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ATI PEDIATRICS EXAM PRACTICE ACTUAL EXAM 5 VERSIONS QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES ALREADY GRADED A+ BRAND NEW!! $25.99   Add to cart
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ATI PEDIATRICS EXAM PRACTICE ACTUAL EXAM 5 VERSIONS QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES ALREADY GRADED A+ BRAND NEW!!

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ATI PEDIATRICS EXAM PRACTICE ACTUAL EXAM 5 VERSIONS QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES ALREADY GRADED A+ BRAND NEW!!

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  • May 20, 2024
  • 125
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • ATI RN PEDIATRICS
  • ATI RN PEDIATRICS

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ATI PEDIATRICS PRACTICE ACTUAL EXAM 5
VERSIONS QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
ALREADY GRADED A+ BRAND NEW!!

VERSION 1
A nurse is creating a plan of care for a school-age child who has heart disease and has
developed heart failure. Which of the following interventions should the nurse include in the
plan?


a. Provide small, frequent meals for the child.
b. Schedule time in the play room for the child.
c. Weigh the child weekly.

d. Maintain the child in a supine position. - ANSWER✅✅a. Provide small, frequent meals for
the child.


The metabolic rate of a child who has heart failure is high because of poor cardiac function.
Therefore, the nurse should provide small, frequent meals for the child because it helps to
conserve energy. The nurse should restrict play activities to the child's bed to minimize energy
expenditure. The nurse should weigh the child daily. To provide for maximum chest expansion,
the nurse should maintain the child's bed in a semi-Fowler's position.
A nurse is teaching the parent of an infant who has a Pavlik harness for the treatment of
developmental dysplasia of the hip. The nurse should identify that which of the following
statements by the parent indicates an understanding of the teaching?


a. "I should remove the harness at night to allow my infant to stretch her legs."
b. "I will need to adjust the straps on the harness once each week."
c. "I should apply baby powder to my infant's skin twice daily."

d. "I will place my infant's diapers under the harness straps." - ANSWER✅✅d. "I will place my
infant's diapers under the harness straps."


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To prevent soiling of the harness, the parent should apply the infant's diaper under the straps.
The harness is to be worn continuously until the hip is stable, which usually occurs within 6-12
weeks. Removing the harness frequently or for long periods of time will reduce the
effectiveness of the treatment. The Pavlik harness is designed to maintain the infant's hips in a
position of flexion & abduction. The nurse should instruct the parent not to adjust the harness
in any way to avoid complications. The use of powders & lotions should be avoided during
treatment with a Pavlik harness because these products, in combination with the harness, can
cause skin irritation and breakdown.
A nurse is planning care for a school-age child who is in the oliguric phase of acute kidney injury
(AKI) and has a sodium level of 129 mEq/L. Which of the following interventions should the
nurse include in the plan?


a. Administer ibuprofen to the child for a temperature greater than 38º C (100.4º F).
b. Assess the child's blood pressure every 8 hr.
c. Weigh the child weekly at various times of the day.

d. Initiate seizure precautions for the child. - ANSWER✅✅d. Initiate seizure precautions for
the child.


A sodium level of 129 mEq/L indicates hyponatremia and places the child at increased risk for
neurological deficits and seizure activity. The nurse should complete a neurologic assessment
and implement seizure precautions to maintain the child's safety.
A nurse is assessing a school-age child immediately following a perforated appendix repair.
Which of the following findings should the nurse expect?


a. Purulent nasogastric drainage
b. Absence of peristalsis
c. Passage of dark red stool with mucus

d. WBC count 6,000/mm3 - ANSWER✅✅b. Absence of peristalsis


The nurse should expect absence of peristalsis immediately following a perforated appendix
repair, until the bowel resumes functioning. Purulent drainage is not an expected finding


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following a perforated appendix repair. The nurse should expect brown to green-tinged
drainage from the NG tube. Passage of dark red stool with mucus is not an expected finding
immediately following a perforated appendix repair. The nurse should identify this finding as a
manifestation of Meckel diverticulum. The nurse should expect a WBC count greater than
20,000/mm3 in a client who has had a ruptured appendix.
A nurse is preparing an adolescent for a lumbar puncture. Which of the following actions should
the nurse take?


a. Place a cardiac monitor on the adolescent prior to the procedure.
b. Apply topical analgesic cream to the site 1 hr prior to the procedure.
c. Keep the adolescent in a semi-Fowler's position for 4 hr following the procedure.

d. Restrict fluids for 2 hr following the procedure. - ANSWER✅✅b. Apply topical analgesic
cream to the site 1 hr prior to the procedure.


The nurse should apply a topical analgesic to the lumbar site 1 hr prior to the procedure to
decrease the adolescent's pain while the lumbar needle is inserted. Cardiac monitoring is not
necessary during a LP. The nurse should place the adolescent in the prone position or flat in bed
for up to 12 hr following the procedure to prevent postprocedural spinal headache. The nurse
should encourage the adolescent to drink extra fluids following the procedure to replace the
CSF removed during the procedure.
A nurse is caring for a school-age child who is receiving cefazolin via intermittent IV bolus. The
child suddenly develops diffuse flushing of the skin and angioedema. After discontinuing the
medication infusion, which of the following medications should the nurse administer first?


a. Prednisone
b. Epinephrine
c. Diphenhydramine

d. Albuterol - ANSWER✅✅b. Epinephrine


This child is most likely experiencing an anaphylactic reaction to the cefazolin. According to
evidence-based practice, the nurse should first administer epinephrine to treat the anaphylaxis.




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Epinephrine is a beta adrenergic agonist that stimulates the heart, causes vasoconstriction of
blood vessels in the skin and mucous membranes, and triggers bronchodilation in the lungs.
A nurse is teaching the parent of a preschooler about ways to prevent acute asthma attacks.
Which of the following statements by the parent indicates an understanding of the teaching?


a. "I will use a humidifier in my child's room at night."
b. "I will give my child a cough suppressant every 6 hours if he has a cough."
c. "I should avoid using a wet mop on my floors when I am cleaning."

d. "I should keep my child indoors when I mow the yard." - ANSWER✅✅d. "I should keep my
child indoors when I mow the yard."


The nurse should instruct the parent to keep the preschooler indoors during lawn maintenance
or when the pollen count is increased. Guarding against exposure to known allergens found
outdoors, such as grass, tree, & weed pollen, will decrease the frequency of the preschooler's
asthma attacks.
A nurse is proving dietary teaching to the parent of a school-age child who has celiac disease.
The nurse should recommend that the parent offer which of the following foods to the child?


a. Wheat crackers
b. Rye bread
c. Barley soup

d. White rice - ANSWER✅✅d. White rice


The nurse should recommend that the parent offer white rice to the child because it is a gluten-
free food. The nurse should instruct the parent that the child will remain on a lifelong gluten-
free diet and the child should not consume oats, rye, barley, or wheat, and sometimes lactose
deficiency can be secondary to this disease.
A nurse is reviewing the laboratory report of a school-age child who is experiencing fatigue.
Which of the following findings should the nurse recognize as an indication of anemia?


a. Hematocrit 28%


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