ATI PEDIATRICS PROCTORED EXAM QUESTIONS AND CORRECT ANSWERS WITH RATIONALES | ALREADY GRADED A+ | VERIFIED ANSWERS | LATEST EDITION 2024 A nurse is teaching the parent of an infant about food allergens. Which of the following foods should the nurse include as being the most common food allergy in children? a. Cow's milk b. Wheat bread c. Corn syrup d. Egg ------CORRECT ANSWER --------------- A Rationale: According to evidence -based practice, the nurse should instruct the parent that cow's milk is the most common food allergy in children. Some children are sensitive to the protein, called casein, found in cow's milk. They have difficulty metabolizing the casein and are, therefore, allergic to cow's milk. A nurse is teaching the parent of a toddler about home safety. Which of the following statements b y the parent indicates an understanding of the teaching? a. "I lock my medications in the medicine cabinet." b. "I keep my child's crib mattress at the highest level." c. "I turn pot handles to the side of my stove while cooking." d. "I will give my child syrup of ipecac if she swallows something poisonous." ------CORRECT ANSWER --------------- A Rationale: Locking up medications and other potential poisons prevents access. Toddlers have improved gross and fine motor skills that allow for further exploration of the environment and possible access to hazardous substances. A nurse is performing a physical assessment on a 6 -month -old infant. Which of the following reflexes should the nurse expect to find? a. Stepping b. Babinski c. Extrusion d. Moro ------CORRECT ANSWER --------------- B Rationale: The Babinski reflex, which is elicited by stroking the bottom of the foot and causing the toes to fan and the big toe to dorsiflex, should be present until the age of 1 year. Persistence of neonatal r eflexes might indicate neurological deficits. A nurse is preparing to administer recommended immunizations to a 2 -
month -old infant. Which of the following immunizations should the nurse plan to administer? a. Human papillomavirus (HPV) and hepatitis A b. Measles, mumps, rubella (MMR) and tetanus, diphtheria, and acellular pertussis (TDaP) c. Haemophilus influenzae type B (Hib) and inactivated polio virus (IPV) d. Varicella (VAR) and live attenuated influenza vaccine (LAIV) ------
CORRECT ANSWER ----------- ----C Rationale: The recommended immunizations for a 2 -month -old infant include Hib and IPV. The Hib immunization series consists of 3 to 4 doses, depending on the immunization used, and at a minimum is administered at the ages of 2 months, 4 months, and 1 2 to 15 months. The IPV immunization series consists of 4 doses and is administered at the ages of 2 months, 4 months, 6 to 18 months, and 4 to 6 years. A nurse is developing a plan of care for a school -age child who underwent a surgical procedure that resulted in temporary loss of vision. Which of the following interventions should the nurse include in the plan of care? a. Assign an assistive personnel to feed the child. b. Explain sounds the child is hearing. c. Have the child use a cane when ambulating. d. Rotate nurses caring for the child. ------CORRECT ANSWER ---------------
B Rationale: The noises in a facility can be frightening to a child who is experiencing a sensory loss. It is important to explain these noises to allay the child's fears. A nurse is assessing a 3 -year-old child who is 1 day postoperative following a tonsillectomy. Which of the following methods should the nurse use to determine if the child is experiencing pain? a. Ask the parents. b. Use the FACES scale. c. Use the numeric rating scale. d. Check the child's temperature. ------CORRECT ANSWER --------------- B Rationale: Pain is a subjective experience even for a 3 -year-old child. The FACES scale can be used to accurately determine the pre sence of pain in children as young as 3 years of age. A nurse is providing teaching about promoting sleep with the parent of a 3 -
year-old toddler. Which of the following information should the nurse include? a. Follow a nightly routine and established bedtime. b. Encourage active play prior to bedtime. c. Let the child remain awake until tired enough to go to sleep. d. Reward the child with a food treat just prior to sleep if the child goes to bed on time. ------CORRECT ANSWER --------------- A Rationale: Preschool -age children test limi ts. Consistency in approach to bedtime is very important. Bedtime is more likely to be pleasant for everyone if a routine is established and followed every night. A nurse is planning to implement relaxation strategies with a young child prior to a painf ul procedure. Which of the following actions should the nurse take? a. Ask the child to hold his breath and then blow it out slowly. b. Ask the child to describe a pleasurable event. c. Bounce the child gently while holding him upright. d. Rock the child i n long rhythmic movements. ------CORRECT ANSWER ---
------------ D Rationale: The nurse can implement relaxation strategies by sitting with the child in a wellsupported position such as against the chest, and then rocking or swaying back and forth in long, wide movements. . A nurse is assessing a 6 -year-old child at a well -child visit. Which of the following findings requires further assessment by the nurse? a. Presence of sparse, fine pubic hair b. Decreased head circumference compared to full height c. Increased leg length related to height d. Presence of a loose, central incisor ------CORRECT ANSWER --------------
-A Rationale: The development of sexual characteristics prior to the age of 9 years in boys, and 8 years in girls, is an indication of preco cious puberty and requires further evaluation. A nurse is caring for a preschool -age child who is dying. Which of the following findings is
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