Exam (elaborations)
ATI PEDIATRIC PROCTORED EXAM: Book & Assessments A & B
ATI PEDIATRIC PROCTORED EXAM: Book & Assessments A & B
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ATI PEDIATRIC PROCTORED EXAM:Book & Assessments A & B
Assessment A - -
-A nurse is contributing to the plan of care for a school-age child who has
acute poststreptococcal glomerulonephritis (APSGN) and is mildly
hypertensive. Which of the following actions should the nurse include in the
plan of care?
A. Restrict the child's sodium intake
B. Weigh the child every other day
C. Monitor the child's blood pressure every 12 hour
D. Place the child on bed rest - -Restrict the child's sodium intake
-A nurse is collecting data from a toddler at a well-child visit. Which of the
following findings should the nurse identify as a possible indication of child
maltreatment?
A. diaper dermatitis
B. bruise on the front of the lower leg
C. inflamed unilateral conjunctiva
D. laceration on the side of the torso - -laceration on the side of the torso
-A nurse is reinforcing discharge teaching with the parent of a school-age
child who is being treated for nephrotic syndrome. The parents asks the
nurse why it is necessary to check the child's urine for protein. Which of the
following explanations should the nurse offer?
A. "A decrease in urine protein indicates that treatment is effective."
B. "Protein in the urine indicates your child's protein intake is adequate."
C. "Protein in the urine indicates a need to begin dialysis."
D. "An increase in urine protein indicates your child has a secondary
infection." - -"A decrease in urine protein indicates that treatment is
effective."
-A nurse is reinforcing home safety instructions with the parents of a
toddler. Which of the following parent statements indicates an understanding
of the teaching?
A. "We will keep our child out of the sun between 3 p.m. and 5 p.m."
B. "We will transition our child to a toddler bed when he is 2 feet tall."
C. "We will purchase a toy storage box with a lightweight lid."
,D. "We will provide a healthy snack of peanuts." - -"We will purchase a toy
storage box with a lightweight lid."
-A nurse is contributing to the plan of care for a child who has sickle cell
anemia and is experiencing a vaso-occlusive crisis. Which of the following is
the priority intervention for the nurse to recommend to include in the plan?
A. promote oxygen utilization
B. Administer antibiotics
C. encourage fluid intake
D. apply a warm compress to the joints - -promote oxygen utilization
-A nurse is reviewing the medical record of a female adolescent client who
has primary amenorrhea. Which of the following findings should the nurse
identify as a risk factor for this disorder? (select all that apply)
A. hypothyroidism
B. obesity
C. cannabis use
D. oral contraceptive use
E. emotional stress - -1. hypothyroidism
2. cannabis use
3. oral contraceptive use
4. emotional stress
-A nurse is reviewing the laboratory report of a preschooler who has Wilms'
tumor and is scheduled to begin treatment with an antineoplastic medication
regimen. Which of the following laboratory results should the nurse report to
the provider?
A. BUN 16 mg/dL
B. WBC count 5,500/mm3
C. serum glucose 98 mg/dL
D. Platelet count 70,000 - -Platelet count 70,000
-A nurse is collecting data from an infant who is receiving IV therapy for fluid
replacement. Which of the following findings indicates the infant's status is
improving?
A. WBC count 19,000/mm3
B. Sodium level 145 mEq/L
C. Capillary refill greater than 3 seconds
D. Dry mucous membranes - -Sodium level 145 mEq/L
, -A nurse is collecting data from a 12 month old infant during a well-child
visit. The nurse should identify which of the following findings as a deviation
from expected growth and development?
A. vocabulary of three words
B. negative Babinski reflex
C. birth weight doubled
D. unable to build a two-block tower - -birth weight doubled
-A nurse is assisting the provider with a developmental assessment of a
toddler. Which of the following behaviors should the nurse recognize as an
expected finding?
A. Walks backwards with heel to toe
B. Stands on one foot for several seconds
C. Uses scissors to cut out shapes
D. Prints letters with a pencil - -Stands on one foot for several seconds
-A nurse is caring for a school-age child who has been admitted to the
facility in sickle cell crisis. The nurse is measuring the child's oral intake for
the shift. The child consumed 4 oz of juice at breakfast. For lunch, the child
consumed 6 oz of milk, 6 z of gelatin, and drank 7 oz of water. What is the
child's oral intake for this shift in milliliters? (round to the nearest whole
number) - -690 ml
# of oz x 30=mL
-A nurse is reinforcing dietary teaching about a low-sodium diet with the
parents of a child who is recovering from acute glomerulonephritis. Which of
the following food choices by the parents indicates an understanding of the
teaching?
A. pretzels
B. apples
C. canned corn
D. peanut butter - -apples
-A nurse is collecting data from an infant who has severe dehydration.
Which of the following findings should the nurse expect?
A. capillary refill of 2 seconds
B. flushed skin
C. weight loss of 10%
D. bulging anterior fonanel - -weight loss of 10%
, -A nurse is reinforcing discharge teaching with the guardian of a child who
has juvenile idiopathic arthritis (JIA). Which of the following statements by
the guardian indicates an understanding of the teaching?
A. "I will have my child sleep in knee, wrist, and hand splints."
B. "I will encourage my child to take an afternoon nap."
C. "I will apply topical hydrocortisone to my child's joints as needed."
D. "I will administer opioids to my child for the next several months to control
the pain." - -"I will have my child sleep in knee, wrist, and hand splints."
-A nurse is caring for a preschooler who has a new diagnosis of asthma.
Which of the following medications should the nurse instruct the parent to
administer for an acute asthma attack?
A. Levalbuterol
B. Fluticasone
C. Omalizumab
D. Montelukast - -Levalbuterol
-A nurse is reinforcing teaching with an adolescent female client who has
acne vulgaris and a new prescription for isotretinoin. Which of the following
information should the nurse include?
A. "You should apply this medication to the affected skin twice daily."
B. "You will need to have two negative pregnancy tests prior to starting this
medication."
C. "Your provider will monitor your kidney function while you are taking this
medication."
D. "Your provider will prescribe a vitamin A supplement to take with each
dose of this medication." - -"You will need to have two negative pregnancy
tests prior to starting this medication."
-A nurse is assisting with the administration of a nasogastric enteral feeding
for an infant. Which of the following actions should the nurse take?
A. Place the infant in semi-Fowler's position for 1 hr after the feeding
B. Flush the tube with 30 mL of normal saline before the feeding
C. Warm the feeding in the microwave immediately prior to administration
D. Auscultate over the infant's epigastric area to ensure proper tube
placement - -Place the infant in semi-Fowler's position for 1 hr after the
feeding
-A nurse is collecting data about a 4 year old preschooler's gross motor
skills. The nurse should expect the preschooler to be able to perform which
of the following activities?
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