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2024 PEDIATRICS ATI PROCTORED FINAL EXAM TEST BANK WITH 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES| SCORED A+

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2024 PEDIATRICS ATI PROCTORED FINAL EXAM TEST BANK WITH 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES| SCORED A+ The nurse is preparing to administer an immunization to a four-year-old child. Which of the following actions should the nurse plan to take? A- Place the child in a prone positi...

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  • January 14, 2024
  • January 28, 2025
  • 42
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • 2024 pediatrics ati proctored final exam test bank

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2024 PEDIATRICS ATI PROCTORED FINAL EXAM
TEST BANK WITH 200 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES| SCORED A+
A nurse is preparing to give an immunization to a four-year-old child. Which of the following
actions should the nurse take?

A. Position the child in a prone position for the injection.
B. Ask the child's caregiver to step out of the room during the procedure.
C. Use a 24-gauge needle to administer the immunization.
D. Inject the vaccine slowly after aspirating for three seconds.

Correct Answer: C
The nurse should use a 24-gauge needle when administering an immunization to a four-year-old to
minimize pain and discomfort.

 A: The child should be placed in an upright seated position, as this helps reduce fear and
anxiety.
 B: The caregiver should be allowed to stay with the child to provide reassurance and lessen
anxiety.
 D: The nurse should administer the injection quickly without aspirating to prevent
unnecessary discomfort and reduce the risk of needle displacement.

A nurse is reviewing the lab results of an infant undergoing treatment for severe dehydration. Which
of the following lab values suggests the treatment is effective?

A. Potassium level of 2.9 mEq/L
B. Sodium level of 140 mEq/L
C. Urine specific gravity of 1.035
D. BUN level of 25 mg/dL

Correct Answer: B
A sodium level of 140 mEq/L is within the normal range, indicating that the current treatment for
dehydration is effective.

 A: A potassium level of 2.9 mEq/L is below normal and suggests hypokalemia.
 C: A urine specific gravity of 1.035 is elevated, indicating concentrated urine, which may
suggest ongoing dehydration.
 D: A BUN level of 25 mg/dL is higher than normal, suggesting that the kidneys are not
properly eliminating waste.

A nurse is educating the parents of a preschooler about social development. Which play activity
should the nurse recommend?

A. Playing pat-a-cake
B. Using a push-pull toy
C. Making a scrapbook
D. Playing dress-up

,Correct Answer: D
At the preschool stage, play should support social, cognitive, and physical growth. Playing dress-up
is ideal as it encourages imaginative and social interaction.

 A: Pat-a-cake is an appropriate activity for infants.
 B: Push-pull toys are suitable for toddlers.
 C: Scrapbook creation is more appropriate for school-age children.

A nurse is instructing the parents of a newborn on how to reduce the risk of sudden infant death
syndrome (SIDS). Which guideline should the nurse emphasize?

A. Place the infant in a prone position for sleep.
B. Let the infant sleep on a large pillow.
C. Use a soft mattress in the crib.
D. Offer the infant a pacifier at bedtime.

Correct Answer: D
The nurse should inform the parents that using a pacifier while sleeping, along with breastfeeding, is
a protective measure against SIDS.

 A: Infants should be placed on their backs (supine) to sleep, as prone and side-lying
positions increase SIDS risk.
 B: Sleeping on a large pillow raises the risk of suffocation and SIDS.
 C: A firm mattress should be used instead of a soft one to prevent asphyxiation.

A nurse is evaluating an infant diagnosed with pneumonia. Which finding should be reported to the
provider as the highest priority?

A. Nasal flaring
B. WBC count of 11,300
C. Diarrhea
D. Abdominal distension

Correct Answer: A
Nasal flaring is a sign of respiratory distress, making it the most urgent finding that needs to be
reported immediately.

 B: A WBC count of 11,300 is elevated and indicates infection, but another symptom takes
priority.
 C: Diarrhea may indicate ineffective treatment but is not the most urgent concern.
 D: Abdominal distension can occur with pneumonia, but another finding is of greater
importance.

A school nurse is checking the blood pressure of a school-age child who suddenly begins
experiencing a tonic-clonic seizure. What should the nurse do first?

A. Remove hazardous objects from the surrounding area.
B. Loosen any tight clothing.
C. Help the child to a side-lying position on the floor.
D. Place an oxygen mask on the child.

,Correct Answer: C
The most immediate priority is to ease the child onto the floor in a side-lying position. This helps
maintain an open airway and prevents aspiration.

 A: Clearing nearby hazards is important but is not the first step.
 B: Loosening clothing can help with breathing but is not the top priority.
 D: Providing oxygen is important but should be done after ensuring airway patency.

A nurse is preparing to administer ibuprofen to an infant who weighs 17.6 lbs. The prescribed dose
is 5 mg/kg every 6 hours PRN for fever above 38.0°C (100.5°F). The infant's temperature is
38.4°C (101.2°F). The available medication concentration is 100 mg per 5 mL. How many
milliliters should the nurse administer per dose?

Correct Answer: 2 mL

A nurse is receiving a shift report on four pediatric patients. Which child should be assessed first?

A. A toddler with a concussion who has vomited forcefully.
B. An adolescent with infective endocarditis who complains of a headache.
C. An adolescent in halo traction for 1 hour who rates pain at 6/10.
D. A school-age child with acute glomerulonephritis and brown-colored urine.

Correct Answer: A
Forceful vomiting in a toddler with a concussion may indicate increased intracranial pressure,
making this case the top priority.

 B: A headache is expected in infective endocarditis and is not the most urgent concern.
 C: Moderate pain after recent halo traction placement is expected.
 D: Brown urine is a typical symptom of glomerulonephritis and does not require immediate
intervention.

A nurse in the emergency department is caring for an adolescent who has severe
abdominal pain due to appendicitis. Which of the following locationsshould the
nurse identify as mcburney's point?




Page 6 of 27

, Answer: a
A is correct. The nurse should identify the lower right quadrant of the abdomen
between the umbilicus and the anterior iliac crest as the location of Burney’s
point.

B is incorrect. The nurse should not identify the left lower quadrant as the
location ofMcBurney's point.
C is incorrect. The nurse should not identify the right upper quadrant as the location
ofMcBurney's point.


A nurse is educating the family of a school-age child diagnosed with juvenile idiopathic arthritis.
Which of the following instructions should be included?

A. Restrict movement of the child’s large joints.
B. Encourage the child to perform self-care independently.
C. Provide a soft mattress for sleeping.
D. Schedule a two-hour nap each afternoon.

Correct Answer: B
The nurse should advise the family to promote independent self-care, which helps manage pain
while maintaining mobility. Encouraging and praising self-sufficiency also boosts the child's self-
esteem.

 A: Regular movement of large joints is essential for maintaining mobility and strengthening
muscles.
 C: A firm mattress is recommended to provide proper support, as a soft mattress may put
additional pressure on the joints, worsening pain.
 D: Daytime naps should be minimized, as inactivity can quickly lead to stiffness and
interfere with nighttime sleep.

A nurse is assessing a client newly diagnosed with celiac disease. Which clinical manifestation
should the nurse expect?

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