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Peds ATI Practice Exam 2024/2025 Questions with Completed & Verified Solutions.
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Peds ATI Practice Exam 2024/2025 Questions with Completed & Verified Solutions.
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Peds ATI Practice QuestionsA nurse is providing teaching about food high in fiber to the guardian of a child who has
chronic constipation. Which of the following foods should the nurse recommend? - ANS
-1/2 cup cooked pinto beans
rational: the nurse should recommend foods high in fiber for a child who has chronic
constipation. A half cup of cooked pinto beans contain approx. 5 g of fiber. Therefore,
the nurse should instruct the guardian to include this food in the child's diet
A nurse i8s caring for a child who has a tracheostomy. Which of the following
techniques should the nurse use to suction the child's tracheostomy? - ANS -remove
the catheter while applying intermittent suction
rational: the nurse should insert the catheter w/out suction & then withdraw the catheter
while applying intermittent suction
A nurse on a pediatric unit is planning care for a preschooler who will be having a
surgical procedure in the morning. The child has been crying despite his parents'
presence at his bedside. The nurse should add engaging the child in therapeutic play to
the care plan to offer while of the following benefits? - ANS -allow the child to
manipulate toy medical equipment
rational: a major function of play therapy is making potentially unmanageable situations
manageable through symbolic representation, which provides kids w/ opportunities to
learn to cope. A preschooler does not have the language development to express fear
of the unfamiliar medical equipment in the hospital. By encouraging th child to touch the
equipment, the nurse is helping decrease the child's fear and intimidation in a safe
environment using age-appropriate vocabulary. The use of toys enables kids to transfer
anxieties, fears, fantasies, and guild to objects rather than people
A nurse is planning care for a toddler who has acute gastroenteritis and was recently
admitted. Which of the following should the nurse plan to provide for the child? - ANS
-oral rehydration solution
rational: the nurse should plan to provide an oral rehydration solution to this child who
has acute gastroenteritis. ORS promotes the body's reabsorption of water and sodium
,and is more effective and less traumatic than the administration of IV fluids for the tx of
dehydrations due to diarrhea and emesis
A nurse is teaching the parents of a child who has rheumatic fever. Which of the
following statements by a parent indicates an understanding of the teaching? - ANS -my
child may take aspirin for his joint pain
rational: kids who has rheumatic fever may take salicylates (aspirin) to control the
inflammatory process that occurs in the joints
A nurse is caring for an infant who is postop following a myelomeningocele repair.
Which of the following is the priority action the nurse should take? - ANS -measure the
infants head circumference
rational: increased head circumference is an indication that the infant is at greater risk of
increased intracranial pressure; measuring the infant's head circumference is the priority
nursing action. Hydrocephalus can occur as a complication of a myelomeningocele
repair and is monitored using head circum. measurements.
A nurse is assessing a 4 yr old child for growth and developmental milestones during a
well child visit. Which of the following findings suggests a possible delay in
development? - ANS -speaking using 2-3 sentences
rational: a 4 yr old child should be speaking in 4-5 word sentences. Speaking in 2-3
word sentences is typical of a 2 yr old child
A nurse is teaching the parent of an infant about home safety. Which of the following
pieces of info should the nurse include? SATA - ANS -position the care seat so it is rear
facing
-secure a safety gate at the top and bottom of the stairs
-maintain the water heater temp at 49 C (120F)
rational: infants and kids should remain in the rear facing position in a care seat until the
age of 2 yrs or until they reach the recommended height and weight per the
manufacturer's guidelines. As the infant begins to crawl and becomes more mobile, the
risk of falls increase. To prevent burn injury, the temp of the water heart should not
exceed 49 C ( 120F)
,A nurse is caring for a 4 yr old child who has pneumonia. The child's mother left 2 hrs
ago, and he is currently experiencing the separation anxiety stage of despair. Which of
the following findings should the nurse expect? - ANS -inactivity and thumb sucking
rational: a child who is sucking his thumb and refusing to eat or drink is displaying
manifestations of the second state of separations anxiety, which is despair
A nurse is caring for an infant who has a tracheoesophageal fistula. Which of the
following actions should the nurse take? - ANS -preform oropharyngeal suctioning
rational: when caring for an infant who has a tracheoesophageal fistula, the nurse
should perform frequent oropharyngeal suctioning to decrease the infant's risk of
aspiration
A nurse is admitting a child who has acute lymphocytic leukemia. Which of the following
lab values should the nurse expect? - ANS -RBCs 2.5 million/uL
rational: an RBC count of 2.5 million/uL is below the expected reference range. A child
who has acute lymphocytic leukemia has a low RBC count
A nurse is assessing a 6 month old infant. The guardian reports that the infant does not
appear interested in the brightly colored mobile hanging above the crib at home. Which
of the following techniques should the nurse use to check the infant's visual acuity? -
ANS -move a brightly colored toy from side to side in front of the infant's face
rational: the nurse should check the infant's ability to see by positioning the infant
upright and holding a brightly colored toy or object in front of the infant's face and
moving it from side to side. The nurse should observe the infant's ability to fixate on the
toy and track its movement. The nurse can also perform this assessment using the
human face as a visual target
A nurse is performing an annual physical assessment of a preschooler. The parent
expresses concern about the child's 1.8 kg (4lbs) weight gain over the past year. Which
of the following responses should the nurse make? - ANS -your child's weight change is
expected for this age group
rational: a preschooler should gain about 2-3 kg (4.4-6.6 lb) each yr. Therefore, the
nurse should reassure the parent that this child's weight gain is an expected finding for
the age group
, A nurse is assessing a 4 yr old child's cognitive development during a well-child visit.
Which of the following should the nurse expect the child to display? - ANS -development
of the superego
rational: this is the development of a conscience. Preschoolers begin to develop an
understanding of right from wrong. While they might be unable to understand the "why"
of acceptable vs unacceptable behaviors, they learn the concept through punishment
and reward and the principles to which their parents adhere
A nurse is assessing an adolescent who has a new diagnosis of anorexia nervosa.
Which of the following findings should the nurse expect? - ANS -lanugo over the back
rational: the nurse should expect an adolescent who has anorexia nervosa to have
lanugo present on the skin as a result of impaired metabolic activity. Other
manifestations of anorexia nervosa include hypothermia, hypotension, and dry skin
A nurse is creating a plan of care for a child who has sickle cell anemia and is
experiencing a vaso-occlusive crisis. Which of the following interventions is the priority
for the nurse to include? - ANS -monitor the child's O2 sat
rational: when using the ABC approach to client care, the priority intervention is to
monitor the child's O2 sat level. Promoting O2 utilization prevents further sickling of the
child's RBCs and allows adequate oxygenation of the surrounding tissue
A nurse is caring for a child who has glomerulonephritis. Which of the following actions
should the nurse take? - ANS -weigh the child once each day
rational: the nurse should weigh the child at the same time each day to monitor fluid
balance
A nurse is assessing the vital signs of a 1 month old infant. Which of the following
actions should the nurse perform? - ANS -count respirations before taking other vitals
signs
rational: it is best to count the infant's respirations while the infant is calm and before
being disturbed. the pulse should be taken next, followed by the temp, which is the most
disruptive assessment to an infant
A nurse is caring for an 8 yr old child who has acute glomerulonephritis. Which of the
following findings should the nurse expect? - ANS -periorbital edema
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