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ATI PEDS Exam 2024/2025 Questions With Completed & Verified Solutions
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ATI PEDS Exam 2024/2025 Questions With Completed & Verified Solutions
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ATI PEDS1. The nurse needs to take the blood pressure of a preschool boy for the first time.
Which action would be best in gaining his cooperation?
A. Taking his blood pressure when a parent is there to comfort him
B. Telling him that this procedure will help him get well faster.
C. Explaining to him how the blood flows through the arm and why the blood pressure is
important
D. Permitting him to handle equipment and see the dial move before putting the cuff in
place - ANS Correct Answer: D
Your Response:
2. It is time to give 3-year-old David his medication. Which approach is most likely to
receive a positive response?
A. "It's time for your medication now, David. Would you like water or apple juice
afterward?"
B. "Wouldn't you like to take your medicine, David?"
C. "You must take your medicine, David, because the doctor says it will make you
better."
D. "See how nicely John took his medicine? Now take yours." - ANS Correct Answer: A
Your Response:
3. When should clear liquids be stopped before scheduled surgery?
A. 2 hours before surgery
B. 6 hours before surgery
C. The night before surgery, at 8 PM
D. The night before surgery, at midnight - ANS Correct Answer: A
Your Response:
4. The nurse is doing preoperative teaching with a child and his parents. The parents
say that he is "dreading the shot" for premedication. The nurse's response should be
based on the knowledge that:
A. Preanesthetic medication can only be given intramuscularly.
B. In children the intramuscular route is safer than the intravenous (IV) route.
C. The child will have no memory of the injection because of amnesia.
D. Preanesthetic medication should be "atraumatic," using oral, existing intravenous, or
rectal routes. - ANS Correct Answer: D
Your Response:
,5. Maria, age 10, requires daily medications for a chronic illness. Her mother tells the
nurse that she is always nagging her to take her medicine before school. What is the
most appropriate nursing action to promote Maria's compliance?
A. Establishing a contract with her, including rewards
B. Suggesting time-outs when she forgets her medicine
C. Discussing with her mother the damaging effects of nagging
D. Asking Maria to bring her medicine containers to each appointment so they can be
counted - ANS Correct Answer: A
Your Response:
6. Allison, age 7 years, has a fever associated with a viral illness. She is being cared for
at home. The nurse should recognize that the principal reason for treating fever in this
child is:
A. Relief of discomfort.
B. Reassurance that illness is temporary.
C. Prevention of secondary bacterial infection.
D. Prevention of life-threatening complications. - ANS Correct Answer: A
Your Response:
7. Standard Precautions for infection control include:
A. Gloves are worn any time a patient is touched.
B. Needles are capped immediately after use and disposed of in a special container.
C. Gloves are worn to change diapers when there are loose or explosive stools.
D. Masks are needed only when caring for patients with airborne infections. - ANS
Correct Answer: C
Your Response:
8. The nurse is preparing a plan to teach a mother how to administer 1½ teaspoons of
medicine to her 6-month-old child. The nurse should recommend using:
A. A household measuring spoon.
B. A regular silverware teaspoon.
C. A paper cup measure in 5-ml increments.
D. A plastic syringe (without needle) calibrated in milliliters. - ANS Correct Answer: D
Your Response:
9. Several types of long-term central venous access devices are used. A benefit of
using an implanted port (e.g., Port-a-cath) is that it:
A. Is easy to use for self-administered infusions.
B. Does not need to pierce the skin for access.
,C. Does not need to limit regular physical activity, including swimming.
D. Cannot dislodge from the port, even if child plays with port site. - ANS Correct
Answer: C
Your Response:
10. The nurse observes erythema, pain, and edema at a child's intravenous (IV) site
with streaking along the vein. What should the nurse do first?
A. Immediately stop the infusion.
B. Check for a good blood return.
C. Ask another nurse to check the IV site.
D. Increase the IV drip for 1 minute and recheck. - ANS Correct Answer: A
Your Response:
11. The best explanation for why pulse oximetry is used on young children is that it:
A. Is noninvasive.
B. Is better than capnography.
C. Is more accurate than arterial blood gases.
D. Provides intermittent measurements of O2. - ANS Correct Answer: A
Your Response:
12. When is bronchial (postural) drainage generally performed?
A. Immediately before all aerosol therapy
B. Before meals and at bedtime
C. Immediately on arising and at bedtime
D. Thirty minutes after meals and at bedtime - ANS Correct Answer: B
Your Response:
13. The nurse is caring for an infant with a tracheostomy when accidental decannulation
occurs. The nurse is unable to reinsert the tube. What should be the next action by the
nurse?
A. Notifying the surgeon
B. Performing oral intubation
C. Trying to insert a larger-size tube
D. Trying to insert smaller-size tube - ANS Correct Answer: D
Your Response:
14. A neonate had corrective surgery 3 days ago for esophageal atresia. The nurse
notices that after the child receives his gastrostomy feeding, there is often a backup of
formula feeding into the tube. As a result, the nurse should:
A. Position the child in a supine position after feedings.
, B. Position the child on his or her left side after feedings.
C. Leave the gastrostomy tube open and suspended after feedings.
D. Leave the gastrostomy tube clamped after feedings. - ANS Correct Answer: C
Your Response:
1. What should the nurse consider when having consent forms signed for surgery and
procedures on children?
a. Only a parent or legal guardian can give consent.
b. The person giving consent must be at least 18 years old.
c. The risks and benefits of a procedure are part of the consent process.
d. A mental age of 7 years or older is required for a consent to be considered
"informed." - ANS ANS: C
The informed consent must include the nature of the procedure, benefits and risks, and
alternatives to the procedure. In special circumstances such as emancipated minors,
the consent can be given by someone younger than 18 years without the parent or legal
guardian. A mental age of 7 years is too young for consent to be informed.
2. The nurse is planning how to prepare a 4-year-old child for some diagnostic
procedures. Guidelines for preparing this preschooler should include to:
a. Plan for a short teaching session of about 30 minutes.
b. Tell the child that procedures are never a form of punishment.
c. Keep equipment out of the child's view.
d. Use correct scientific and medical terminology in explanations. - ANS ANS: B
Illness and hospitalization may be viewed as punishment in preschoolers. Always state
directly that procedures are never a form of punishment. Teaching sessions for this age
group should be 10 to 15 minutes in length. Demonstrate the use of equipment and
allow the child to play with miniature or actual equipment. Explain the procedure in
simple terms and how it affects the child.
3. Katie, 4 years old, is admitted to outpatient surgery for removal of a cyst on her foot.
Her mother puts the hospital gown on her, but Katie is crying because she wants to
leave on her underpants. The most appropriate nursing action is to:
a. Allow her to wear her underpants.
b. Discuss with her mother why this is important to Katie.
c. Ask her mother to explain to her why she cannot wear them.
d. Explain in a kind, matter-of-fact manner that this is hospital policy. - ANS ANS: A
It is appropriate for the child to leave her underpants on. This allows her some measure
of control during the foot surgery. The mother should not be required to make the child
more upset. Katie is too young to understand what hospital policy means.
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