ATI Pedi atrics Pr octored Exam Test Bank New Latest Version with All Questions from Actual Exam and Correct Answer A nurse is assessing a 12 -month -old male infant's vital signs during a well -child visit. The infant is in the 90th percentile of height. Which of the following findings should the nurse report to the provider? a. Heart rate 175/min b. Respiratory rate 26/min c. Blood pressure 88/40 mm Hg) d. Temperature 37.6° C (99.7° F --------- Correct Answer ------------ A Rationale: A heart rate of 175/min is above the expected reference range for a 12 -
month -old infant; therefore, the nurse should report this finding to the provider. A nurse is caring for a school -age child who has peripheral edema. The nurse should identify that which of the following assessments should be performed to confirm peripheral edema? a. Palpate the dorsum of the child's feet. b. Weigh the child daily using the same scale. c. Assess the child's skin turgor. d. Observe the child for periorbital swelling. --------- Correct Answer ------------ A A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of Fallot and begins to have hypercryanotic spell. Which of the following actions should the nurse take? a. Place the infant in a knee -chest position. b. Administer a dose of meperidine IV. c. Discontinue administration of IV fluids. d. Apply oxygen at 2 L/min via nasal cannula. --------- Correct Answer ------------ A A nurse is teaching the parent of a 12 -month -old infant about nutrition. Which of the following statements by the parent indicates a need for further teaching? a. "I can give my baby 4 ounces of juice to drink each day." b. "I will offer my baby dry cereal and chilled banana slices as snacks." c. "I am introducing my baby to the same foods the family eats." d. "My infant drinks at least 2 quarts of skim milk each day." --------- Correct Answer -----
------- D Rationale: As the infant transitions into toddlerhood, whole milk intake should average 24 to 30 oz per day. Too much milk can affect intake of solid foods and result in iron deficiency anemia. Skim milk is not recommended until after age 2 since it lacks essential fatty acids which are needed for growth and development. A nurse is assisting a provider during a femoral venipuncture on a toddler. The nurse should place the child in which of the following positions? a. Side -lying b. Semi -recumbent c. Flexed sitting d. Supine --------- Correct Answer ------------ D Rationale: The client is placed in the supine position, with the client's legs in a frog position. A nurse is assessing a 9 -month -old infant during a well -child visit. Which of the following findings indicates that the infant has a developmental delay? a. Creeps on hands and knees b. Inability to vocalize vowel sounds c. Uses crude pincer grasp d. Stands by holding onto support --------- Correct Answer ------------ B Rationale: The infant should begin vocalizing vowel sounds at the age of 7 months, and by the age of 10 months, be able to say at least one word . A nurse is preparing to administer a liquid medication to an infant. Which of the following actions should the nurse take? a. Administer the medication while the infant is supine. b. Give the medication at the side of the infant's mouth. c. Add the medication to a full bottle of the infant's formula. d. Administer the medication slowly while holding the nares closed. --------- Correct Answer ------------ B Rationale: When administering medications to an infant, a needleless oral syringe or medicine dropper is placed in the side of the mouth (buccal cavity alongside the tongue) to prevent gagging and aspiration. A nurse on a pediatric unit is reviewing the health record of a client who is demonstrating increasing levels of stress after admission. The nurse should identify which of the following findings as a risk factor for a stress -related reaction to hospitalization? a. Age 10 b. First hospitalization c. Male gender d. Calm, quiet demeanor --------- Correct Answer ------------ C Rationale: Male clients are at increased risk for hospitalization -related stress compared to female clients. A nurse in the emergency department is caring for a 12 -year-old child who has ingested bleach. Which of the following statements by the nurse indicated an understanding of this ingestion? a. "The absence of oral burns excludes the possibility of esophageal burns." b. "Treatment focuses on neutralization of the chemical." c. "Injury by a corrosive liquid is more extensive than by a corrosive solid." d. "Immediate administration of activated charcoal is warranted." --------- Correct Answer ------------ C Rationale: The coating action of liquids permits larger areas of contact with tissues and results in more extensive injury. A nurse is caring for a child who has a bacterial endocarditis. The child is scheduled to receive moderate term antibiotic therapy and requires a peripherally inserted central catheter (PICC). Which of the following statements should the nurse include when teaching the child's parent? a. "The PICC line will last several weeks with proper care." b. "The public health nurse will rotate the insertion site every 3 days." c. "You will need to make certain the arm board is in place at all times." d. "Your child will go to the operating room to have the line placed." --------- Correct Answer ------------ A rationale: PICC lines are the preferred venous access device for short to moderate term IV therapy. The can remain in place for long periods with proper care. A nurse is providing anticipatory guidance about accidental ingestion of a toxic substance to the parents of a toddler. Which of the following is an appropriate reaching point for the nurse to give the parents? A. Give the toddler milk B. Get to an emergency center c. Call poison control d. induce vomiting --------- Correct Answer ------------ C A nurse is caring for a 2yo child with cystic fibrosis. The nurse is planning to take the child to the playroom. Which of the following activities would be the most appropriate for the child? a. cutting and gluing b. blowing soap bubbles c. riding a tricycle d. building block towers --------- Correct Answer ------------ D A nurse is assessing a 30 -month -old toddler during a well -child visit. Which of the following findings requires further assessment by the nurse? a. Primary dentition is complete b. Unable to hop on one foot c. Birth weight is tripled d. Able to state first and last name --------- Correct Answer ------------ C Rationale: The birth weight should triple by 12 months of age. By 30 months of age, the birth weight should be quadrupled. A nurse in the emergency department is caring for a 2 -year-ols child who was found by his parents crying and holding a container of toilet bowl cleaner. The child's lips are edematous and inflamed, and he is drooling. Which of the following is the priority action by the nurse? a. Remove the child's contaminated clothing b. Check the child's respiratory status c. Administer an antidote to the child d. Establish IV access for the child --------- Correct Answer ------------ B A nurse is teaching a parent of a 12 -month old child about development during the toddles years. Which of the following statements should the nurse include? a. "Your child should be referring to himself using the appropriate pronoun by 18 months of age." b. "A toddler's interest in looking at pictures occurs at 20 months of age." c. "A toddler should have daytime control of his bowel and bladder by 24 months of age." d. "Your child should be able to scribble spontaneously using a crayon at the age of 15 months." --------- Correct Answer ------------ D A nurse is providing discharge teaching to the parents of a 6 -month -old infant who is postoperative following hypospadias repair with a stent replacement. Which of the following instructions should the nurse include in the teaching? a. "You may bathe your infant in an infant bathtub when you go home." B. Apply hydrocortisone cream to your infant's penis daily." C."You should clamp your infant's stent twice daily." D. "Allow the stent to drain directly into your infant's diaper" --------- Correct Answer ------
------ D A nurse is monitoring the oxygen saturation level of an infant using pulse oximetry. The nurse should secure the sensor to which of the following areas on the infant? a. wrist b. great toe c. index finger
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