis capitis is treated w/1% permethrin, which can be purchased over the
counter
It does not affect pets, it is transmitted person to person. Home remedies like mayo increase the
risk of infection & should be avoided. Items such as stuffed animals that cannot be placed in the
laundry can be sealed in a bag for 14 days to kill the lice.
A nurse is teaching a patient about acetominophen (Tylenol) poisoning. Which of the following
statements by the nurse should be included in the teaching?
A. Nausea begins 24 hrs after ingestion
B. Pallor can appear as early as 2 hrs after ingestion
C. Jaundice will appear in 12 hrs if your child is toxic
D. Children can have 4 grams of acetaminophen per day –
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