Peds Proctored ATI Practice Exam
Questions with Complete Solutions
A nurse is reviewing the laboratory results of a school-age child who is 1 week
postoperative following an open fracture repair. Which of the following findings should
the nurse identify as an indication of a potential complication? - Answer-Erythrocyte
sedimentation rate 18 mm/hr
A nurse is planning care for a school-age child who has a tunneled central venous
access device. Which of the following interventions should the nurse include in the
plan? - Answer-Use a semipermeable transparent dressing to cover the site.
A nurse is planning care to address nutritional needs for a preschooler who has cystic
fibrosis. Which of the following interventions should the nurse include in the plan? -
Answer-Increase fat content in the child's diet to 40% of total calories
A nurse is 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? - Answer-Difficulty concentrating
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider? - Answer-Nasal flaring
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? - Answer-Have the adolescent sign a consent form for treatment
A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which
of the following statements by the adolescent indicates an understanding of the
teaching? - Answer-"I should wear sandals as much as possible".
A nurse is assessing an 8-year-old child who has early indications of shock. After
establishing an airway and stabilizing the child's respirations, which of the following
actions should the nurse take next? - Answer-Initiate IV access.
A charge nurse is preparing to make a room assignment for a newly admitted school-
age child. Which of the following considerations is the nurse's priority?
Length of stay
Treatment schedule
Disease process
Self-care ability - Answer-Disease process
,A nurse in an emergency department is assessing a 3-month-old nfant who has
rotavirus and is experiencing acute vomiting and diarrhea. Which of the following
manifestations should the nurse identify as an indication that the infant has moderate to
severe dehydration?
Heart rate 124/min
Increased tear production
Sunken anterior fontanel
Cap refill 2 seconds - Answer-Sunken anterior fontanel
A nurse is providing dietary teaching to the guardian of a school-age child who has
cystic fibrosis. Which of the following statements should the nurse make?
"You should offer your child high-protein meals and snacks throughout the day."
"You should decrease your child's dietary fat intake to less than 10% of their caloric
intake."
"You should restrict your child's calorie intake to 1,200 per day."
"You should give your child a multivitamin once weekly." - Answer-"You should offer
your child high-protein meals and snacks throughout the day."
A nurse is reviewing the dietary choices of an adolescent who has iron-deficiency
anemia. The nurse should identify that which of the following menu items has the
highest amount of nonheme iron?
1/2 cup whole milk
1 cup OJ
1/2 cup raisins
1 cup raw carrots - Answer-1/2 cup raisins
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is
postoperative following hypospadias repair with a stent placement. Which of the
following instructions should the nurse include in the teaching?
"You may bathe your infant in an infant bathtub when you go home."
"Apply hydrocortisone cream to your infant's penis daily."
"You should clamp your infant's stent twice daily."
"Allow the stent to drain directly into your infant's diaper." - Answer-"Allow the stent to
drain directly into your infant's diaper."
A nurse in an emergency department is caring for a school-age child who has epiglottis.
Which of the following actions should the nurse take?
Obtain a throat culture from the child
Monitor the child's oxygen saturation
Put a warm mist humidifier in the child's room
Place the child in the supine position - Answer-Monitor the child's oxygen saturation
, A nurse in a provider's office is caring for a school-age child who has varicella. The
parent asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
"When your child no longer has an increased temperature."
"Three days after you first noticed the rash appear on your child."
"When your child's lesions are crusted, usually 6 days after they appear."
"Two to three weeks, when your child's lesions completely disappear." - Answer-"When
your child's lesions are crusted, usually 6 days after they appear."
A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which of the following instructions should the nurse include in the
teaching?
"Limit movement of the child's large joints."
"Encourage the child to perform independent self-care."
"Provide the child with a soft mattress for sleeping."
"Schedule a 2-hour daily nap for the child in the afternoon." - Answer-"Encourage the
child to perform independent self-care."
A school nurse is providing an in-service for faculty about improving education for
students who have ADHD. Which of the following statements by a faculty member
indicates an understanding of the teaching?
"I will plan to increase the amount of homework I assign to students who have ADHD."
"I will give students who have ADHD the same amount of time as other students to
complete tests."
"I will allow students who have ADHD one rest break throughout the day."
"I will teach challenging academic subjects to students who have ADHD in the morning."
- Answer-"I will teach challenging academic subjects to students who have ADHD in the
morning."
A nurse is planning an educational program to teach parents about protecting their
children from sunburns. Which of the following instructions should the nurse plan to
include?
"Allow your child to play outside during the hours between 10 AM and 2 PM."
"Choose a waterproof sunscreen with a minimum SPF of 15."
"Dress your child in loose weave polyester fabric prior to sun exposure."
"Reapply sunscreen every 4 hours." - Answer-"Choose a waterproof sunscreen with a
minimum SPF of 15."
A nurse is planning care for a newly admitted school-age child who has generalized
seizure disorder. Which of the following interventions should the nurse plan to include?
Questions with Complete Solutions
A nurse is reviewing the laboratory results of a school-age child who is 1 week
postoperative following an open fracture repair. Which of the following findings should
the nurse identify as an indication of a potential complication? - Answer-Erythrocyte
sedimentation rate 18 mm/hr
A nurse is planning care for a school-age child who has a tunneled central venous
access device. Which of the following interventions should the nurse include in the
plan? - Answer-Use a semipermeable transparent dressing to cover the site.
A nurse is planning care to address nutritional needs for a preschooler who has cystic
fibrosis. Which of the following interventions should the nurse include in the plan? -
Answer-Increase fat content in the child's diet to 40% of total calories
A nurse is 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? - Answer-Difficulty concentrating
A nurse is assessing an infant who has pneumonia. Which of the following findings is
the priority for the nurse to report to the provider? - Answer-Nasal flaring
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? - Answer-Have the adolescent sign a consent form for treatment
A nurse is providing teaching to an adolescent about how to manage tinea pedis. Which
of the following statements by the adolescent indicates an understanding of the
teaching? - Answer-"I should wear sandals as much as possible".
A nurse is assessing an 8-year-old child who has early indications of shock. After
establishing an airway and stabilizing the child's respirations, which of the following
actions should the nurse take next? - Answer-Initiate IV access.
A charge nurse is preparing to make a room assignment for a newly admitted school-
age child. Which of the following considerations is the nurse's priority?
Length of stay
Treatment schedule
Disease process
Self-care ability - Answer-Disease process
,A nurse in an emergency department is assessing a 3-month-old nfant who has
rotavirus and is experiencing acute vomiting and diarrhea. Which of the following
manifestations should the nurse identify as an indication that the infant has moderate to
severe dehydration?
Heart rate 124/min
Increased tear production
Sunken anterior fontanel
Cap refill 2 seconds - Answer-Sunken anterior fontanel
A nurse is providing dietary teaching to the guardian of a school-age child who has
cystic fibrosis. Which of the following statements should the nurse make?
"You should offer your child high-protein meals and snacks throughout the day."
"You should decrease your child's dietary fat intake to less than 10% of their caloric
intake."
"You should restrict your child's calorie intake to 1,200 per day."
"You should give your child a multivitamin once weekly." - Answer-"You should offer
your child high-protein meals and snacks throughout the day."
A nurse is reviewing the dietary choices of an adolescent who has iron-deficiency
anemia. The nurse should identify that which of the following menu items has the
highest amount of nonheme iron?
1/2 cup whole milk
1 cup OJ
1/2 cup raisins
1 cup raw carrots - Answer-1/2 cup raisins
A nurse is providing discharge teaching to the parents of a 6-month-old infant who is
postoperative following hypospadias repair with a stent placement. Which of the
following instructions should the nurse include in the teaching?
"You may bathe your infant in an infant bathtub when you go home."
"Apply hydrocortisone cream to your infant's penis daily."
"You should clamp your infant's stent twice daily."
"Allow the stent to drain directly into your infant's diaper." - Answer-"Allow the stent to
drain directly into your infant's diaper."
A nurse in an emergency department is caring for a school-age child who has epiglottis.
Which of the following actions should the nurse take?
Obtain a throat culture from the child
Monitor the child's oxygen saturation
Put a warm mist humidifier in the child's room
Place the child in the supine position - Answer-Monitor the child's oxygen saturation
, A nurse in a provider's office is caring for a school-age child who has varicella. The
parent asks the nurse when their child will no longer be contagious. Which of the
following responses should the nurse make?
"When your child no longer has an increased temperature."
"Three days after you first noticed the rash appear on your child."
"When your child's lesions are crusted, usually 6 days after they appear."
"Two to three weeks, when your child's lesions completely disappear." - Answer-"When
your child's lesions are crusted, usually 6 days after they appear."
A nurse is providing teaching to the family of a school-age child who has juvenile
idiopathic arthritis. Which of the following instructions should the nurse include in the
teaching?
"Limit movement of the child's large joints."
"Encourage the child to perform independent self-care."
"Provide the child with a soft mattress for sleeping."
"Schedule a 2-hour daily nap for the child in the afternoon." - Answer-"Encourage the
child to perform independent self-care."
A school nurse is providing an in-service for faculty about improving education for
students who have ADHD. Which of the following statements by a faculty member
indicates an understanding of the teaching?
"I will plan to increase the amount of homework I assign to students who have ADHD."
"I will give students who have ADHD the same amount of time as other students to
complete tests."
"I will allow students who have ADHD one rest break throughout the day."
"I will teach challenging academic subjects to students who have ADHD in the morning."
- Answer-"I will teach challenging academic subjects to students who have ADHD in the
morning."
A nurse is planning an educational program to teach parents about protecting their
children from sunburns. Which of the following instructions should the nurse plan to
include?
"Allow your child to play outside during the hours between 10 AM and 2 PM."
"Choose a waterproof sunscreen with a minimum SPF of 15."
"Dress your child in loose weave polyester fabric prior to sun exposure."
"Reapply sunscreen every 4 hours." - Answer-"Choose a waterproof sunscreen with a
minimum SPF of 15."
A nurse is planning care for a newly admitted school-age child who has generalized
seizure disorder. Which of the following interventions should the nurse plan to include?
