ATI proctored exam Pediatrics –
Questions and Answers 2024
A nurse is caring for an adolescent following a lumbar puncture. which of the
following actions should the nurse take?
- initiate NPO status for the adolescent
- place the adolescent in a supine position
- place a moist, warm pack on the adolescents lower back
- apply a eutectic mixture of local anesthetics to the adolescent's puncture
site - -Place the adolescent in supine position
(The nurse should place the adolescent in a supine position for 30 minutes to
an 1 hour following a lumbar puncture to decrease the risk of a post Dural
puncture headache)
-A nurse is assessing a child who is receiving IV chemotherapy. assessment
findings include extravasation of the tissues surrounding the IV insertion site.
In which order should the nurse take the following actions?
-Remove IV line
-Elevate the extremity
-Stop the infusion
-Notify the provider - -Stop the infusion
Elevate the extremity
Notify the provider
Remove the IV line
-A nurse is discussing the causes of chronic diarrhea with a client. which of
the following conditions is caused by malabsorption
-Celiac disease
-Ulcerative colitis
-Hirschsprung's disease
-Crohn's disease - -Celiac Disease
(the nurse should recognize that celiac disease causes chronic diarrhea due
to malabsorption. other malabsorption conditions include short bowel
syndrome, lactose intolerance, and congenital enzyme deficiency)
-A nurse is caring for an 8 year old child who has sickle cell anemia. which of
the following actions should the nurse take?
-Apply cool compresses to the painful area
-Initiate contact isolation precautions
-Give the child flavored popsicles
-Administer phytonadione - -Give the child flavored popsicles
, (Maintaining hydration with a child who has sickle cell anemia is important to
prevent sickling. children often accept flavored popsicles as a source of fluid
-A nurse is caring for a toddler who has a fever, a high pitched cry,
irritability, and vomiting. which of the following actions should the nurse
take?
-Administer 81 mg of aspirin to the toddler
-Give the toddler a cold bath
-Place the toddler in a supine position
-Pad the rails of the toddler's bed - -Pad the rails of the toddler's bed
(When caring for a toddler who has manifestations of bacterial meningitis,
the nurse should implement seizure precautions, which includes padding the
side rails of the bed)
-A Nurse is teaching the guardian of a preschooler. The guardian states that
the preschooler has had an imaginary playmate for about 3 months. which of
the following pieces of information should the nurse give to guardian?
-children commonly begin having imaginary friends when they reach school
age
-Notify your provider if the imaginary friend persists longer than 6 months
-Have your child take responsibility for actions if he tries to blame the
imaginary friend
-Set limits by not allowing your child to have the imaginary friend present
during family meals - -Have your child take responsibility or actions if he
tries to blame the imaginary friend
(the nurse should inform the guardian that imaginary playmates are common
during the preschool years due to the high level of imagination among this
age group. Although having an imaginary friend is considered healthy, the
preschooler might try to use this imaginary friend as a means of avoiding
responsibility or punishment for unacceptable behavior. the nurse should
inform the guardian of the need to have the preschooler take responsibility
for his actions)
-A nurse in a providers office enters an examination room to assess an 8
month old infant for the first time. which of the following reactions by the
infant should the nurse expect.
-The infant gives the nurse a social smile
-the infant turns away when the nurse approaches
-The infant reaches out to the nurse to be held
-The infant is responsive and alert as the nurse comes closer - -the infant
turns away when the nurse approaches
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